Super User

Category: Information

10 May 2022

13717

Decompression illness in Finnish technical divers: a follow-up study on incidence and self-treatment

Laura J Tuominen, Sofia Sokolowski, Richard V Lundell, Anne K Räisänen-Sokolowski 

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Questionnaire for demographic data

1. Research ID

2. Age

3. Height

4. Weight

5. Do you smoke or use other nicotine products?

• Yes
• No

6. Have you had a hyperbaric (HBO) treated decompression illness at some point in your diving career?

• Yes
• No

7. What is your diving experience in years?

8. What is your number of dives altogether?

9. What has been the deepest dive in your diving career?

10. Main diving system?

• OC
• CC

11. Highest certification for cave/mine?

• Cavern
• Intro-to-cave
• Full cave
• Mine 1
• Mine 2
• Other, what?

12. Highest diving certification?

• MOD1
• MOD2
• MOD3
• Rec Trimix
• Normoxic Trimix
• Full Trimix
• Other, what?

13. Are you an active instructor?

• Yes
• No

 

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 This questionnaire was filled out every two months. The first period was 1.7.2020-30.9.2020.

1. Research ID?
2. How many dives have you done to depths from 0-20m?
3. How many dives have you done to depths from 20-40m?
4. How many dives have you done to depths from 40-60m?
5. How many dives have you done to depths from 60-80m?
6. How many dives have you done to depths over 80m?
7. How deep has the deepest dive been (in meters)?
8. What is the total dive time after these two months (in minutes)?
9. Other comments?

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Questionnaire for decompression illness (DCI) symptoms

1. Research ID?

2. The date of the event?

3. Diving system used?

• OC
• CC

4. Maximum depth of the dive (in meters)?

5. Average depth of the dive (in meters)?

6. Dive time (in minutes)?

7. GF, if known?

8. Gas / diluent?

9. Symptoms (you may choose more than one option)

• tingling / itching
• skin rash, heat sensation, swelling
• joint pain
• abnormal pain in muscles
• fatigue
• headache
•  vertigo
• numbness
• shortness of breath / heavy breathing
• visual disturbances
• hearing impairment
• bladder symptoms
• verbal disturbances
• other?

10. Possible contributing factors (you may choose more than one option)

• dehydration
• ascent rate
• shortened decos
• cold or wet
• tiredness
• ceiling violation
• multiple dives a day
• multiple days of diving (2-3)
• multiple days of diving (> 4)
• nothing
• Other?

11. When did the symptoms start?

12. What did you do after noticing DCI symptoms? You may choose more than one option.

• nothing
• used 100% normobaric oxygen
• hydration orally
• rest
• in water recompression
• recompression in chamber
• other?

13. What was the outcome after possible treatment?

• symptoms gone
• symptoms decreased
• symptoms remained

14. Additional comments

 

Super User

Category: Information

26 April 2022

1523

Appendix 1: Initial Delphi Survey (English)

Initial Delphi Survey

 

(First page)

Which scenarios in hyperbaric oxygen therapy are relevant to simulation-based education?

Despite the broad implementation of simulation-based education in the majority of healthcare areas, simulation has yet to be used in the context of hyperbaric medicine education.

We are looking for healthcare providers involved in the provision of hyperbaric oxygen therapy (hyperbaric physicians and allied health providers, e.g. Respiratory Therapists or Registered Nurses) to help by completing this online survey.

Learn more about how you can help us develop a simulation-based education curriculum for hyperbaric oxygen therapy to ultimately improve practice and patient safety, and get a chance to win a $200 (CAD) Visa gift card.

 

(Second page)

Your participation in this Delphi survey will help us to determine which scenarios in hyperbaric oxygen therapy should be included in the development of a simulation-based education curriculum.

This questionnaire is the first round of the survey. The number of rounds will be determined based on response agreement, but will most likely involve a total of 2. If you participate in the first round of the survey, you will be asked to participate in all subsequent rounds.

It will take approximately 15 minutes to complete each round. Your participation in this study is completely voluntary. You can choose not to participate, or decide to participate now and then change your mind without loss of any benefit that you are otherwise entitled to. Participation and your individual responses will remain confidential.

If you complete all rounds, you can choose to be entered into a draw for a $200 (CAD) Visa gift card.

