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Barotrauma
Barotrauma is physical damage to body tissues caused by a difference in pressure between a gas space inside, or in contact with, the body and the surrounding gas or liquid. The initial damage is usually due to over-stretching the tissues in tension or shear, either directly by an expansion of the gas in the closed space or by pressure difference hydrostatically transmitted through the tissue. Tissue rupture may be complicated by the introduction of gas into the local tissue or circulation through the initial trauma site, which can cause blockage of circulation at distant sites or interfere with the normal function of an organ by its presence. The term is usually applied when the gas volume involved already exists prior to decompression. Barotrauma can occur during both compression and decompression events. Barotrauma generally manifests as sinus or middle ear effects, lung overpressure injuries and injuries resulting from external squeezes. Decompression sickness is indir ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Aerosinusitis
Aerosinusitis, also called barosinusitis, sinus squeeze or sinus barotrauma is a painful inflammation and sometimes bleeding of the membrane of the paranasal sinus cavities, normally the frontal sinus. It is caused by a difference in air pressures inside and outside the cavities. Presentation Typically, sinus barotrauma is preceded by an upper respiratory tract infection or allergy. The affected person has a sudden sharp facial pain or headache during descent, which increases as the aircraft approaches ground level. The pain can ultimately become disabling unless the ambient pressure is reversed. The pressure difference causes the mucosal lining of the sinuses to become swollen and submucosal bleeding follows with further difficulties ventilating the sinus, especially if the orifices are involved. Ultimately fluid or blood will fill the space. In most cases of sinus barotrauma, localized pain to the frontal area is the predominant symptom. This is due to pain originating from ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Scuba Diving
Scuba diving is a Diving mode, mode of underwater diving whereby divers use Scuba set, breathing equipment that is completely independent of a surface breathing gas supply, and therefore has a limited but variable endurance. The word ''scuba'' is an Acronym#Normal case and acronyms, acronym for "Self-Contained Underwater Breathing Apparatus" and was coined by Christian J. Lambertsen in a patent submitted in 1952. Scuba divers carry their own source of breathing gas, affording them greater independence and movement than surface-supplied divers, and more time underwater than freedivers. Although the use of compressed air is common, other gas blends are also used. Open-circuit scuba systems discharge the breathing gas into the environment as it is exhaled and consist of one or more diving cylinders containing breathing gas at high pressure which is supplied to the diver at ambient pressure through a diving regulator. They may include additional cylinders for range extension, de ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Decompression Sickness
Decompression sickness (DCS; also called divers' disease, the bends, aerobullosis, and caisson disease) is a medical condition caused by dissolved gases emerging from Solution (chemistry), solution as bubbles inside the body tissues during Decompression (diving), decompression. DCS most commonly occurs during or soon after a decompression ascent from underwater diving, but can also result from other causes of depressurisation, such as emerging from a Caisson (engineering), caisson, decompression from Saturation diving, saturation, flying in an Cabin pressurization, unpressurised aircraft at high altitude, and extravehicular activity from spacecraft. DCS and Air embolism, arterial gas embolism are collectively referred to as decompression illness. Since bubbles can form in or migrate to any part of the body, DCS can produce many symptoms, and its effects may vary from joint pain and rashes to paralysis and death. DCS often causes air bubbles to settle in major joints like knee ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Arterial Gas Embolism
An air embolism, also known as a gas embolism, is a blood vessel blockage caused by one or more bubbles of air or other gas in the circulatory system. Air can be introduced into the circulation during surgical procedures, lung over-expansion injury, decompression, and a few other causes. In flora, air embolisms may also occur in the xylem of vascular plants, especially when suffering from water stress. Divers can develop ''arterial'' gas embolisms as a consequence of lung over-expansion injuries. Breathing gas introduced into the venous system of the lungs due to pulmonary barotrauma will not be trapped in the alveolar capillaries, and will consequently be circulated to the rest of the body through the systemic arteries, with a high risk of embolism. Inert gas bubbles arising from decompression are generally formed in the ''venous'' side of the systemic circulation, where inert gas concentrations are highest, these bubbles are generally trapped in the capillaries of t ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Dysbarism
Dysbarism or dysbaric disorders are medical conditions resulting from changes in ambient pressure. Various activities are associated with pressure changes. Underwater diving is a frequently cited example, but pressure changes also affect people who work in other pressurized environments (for example, caisson workers), and people who move between different altitudes. A dysbaric disorder may be acute or chronic. Ambient pressure Ambient pressure on a diver is the pressure in the water around the diver (or the air, with caisson workers etc.). It is the sum of the atmospheric pressure at the surface and hydrostatic pressure due to the depth. As a diver descends, the ambient pressure increases. At in seawater, it is twice the normal atmospheric pressure at the surface. At 40 meters (a common recommended limit for recreational diving) it is 5 times the pressure at sea level. Pressure decreases with altitude above sea level, but less dramatically. At 3000 feet altitude (almost 10 ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Mediastinal Emphysema
