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Keywords = pulmonary compression barotrauma

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19 pages, 2844 KiB  
Review
Dysbarism: An Overview of an Unusual Medical Emergency
by Gabriele Savioli, Claudia Alfano, Christian Zanza, Gaia Bavestrello Piccini, Angelica Varesi, Ciro Esposito, Giovanni Ricevuti and Iride Francesca Ceresa
Medicina 2022, 58(1), 104; https://doi.org/10.3390/medicina58010104 - 10 Jan 2022
Cited by 5 | Viewed by 14976
Abstract
Dysbarism is a general term which includes the signs and symptoms that can manifest when the body is subject to an increase or a decrease in the atmospheric pressure which occurs either at a rate or duration exceeding the capacity of the body [...] Read more.
Dysbarism is a general term which includes the signs and symptoms that can manifest when the body is subject to an increase or a decrease in the atmospheric pressure which occurs either at a rate or duration exceeding the capacity of the body to adapt safely. In the following review, we take dysbarisms into account for our analysis. Starting from the underlying physical laws, we will deal with the pathologies that can develop in the most frequently affected areas of the body, as the atmospheric pressure varies when acclimatization fails. Manifestations of dysbarism range from itching and minor pain to neurological symptoms, cardiac collapse, and death. Overall, four clinical pictures can occur: decompression illness, barotrauma, inert gas narcosis, and oxygen toxicity. We will then review the clinical manifestations and illustrate some hints of therapy. We will first introduce the two forms of decompression sickness. In the next part, we will review the barotrauma, compression, and decompression. The last three parts will be dedicated to gas embolism, inert gas narcosis, and oxygen toxicity. Such an approach is critical for the effective treatment of patients in a hostile environment, or treatment in the emergency room after exposure to extreme physical or environmental factors. Full article
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