By completing this survey, your consent to participate in this study is implied.

 

(Third page)

INSTRUCTIONS:

• Rank the scenarios provided according to how relevant you believe they are for inclusion in the simulation-based curriculum.
• Answer all questions with a ranking number.
• A space is also provided for you to include additional comments.

We will also ask you to provide some brief demographic information and to forward the survey link to your colleagues (optional).

Once we have received responses from all participants, we will collate and summarize the findings and develop the second questionnaire. You should receive this within 60 days.

 

(Fourth page)

1. Please select your profession:

• Physician
• Registered Nurse
• Respiratory Therapist
• Other (Specify): ___________

 

2. Are you a trainee?

• Yes
• No

 

3. Please indicate the country in which you are currently practicing: (***DROP DOWN MENU***)

• Canada
• United States
• Afghanistan
• Albania
• Algeria
• Andorra
• Angola
• Antigua and Barbuda
• Argentina
• Armenia
• Aruba
• Australia
• Austria
• Azerbaijan
• Bahamas, The
• Bahrain
• Bangladesh
• Barbados
• Belarus
• Belgium
• Belize
• Benin
• Bhutan
• Bolivia
• Bosnia and Herzegovina
• Botswana
• Brazil
• Brunei
• Bulgaria
• Burkina Faso
• Burma
• Burundi
• Cambodia
• Cameroon
• Cabo Verde
• Central African Republic
• Chad
• Chile
• China
• Colombia
• Comoros
• Congo, Democratic Republic of the
• Congo, Republic of the
• Costa Rica
• Cote d'Ivoire
• Croatia
• Cuba
• Curacao
• Cyprus
• Czechia
• Denmark
• Djibouti
• Dominica
• Dominican Republic
• East Timor (see Timor-Leste)
• Ecuador
• Egypt
• El Salvador
• Equatorial Guinea
• Eritrea
• Estonia
• Ethiopia
• Fiji
• Finland
• France
• Gabon
• Gambia, The
• Georgia
• Germany
• Ghana
• Greece
• Grenada
• Guatemala
• Guinea
• Guinea-Bissau
• Guyana
• Haiti
• Holy See
• Honduras
• Hong Kong
• Hungary
• Iceland
• India
• Indonesia
• Iran
• Iraq
• Ireland
• Israel
• Italy
• Jamaica
• Japan
• Jordan
• Kazakhstan
• Kenya
• Kiribati
• Korea, North
• Korea, South
• Kosovo
• Kuwait
• Kyrgyzstan
• Laos
• Latvia
• Lebanon
• Lesotho
• Liberia
• Libya
• Liechtenstein
• Lithuania
• Luxembourg
• Macau
• Macedonia
• Madagascar
• Malawi
• Malaysia
• Maldives
• Mali
• Malta
• Marshall Islands
• Mauritania
• Mauritius
• Mexico
• Micronesia
• Moldova
• Monaco
• Mongolia
• Montenegro
• Morocco
• Mozambique
• Namibia
• Nauru
• Nepal
• Netherlands
• New Zealand
• Nicaragua
• Niger
• Nigeria
• North Korea
• Norway
• Oman
• Pakistan
• Palau
• Palestinian Territories
• Panama
• Papua New Guinea
• Paraguay
• Peru
• Philippines
• Poland
• Portugal
• Qatar
• Romania
• Russia
• Rwanda
• Saint Kitts and Nevis
• Saint Lucia
• Saint Vincent and the Grenadines
• Samoa
• San Marino
• Sao Tome and Principe
• Saudi Arabia
• Senegal
• Serbia
• Seychelles
• Sierra Leone
• Singapore
• Sint Maarten
• Slovakia
• Slovenia
• Solomon Islands
• Somalia
• South Africa
• South Korea
• South Sudan
• Spain
• Sri Lanka
• Sudan
• Suriname
• Swaziland
• Sweden
• Switzerland
• Syria
• Taiwan
• Tajikistan
• Tanzania
• Thailand
• Timor-Leste
• Togo
• Tonga
• Trinidad and Tobago
• Tunisia
• Turkey
• Turkmenistan
• Tuvalu
• Uganda
• Ukraine
• United Arab Emirates
• United Kingdom
• Uruguay
• Uzbekistan
• Vanuatu
• Venezuela
• Vietnam
• Yemen
• Zambia
• Zimbabwe

 

4. How many post-training years of experience do you have? _____

 

(Fifth page)

5. Please rate each of the scenarios below in terms of how relevant they are for inclusion in a simulation-based education curriculum for hyperbaric oxygen therapy.

