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Review Undersea Hyperb Med 2025

Recompression and Adjunctive Therapies in DCI Management in Divers: A Review of RCTs

Fairhead T, Undersea Hyperb Med, 2025

Tier 1, Curated

Manually reviewed and included in the Canada Hyperbarics research database.

Summary

What Researchers Did

Researchers reviewed randomized controlled trials that tested recompression treatment and add-on therapies for divers with decompression illness.

What They Found

This review found only two randomized controlled trials on the topic. In one trial of 180 divers, taking tenoxicam, an anti-inflammatory drug, alongside recompression treatment might reduce the number of recompression sessions needed, from a median of three sessions (range 1 to 8) down to two (range 1 to 6). In a second trial of 41 divers with mild decompression illness, using a shorter initial recompression treatment table could decrease the number of recompressions needed, with a median of one session compared to two.

What This Means for Canadian Patients

For divers being treated for decompression illness, this review suggests that an anti-inflammatory drug or a shorter recompression protocol might reduce how many chamber sessions are needed, but this is based on just two small trials, not confirmed practice. The review does not report on other outcomes like symptom recovery or long-term effects.

Canadian Relevance

No direct Canadian connection identified.

Study Limitations

Both trials had small numbers of participants and were not fully blinded, and the review noted issues with non-protocol interventions and incomplete outcome data.

This plain-language summary was generated with AI assistance from the study's abstract; it has not been individually reviewed by a clinician. Always consult the source study and a qualified healthcare professional. See our editorial policy.

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Study Details

Study Type Review
Category Decompression Sickness
Source Pubmed
PubMed ID 41429038
Year Published 2025
Journal Undersea Hyperb Med
MeSH Terms Humans; Decompression Sickness; Randomized Controlled Trials as Topic; Diving; Hyperbaric Oxygenation; Piroxicam

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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.

Last updated: March 19, 2026 | Reviewed by: Canada Hyperbarics Editorial Team | Editorial process | Research sources | Counts & methodology