Pneumomediastinum (from Greek ''pneuma'' – "air", also known as mediastinal emphysema) is pneumatosis (abnormal presence of air or other gas) in the mediastinum, the central part of the chest cavity. First described in 1819 by René Laennec, the condition can result from physical trauma or other situations that lead to air escaping from the lungs, airways, or bowel into the chest cavity. In underwater divers it is usually the result of pulmonary barotrauma. Signs and symptoms The main symptom is usually severe central chest pain. Other symptoms include laboured breathing, voice distortion (as with helium) and subcutaneous emphysema, specifically affecting the face, neck, and chest. Pneumomediastinum can also be characterized by the shortness of breath that is typical of a respiratory system problem. It is often recognized on auscultation by a "crunching" sound timed with the cardiac cycle ( Hamman's crunch). Pneumomediastinum may also present with symptoms mimicking cardiac ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Uncontrolled Decompression
An uncontrolled decompression is an undesired drop in the pressure of a sealed system, such as a pressurised aircraft cabin or hyperbaric chamber, that typically results from human error, structural failure, or impact, causing the pressurised vessel to vent into its surroundings or fail to pressurize at all. Such decompression may be classed as ''explosive, rapid'', or ''slow'': * Explosive decompression (ED) is violent and too fast for air to escape safely from the lungs and other air-filled cavities in the body such as the sinuses and eustachian tubes, typically resulting in severe to fatal barotrauma. * Rapid decompression may be slow enough to allow cavities to vent but may still cause serious barotrauma or discomfort. * Slow or gradual decompression occurs so slowly that it may not be sensed before hypoxia sets in. Description The term ''uncontrolled decompression'' here refers to the unplanned depressurisation of vessels that are occupied by people; for example, a pressu ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Pneumothorax
A pneumothorax is collection of air in the pleural space between the lung and the chest wall. Symptoms typically include sudden onset of sharp, one-sided chest pain and dyspnea, shortness of breath. In a minority of cases, a one-way valve is formed by an area of damaged Tissue (biology), tissue, and the amount of air in the space between chest wall and lungs increases; this is called a tension pneumothorax. This can cause a steadily worsening Hypoxia (medical), oxygen shortage and hypotension, low blood pressure. This leads to a type of shock called obstructive shock, which can be fatal unless reversed. Very rarely, both lungs may be affected by a pneumothorax. It is often called a "collapsed lung", although that term may also refer to atelectasis. A primary spontaneous pneumothorax is one that occurs without an apparent cause and in the absence of significant lung disease. A secondary spontaneous pneumothorax occurs in the presence of existing lung disease. Smoking increases ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Middle Ear
The middle ear is the portion of the ear medial to the eardrum, and distal to the oval window of the cochlea (of the inner ear). The mammalian middle ear contains three ossicles (malleus, incus, and stapes), which transfer the vibrations of the eardrum into waves in the fluid and membranes of the inner ear. The hollow space of the middle ear is also known as the tympanic cavity and is surrounded by the tympanic part of the temporal bone. The auditory tube (also known as the Eustachian tube or the pharyngotympanic tube) joins the tympanic cavity with the nasal cavity ( nasopharynx), allowing pressure to equalize between the middle ear and throat. The primary function of the middle ear is to efficiently transfer acoustic energy from compression waves in air to fluid–membrane waves within the cochlea. Structure Ossicles The middle ear contains three tiny bones known as the ossicles: '' malleus'', ''incus'', and '' stapes''. The ossicles were given their Latin names f ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Mechanical Ventilation
Mechanical ventilation or assisted ventilation is the Medicine, medical term for using a ventilator, ventilator machine to fully or partially provide artificial ventilation. Mechanical ventilation helps move air into and out of the lungs, with the main goal of helping the delivery of oxygen and removal of carbon dioxide. Mechanical ventilation is used for many reasons, including to protect the airway due to mechanical or neurologic cause, to ensure adequate oxygenation, or to remove excess carbon dioxide from the lungs. Various healthcare providers are involved with the use of mechanical ventilation and people who require ventilators are typically monitored in an intensive care unit. Mechanical ventilation is termed invasive if it involves an instrument to create an airway that is placed inside the trachea. This is done through an endotracheal tube or nasotracheal tube. For non-invasive ventilation in people who are conscious, face or nasal masks are used. The two main types o ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Middle Ear
The middle ear is the portion of the ear medial to the eardrum, and distal to the oval window of the cochlea (of the inner ear). The mammalian middle ear contains three ossicles (malleus, incus, and stapes), which transfer the vibrations of the eardrum into waves in the fluid and membranes of the inner ear. The hollow space of the middle ear is also known as the tympanic cavity and is surrounded by the tympanic part of the temporal bone. The auditory tube (also known as the Eustachian tube or the pharyngotympanic tube) joins the tympanic cavity with the nasal cavity ( nasopharynx), allowing pressure to equalize between the middle ear and throat. The primary function of the middle ear is to efficiently transfer acoustic energy from compression waves in air to fluid–membrane waves within the cochlea. Structure Ossicles The middle ear contains three tiny bones known as the ossicles: '' malleus'', ''incus'', and '' stapes''. The ossicles were given their Latin names f ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Decompression Illness
Decompression Illness (DCI) comprises two different conditions caused by rapid decompression of the body. These conditions present similar symptoms and require the same initial first aid. Scuba divers are trained to ascend slowly from depth to avoid DCI. Although the incidence is relatively rare, the consequences can be serious and potentially fatal, especially if untreated. Classification DCI can be caused by two different mechanisms, which result in overlapping sets of symptoms. The two mechanisms are: * Decompression sickness (DCS), which results from metabolically inert gas dissolved in body tissue under pressure emerging out of solution and forming bubbles during decompression. It typically afflicts underwater divers on poorly managed ascent from depth or aviators flying in inadequately pressurised aircraft. * Arterial gas embolism (AGE), which is perfusion blockage caused by gas bubbles in the arterial bloodstream. In the context of DCI these may form either as a result of ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