 Please add AND rank any additional scenarios you feel are missing.

 1 indicates least relevant/least likely to benefit from simulation practice and 5 indicates most relevant/most likely to benefit from simulation practice.

 Scenarios should be rated according to the following criteria:

• The clinical scenario should be either high stakes (i.e. if an optimal course of actions is not implemented in a timely manner, the patient may suffer severe consequences) or lower stakes but with a high potential for becoming critical if the optimal actions are not followed (e.g. intubated and ventilated child who undergoes HBOT);
• Training on this clinical scenario is best done with the use of a full-body mannequin versus other potential educational modalities. 

 

 

Clinical scenario	Rating (1=least relevant; 5=most relevant)	IF UNABLE TO JUDGE: Please explain why you indicated “unable to judge”
Cardiac arrest in the hyperbaric chamber.	„ 1 „ 2 „ 3 „ 4 „ 5 „ Unable to judge
Seizure in the chamber.	„ 1 „ 2 „ 3 „ 4 „ 5 „ Unable to judge
Fire in the chamber.	„ 1 „ 2 „ 3 „ 4 „ 5 „ Unable to judge
Pneumothorax in the chamber.	„ 1 „ 2 „ 3 „ 4 „ 5 „ Unable to judge
Intubated and ventilated patient in the chamber.	„ 1 „ 2 „ 3 „ 4 „ 5 „ Unable to judge
Newborn patient in the chamber.	„ 1 „ 2 „ 3 „ 4 „ 5 „ Unable to judge
Panic attack due to claustrophobia in the chamber.	„ 1 „ 2 „ 3 „ 4 „ 5 „ Unable to judge
Chest pain in the chamber	„ 1 „ 2 „ 3 „ 4 „ 5 „ Unable to judge
Shortness of breath in the chamber	„ 1 „ 2 „ 3 „ 4 „ 5 „ Unable to judge

 

6. If you have any further comments, please list them below:

 

  

PLEASE FORWARD THIS LINK TO YOUR COLLEAGUES: (survey link)

Super User

Category: Information

21 November 2021

2118

Inner ear barotrauma and inner ear decompression sickness: a systematic review on differential diagnostics

Oskari H Lindfors, Anne K Räisänen-Sokolowski, Timo P Hirvonen, Saku T Sinkkonen

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SDC 1. Details of the preliminary literature search (search date 10/12/2020)

1) PUBMED PRELIMINARY LITERATURE SEARCH: (n = 228)

“Diving” AND “Inner Ear”

-> scanning of:

- titles

- abstracts

- index terms

- keywords

- titles of “similar articles”

- titles of “cited articles”

 

-> index terms identified:

            - Hearing Loss, Sudden

            - Tinnitus

            - Vertigo

            - Dizziness

-> keywords identified:

            - subaquatic

            - underwater

            - inner-ear

            - perilymph fistula

            - perilymphatic fistula

            - intralabyrinthine membrane tear

            - inner ear hemorrhage

            - cochlear

            - vestibular

            - cochleovestibular

            - vestibulocochlear

---

SDC 2. Details of the systematic literature search (search date 10/12/2020 & 26/04/2020)

1) PUBMED SYSTEMATIC LITERATURE SEARCH: (n = 182)

"Diving/adverse effects"[Mesh] OR  "Diving/complications"[Mesh] OR  "Diving/epidemiology"[Mesh] OR  "Diving/etiology"[Mesh] OR  "Diving/injuries"[Mesh] OR  "Diving/physiology"[Mesh] OR  "Diving/physiopathology"[Mesh] OR  "Diving/trends"[Mesh] OR subaquatic[tiab] OR underwater[tiab]

