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Decompression Sickness ManagementAka: DCS Management, Recompression Chamber, Recompression Management, Recompression Therapy

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  1. Management
    1. Air transport no higher than 1000 feet
    2. Urinary Catheter for spinal DCS
    3. Decompression chamber (see below)
  2. Management: Recompression (USN Table 6 Algorithm)
    1. Recompression mechanism
      1. Reduces bubble size
      2. Increases off-gassing of nitrogen
    2. Outcomes with Recompression
      1. Majority of DCS patients have good recovery
    3. Protocol Summary
      1. Initial recompression
        1. Depth: 60 feet salt water at 100% Oxygen
        2. Duration: 60 Minutes
      2. Next Recompression on Oxygen
        1. Depth: 30 feet salt water at 100% Oxygen
        2. Duration: 60 Minutes
      3. Next Recompression on Room Air
        1. Depth: 30 feet salt water at room air
        2. Duration: 60 Minutes
  3. Resources
    1. Divers Alert Network (DAN) at Duke UMC
      1. Emergency Phone: 919-684-8111 (24 hours)
      2. Nonemergency Phone: 919-684-2948 (weekdays 8-5)
  4. References
    1. Clenney (1996) Am Fam Physician 53(5):1761
    2. Moon (1999) Crit Care Clin 15:429
    3. Newton (2001) Am Fam Physician 63(11):2211

Decompression chamber therapy (C0199472)

ConceptsTherapeutic or Preventive Procedure (T061)
ICD993.97
EnglishControl of atmospheric pressure and composition in decompression chamber procedure, Decompression chamber, Decompression chamber therapy, Hyperbaric chamber therapy, Recompression therapy
Spanishcontrol de la presion y composicion atmosferica en procedimiento por camara de descompresion, terapia por camara de descompresion
Parent ConceptsRespiratory Therapy (C0035239), High ambient pressure therapy (C0418997), Procedure by device (C1285536), Duplicate concept (C1274013), Decompression (C1829459)
SourcesICD9CM, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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