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COMEX 30 för behandling av tryckfallssjuka med neurologiska symtom
Engelsk titel: The use of treatment table COMEX 30 for severe neurological decompression sickness Läs online Författare: Sandström, Göran ; Rosén, Anders ; Oscarsson, Nicklas ; Gräbel, Olaf Språk: Swe Antal referenser: 10 Dokumenttyp: Fallbeskrivning UI-nummer: 17030176

Tidskrift

Läkartidningen 2017;114(8)354-7 ISSN 0023-7205 E-ISSN 1652-7518 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Decompression sickness (DCS) can occur after all dives. It often requires treatment in a pressure chamber. DCS with symptoms from the nervous system is particularly serious. In certain cases, the commonly used recompression table (USN TT6) does not suffice to revert severe neurological symptoms. A more advanced recompression table, COMEX 30, can be utilized in these cases. We report three cases of DCS where treatment according to COMEX 30 successfully resolved neurological symptoms. These cases illustrate the importance of fast and proper management of severe DCS and the need of hyperbaric centers staffed and equipped to give correct treatment. National coordination is paramount in order to be able to provide optimal care for both recreational and commercial divers afflicted by DCS.