AND

"Ear, Inner/abnormalities"[Mesh:NoExp] OR  "Ear, Inner/anatomy and histology"[Mesh:NoExp] OR  "Ear, Inner/diagnosis"[Mesh:NoExp] OR  "Ear, Inner/diagnostic imaging"[Mesh:NoExp] OR  "Ear, Inner/etiology"[Mesh:NoExp] OR  "Ear, Inner/injuries"[Mesh:NoExp] OR  "Ear, Inner/pathology"[Mesh:NoExp] OR  "Ear, Inner/physiology"[Mesh:NoExp] OR  "Ear, Inner/physiopathology"[Mesh:NoExp] OR  "Ear, Inner/surgery"[Mesh:NoExp] OR  "Ear, Inner/therapy"[Mesh:NoExp] OR

"Hearing Loss, Sudden/anatomy and histology"[Mesh:NoExp] OR  "Hearing Loss, Sudden/diagnosis"[Mesh:NoExp] OR  "Hearing Loss, Sudden/diagnostic imaging"[Mesh:NoExp] OR  "Hearing Loss, Sudden/epidemiology"[Mesh:NoExp] OR  "Hearing Loss, Sudden/etiology"[Mesh:NoExp] OR  "Hearing Loss, Sudden/pathology"[Mesh:NoExp] OR  "Hearing Loss, Sudden/physiology"[Mesh:NoExp] OR  "Hearing Loss, Sudden/physiopathology"[Mesh:NoExp] OR  "Hearing Loss, Sudden/surgery"[Mesh:NoExp] OR  "Hearing Loss, Sudden/therapy"[Mesh:NoExp] OR

"Tinnitus/anatomy and histology"[Mesh:NoExp] OR  "Tinnitus/diagnosis"[Mesh:NoExp] OR  "Tinnitus/diagnostic imaging"[Mesh:NoExp] OR  "Tinnitus/epidemiology"[Mesh:NoExp] OR  "Tinnitus/etiology"[Mesh:NoExp] OR  "Tinnitus/pathology"[Mesh:NoExp] OR  "Tinnitus/physiology"[Mesh:NoExp] OR  "Tinnitus/physiopathology"[Mesh:NoExp] OR  "Tinnitus/surgery"[Mesh:NoExp] OR  "Tinnitus/therapy"[Mesh:NoExp] OR

"Vertigo/anatomy and histology"[Mesh:NoExp] OR  "Vertigo/diagnosis"[Mesh:NoExp] OR  "Vertigo/diagnostic imaging"[Mesh:NoExp] OR  "Vertigo/epidemiology"[Mesh:NoExp] OR  "Vertigo/etiology"[Mesh:NoExp] OR  "Vertigo/pathology"[Mesh:NoExp] OR  "Vertigo/physiology"[Mesh:NoExp] OR  "Vertigo/physiopathology"[Mesh:NoExp] OR  "Vertigo/surgery"[Mesh:NoExp] OR  "Vertigo/therapy"[Mesh:NoExp] OR

"Dizziness/anatomy and histology"[Mesh:NoExp] OR  "Dizziness/diagnosis"[Mesh:NoExp] OR  "Dizziness/diagnostic imaging"[Mesh:NoExp] OR  "Dizziness/epidemiology"[Mesh:NoExp] OR  "Dizziness/etiology"[Mesh:NoExp] OR  "Dizziness/pathology"[Mesh:NoExp] OR  "Dizziness/physiology"[Mesh:NoExp] OR  "Dizziness/physiopathology"[Mesh:NoExp] OR  "Dizziness/surgery"[Mesh:NoExp] OR  "Dizziness/therapy"[Mesh:NoExp] OR

inner-ear[tiab] OR “perilymph fistula”[tiab] OR “perilymphatic fistula”[tiab] OR “intralabyrinthine membrane tear”[tiab] OR “inner ear hemorrhage”[tiab] OR cochlear[tiab] OR vestibular[tiab] OR cochleovestibular[tiab] OR vestibulocochlear[tiab]

Filters: English

 

2) MEDLINE SYSTEMATIC LITERATURE SEARCH: (n = 188)

exp Diving/ae, co, in, ph, pp, td [Adverse Effects, Complications, Injuries, Physiology, Physiopathology, Trends] OR subaquatic.mp. OR underwater.mp.

