Echocardiographic evaluation of intracardiac venous gas emboli following in-water recompression | Canada Hyperbarics Skip to main content
RCT Undersea Hyperb Med 2016

Echocardiographic evaluation of intracardiac venous gas emboli following in-water recompression

Dituri J, Sadler R, Siddiqi F, Sadler C, Javeed N, Annis H, et al. — Undersea Hyperb Med, 2016

Tier 1, Curated

Manually reviewed and included in the Canada Hyperbarics research database.

Summary

What Researchers Did

Researchers conducted a randomized controlled trial comparing in-water recompression (IWR) to normobaric oxygen (NBO2) for treating decompression sickness, using 2D echocardiography to measure venous gas emboli.

What They Found

Before treatment, mean bubble counts were 28.1 bpf for the IWR group and 18.3 bpf for the NBO2 group. After treatment, IWR reduced bubble counts to 0.1 bpf (p < 0.01) and NBO2 to 1.8 bpf (p = 0.103), representing a 99.7% and 90.1% reduction respectively, though the difference between groups was not statistically significant.

What This Means for Canadian Patients

For Canadian divers experiencing decompression sickness in remote areas without immediate access to a hyperbaric chamber, in-water recompression may offer a viable emergency treatment option. This could potentially reduce the severity of symptoms while awaiting definitive care.

Canadian Relevance

This study has no direct Canadian connection.

Study Limitations

A limitation is that the observed reduction in bubble counts between in-water recompression and normobaric oxygen was not statistically significant.

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Study Details

Study Type RCT
Category Decompression Sickness
Source Pubmed
PubMed ID 27265987
Year Published 2016
Journal Undersea Hyperb Med
MeSH Terms Clinical Protocols; Decompression Sickness; Diving; Echocardiography; Embolism, Air; Foramen Ovale, Patent; Heart Diseases; Humans; Hyperbaric Oxygenation; Middle Aged; Pilot Projects; Time-to-Treatment; Water

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.