Selected scientific publications on diving medicine and physiology.

2017 Mar 1
Tenth European Consensus Conference on Hyperbaric Medicine: recommendations for accepted and non-accepted clinical indications and practice of hyperbaric oxygen treatment
Mathieu D, Marroni A, Kot J.

The tenth European Consensus Conference on Hyperbaric Medicine took place in April 2016, attended by a large delegation of experts from Europe and elsewhere. The focus of the meeting was the revision of the European Committee on Hyperbaric Medicine (ECHM) list of accepted indications for hyperbaric oxygen treatment (HBOT), based on a thorough review of the best available research and evidence-based medicine (EBM).

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2017 Feb 23
Environment-induced pulmonary oedema in healthy individuals
Marabotti C., Cialoni D., Pingitore A.

Infrequently, healthy individuals can develop acute pulmonary oedema when exposed to an extreme or unusual environment (ie, deep dives or high altitudes), especially during physical exertion. High-altitude pulmonary oedema (HAPO) has been reported in 0·5–7·0% of individuals who climb to altitudes higher than 4000 m (according to ascent speed), whereas swimming-induced pulmonary oedema (SIPO) has been reported in a different proportion of individuals engaged in aquatic activities.

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2017 Feb 1
Preconditioning to Reduce Decompression Stress in Scuba Divers
Germonpré P., Balestra C.

BACKGROUND: Using ultrasound imaging, vascular gas emboli (VGE) are observed after asymptomatic scuba dives and are considered a key element in the potential development of decompression sickness (DCS). Diving is also accompanied with vascular dysfunction, as measured by flow-mediated dilation (FMD). Previous studies showed significant intersubject variability to VGE for the same diving exposure and demonstrated that VGE can be reduced with even a single pre-dive intervention. Several preconditioning methods have been reported recently, seemingly acting either on VGE quantity or on endothelial inflammatory markers.

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2016 Dec 30
Pre-dive Whole-Body Vibration Better Reduces Decompression-Induced Vascular Gas Emboli than Oxygenation or a Combination of Both
Balestra C., Theunissen S., Papadopoulou V., Le Mener C., Germonpré P., Guerrero F., Lafère P.

Purpose: Since non-provocative dive profiles are no guarantor of protection against decompression sickness, novel means including pre-dive “preconditioning” interventions, are proposed for its prevention. This study investigated and compared the effect of pre-dive oxygenation, pre-dive whole body vibration or a combination of both on post-dive bubble formation.

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2016 Dec 1
Do Environmental Conditions Contribute to Narcosis Onset and Symptom Severity?
Lafère P, Balestra C, Hemelryck W, Guerrero F, Germonpré P.

Although many factors contributing to inert gas narcosis onset and severity have been put forward, the available evidence is not particularly strong. Using objective criteria, we have assessed brain impairment associated with narcosis under various environmental diving conditions...

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