AND

Ear, Inner/ab, ah, di, dg, in, pa, ph, pp, su [Abnormalities, Anatomy & Histology, Diagnosis, Diagnostic Imaging, Injuries, Pathology, Physiology, Physiopathology, Surgery] OR

Hearing Loss, Sudden/di, dg, ep, et, pa, pp, su, th [Diagnosis, Diagnostic Imaging, Epidemiology, Etiology, Pathology, Physiopathology, Surgery, Therapy] OR

Tinnitus/di, dg, ep, et, pa, ph, pp, su, th [Diagnosis, Diagnostic Imaging, Epidemiology, Etiology, Pathology, Physiology, Physiopathology, Surgery, Therapy] OR

Vertigo/di, dg, ep, et, pa, ph, pp, su, th [Diagnosis, Diagnostic Imaging, Epidemiology, Etiology, Pathology, Physiology, Physiopathology, Surgery, Therapy] OR

Dizziness/di, dg, ep, et, pa, pp, su, th [Diagnosis, Diagnostic Imaging, Epidemiology, Etiology, Pathology, Physiopathology, Surgery, Therapy] OR

OR inner-ear.mp. OR perilymph fistula.mp. OR perilymphatic fistula.mp. OR intralabyrinthine membrane tear.mp. OR inner ear hemorrhage.mp. OR cochlear.mp. OR vestibular.mp. OR cochleovestibular.mp. OR vestibulocochlear.mp.

Additional limits: English

 

3) SCOPUS SYSTEMATIC LITERATURE SEARCH: (n = 455)

TITLE-ABS-KEY ( ( diving  OR  subaquatic  OR  underwater )

AND

 ( "inner ear"  OR  "inner-ear"  OR  "hearing loss"  OR  "tinnitus"  OR  "vertigo"  OR  "dizziness"  OR  "perilymph fistula"  OR  "perilymphatic fistula"  OR  "intralabyrinthine membrane tear"  OR  "inner ear hemorrhage"  OR  "cochlear"  OR  "vestibular"  OR  "cochleovestibular"  OR  "vestibulocochlear" ) )

AND  ( LIMIT-TO ( SUBJAREA ,  "MEDI" ) )

 AND  ( LIMIT-TO ( LANGUAGE ,  "English" ) )

---

 

SDC 3. Publications included in the final systematic review.

a) publications with inner ear barotrauma patients

Study details	n of patients
Eichel BS, Landes BS. Sensorineural hearing loss caused by skin diving. Arch Otolaryngol. 1970;92(2):128-31. PMID:5428306.	2
Soss SL. Sensorineural hearing Loss with diving. Arch Otolaryngol. 1971;93(5):501-4. PMID:5554886.	3
Freeman P, Edmonds C. Inner Ear Barotrauma. Arch Otolaryngol. 1972;95(6):556-63. PMID:4666425.	5
Freeman P, Tonkin J, Edmons C. Rupture of the round window membrane in inner ear barotrauma. Arch Otolaryngol. 1974;99(6):437-42. PMID: 4829762.	2
Tonkin JP, Fagan P. Rupture of the round window membrane.  J Laryngol Otol. 1975;89(7):733-756. PMID:1176821.	2
Caruso VG, Winkelmann PE, Correia MJ, Miltenberger GE, Love JT. Otologic and otoneurologic injuries in divers: clinical studies on nine commercial and two sport divers. Laryngoscope. 1977;87(4 Pt 1):508-21. PMID:300136.	1
Molvaer OI, Natrud E, Eidsvik S. Diving injuries to the inner ear. Arch Otorhinolaryngol. 1978;221(4):285-8. PMID:727987	9
McNicoll WD. Traumatic perforation of the tympanic membrane with associated rupture of the round window membrane. J Laryngol Otol. 1978;92(10):897-903. PMID:712222.	1
Pullen FW, Rosenberg GJ, Cabeza CH. Sudden hearing loss in divers and fliers. Laryngoscope. 1979;89(9 Pt 1):1373-7. PMID: 481042.	5
Gray RF, Barton RP. Round window rupture. J Laryngol Otol. 1981;95(2):165-77. PMID:7462785.	2
Parell GJ, Becker GD. Conservative management of inner ear barotrauma resulting from scuba diving. Otolaryngol Head Neck Surg. 1985;93(3):393-7. PMID:3927237.	14
Shupak A, Doweck I, Greenberg E et. al. Diving-related inner ear injuries. Laryngoscope. 1991;101(2):173-9. PMID:1992269.	5
Pullen FW. Perilymphatic fistula induced by barotrauma. Am J Otol. 1992;13(3):270-2. PMID:1609857.	2
Parell GJ, Becker GD. Inner ear barotrauma in scuba divers: a long-term follow-up after continued diving. Arch Otolaryngol Head Neck Surg. 1993;119(4):455-7. PMID:8457309.	20
Nakashima T, Yanagita N, Yamakawa K, Naganawa S. Inner ear barotrauma: computed tomographic evaluation. Clin Otolaryngol Allied Sci. 1995;20(6):544-6. PMID:8665716.	4
Whinney DJ, Parikh AA, Brookes GB. Barotraumatic fracture of the stapes footplate. Am J Otol. 1996;17(5):697-9. PMID:8892563.	1
Sheridan MF, Hetherington HH, Hull JJ. Inner ear barotrauma from scuba diving. Ear Nose Throat J. 1999;78(3):181,184,186-7 passim. PMID: 10188355.	3
Shupak A, Gil, A, Nachum C et. al. Inner ear decompression sickness and inner ear barotrauma in recreational divers: a long-term follow-up. Laryngoscope. 2003;113(12):2141-7. PMID:14660917.	9
Edmonds C. Inner ear barotrauma: a retrospective clinical series of 50 cases. SPUMS Journal. 2004;34:11-4.	50
Shupak A. Recurrent diving-related inner ear barotrauma.  Otol Neurotol. 2006;27(8):1193-6. PMID: 16983314.	3
Duplessis C, Hoffer M. Tinnitus in an active duty navy diver: a review of inner ear barotrauma, tinnitus, and its treatment. Undersea Hyperb Med. 2006;33(4):223-30. PMID:17004408.	1
Klingmann C, Praetorius M, Baumann I, Plinkert P. Barotrauma and decompression illness of the inner ear: 46 cases during treatment and follow-up. Otol Neurotol. 2007;28(4):447-54. PMID:17417111.	26
Foster PK. Autologous intratympanic blood patch for presumed perilymphatic fistulas. J Laryngol Otol. 2016;130(12):1158-1161. PMID:27894373	1
McIntire S, Boujie L. Inner Ear Barotrauma After Underwater Pool Competency Training Without the Use of Compressed Air Case and Review. J Spec Oper Med. 2016;16(2):52-6. PMID:27450603.	1
Morvan JB, Gempp E, Riviere D, Louge P, Vallee N, Verdalle P. Perilymphatic fistula after underwater diving: a series of 11 cases. Diving Hyperb Med. 2016;46(2):72-5. PMID:27334993.	11

 

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SDC 3. Publications included in the final systematic review. 

b) publications with inner ear decompression sickness patients

 

Study details	n of patients
Farmer JC, Thomas WG, Youngblood DG, Bennett PB. Inner ear decompression sickness. Laryngoscope. 1976 Sep;86(9):1315-27. PMID: 957843	23
Caruso VG, Winkelmann PE, Correia MJ, Miltenberger GE, Love JT. Otologic and otoneurologic injuries in divers: clinical studies on nine commercial and two sport divers. Laryngoscope. 1977 Apr;87(4 Pt 1):508-21. PMID:300136	8
Reissman P, Shupak A, Nachum Z, Melamed Y. Inner ear decompression sickness following a shallow scuba dive. Aviat Space Environ Med. 1990 Jun;61(6):563-6. PMID:2369397	1
Shupak A, Doweck I, Greenberg E et. al. Diving-related inner ear injuries. Laryngoscope. 1991 Feb;101(2):173-9. PMID:1992269	4
Nachum Z, Shupak A; Spitzer O, Sharoni Z, Doweck I, Gordon CR. Inner ear decompression sickness in sport compressed-air diving.  Laryngoscope. 2001 May;111(5):851-6. PMID:11359165	29
Klingmann C, Knauth M, Ries S; Kern R, Tasman AJ. Recurrent inner ear decompression sickness associated with a patent foramen ovale. Arch Otolaryngol Head Neck Surg. 2002 May;128(5):586-8. PMID:12003593	1
Wong R, Walker M. Diagnostic dilemmas in inner ear decompression sickness. SPUMS J. 2004; 34(1): 5-10.	8
Smerz RW. A descriptive epidemiological analysis of isolated inner ear decompression illness in recreational divers in Hawaii. Diving Hyperb Med. 2007;37(1):2-9.	28
McGeoch G. Two divers with acute vertigo and loss of balance. SPUMS J. 2007; 37(1): 40-41.	1
Brookler KH. Dizziness in a SCUBA diver. Ear Nose Throat J. 2009 May;88(5):916-20. PMID:19444787	1
Dan-Goor E, Eden J, Wilson SJ, Dangoor J, Wilson BR. Benign paroxysmal positional vertigo after decompression sickness: a first case report and review of the literature. Am J Otolaryngol. Nov-Dec 2010;31(6):476-8. PMID:20015792	1
Klingmann C. Inner ear decompression sickness in compressed-air diving. Undersea Hyperb Med. Jan-Feb 2012;39(1):589-94. PMID:22400449	34
Verrecchia L, Gennser M, Tribukait A, Brantberh K. Superior vestibular dysfunction in severe decompression sickness suggests an embolic mechanism. Aviat Space Environ Med. 2012 Nov;83(11):1097-100. PMID:23156099	1
Ignatescu M, Bryson P, Klingmann C. Susceptibility of the inner ear structure to shunt-related decompression sickness. Aviat Space Environ Med. 2012 Dec;83(12):1145-51. PMID:23316542	33
Gempp E, Louge P. Inner ear decompression sickness in scuba divers: a review of 115 cases. Eur Arch Otorhinolaryngol. 2013 May;270(6):1831-7. PMID:23100085	115
Wilson CM, Sayer MD. Cerebral arterial gas embolism in a professional diver with a persistent foramen ovale. Diving Hyperb Med. 2015 Jun;45(2):124-6. PMID:26165536	1
Guenzani S, Mereu D, Messersmith M, Olivari D, Arena M, Spano A. Inner-ear decompression sickness in nine trimix recreational divers. Diving Hyperb Med. 2016 Jun;46(2):111-6. PMID:27334999	9
Azzopardi CP, Caruana J, Matity L, Muscat S, Meintjes J. Increasing prevalence of vestibulo-cochlear decompression illness in Malta - an analysis of hyperbaric treatment data from 1987-2017. Diving Hyperb Med. 2019 Sep 30;49(3):161-166. PMID:31523790	99

 

Super User

Category: Information

21 November 2021

723

Calculation by:                     

Patient:                                 Example

Print date:                            

Calculation date:

Center:                                   Antonius Hypercare

Based on:                               Nevo Online 2016 5.0

 

	Total	RDA
Energy (kcal)	2677
Protein total (g)	109,7
Carbs total (g)	272,0
Dietary fiber total (g)	22,9	30,0 - 40,0
Fat total (g)	121,9
Saturared fats total (g)	60,8
Transfats total (g)	2,0
Cholesterol (mg)	336,0
Alcohol total (g)	0,0
Calcium (mg)	1732	1100
Iron total (mg)	10,1	9,0
Sodium (mg)	1750
Potassium (mg)	4090	3100
Magnesium (mg)	416	280
Zinc (mg)	10,91	7,00
Retinol (ug)	1214	700
Retinol activity equivalent (RAE) (ug)	1532	700
Vitamin B1 (mg)	0,98	1,10
Vitamin B2 (mg)	1,96	1,10
Vitamin B6 (mg)	1,895	1,500
Vitamin B12 (ug)	3,73	2,80
Folic acid (ug)	0,0	300,0
Nicotinic acid (mg)	23,0	13,0
Vitamin C (mg)	69	75
Vitamin D total (ug)	4,7	10,0
Vitamin E total (mg)	14,7	8,0
Water (g)	2890,2	1500,0 - 2000,0

 

Energy percentages

Nutrient	Grammes	Kcal	Percentage
Alcohol total	0,0	0,00	0,00
Protein total	109,7	438,80	16,38
Carbs total	272,0	1088,00	40,61
Organic acids total	3,1	9,30	0,35
Polyols total	0,0	0,00	0,00
Fat total	121,9	1097,10	40,95
Dietary fiber total	22,9	45,80	1,71
Total	529,6	2679,00	100,00