Vol 69, No 1 (2018)
Review article
Published online: 2018-03-28

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Health effects of hyperbaric exposure on chamber attendants: a literature review

Richard Pougnet12, Laurence Pougnet123, David Lucas1, Anne Henckes1, Brice Loddé12, Jean-Dominique Dewitte12
Pubmed: 29611615
IMH 2018;69(1):58-62.

Abstract

Background: Inside attendants working in hyperbaric chambers are exposed to risks related to the hyperbaric environment, handling and care. The aim of this study is to review the literature focusing on the impact of this activity on health.

Materials and methods: This is a literature review using the Medline database.

Results: Eight articles studied decompression illness (DCI). The incidence of DCI ranged from 0 to 37 per 100,000 sessions in hyperbaric chambers (SHC). The incidence of injuries ranged from 0 to 412 per 100,000 SHC. The most prevalent cause of accidental death was fire: 77 deaths (patients and attendants) between 1923 and 1996. Dysbaric osteonecrosis has been reported in one study only.

Conclusions: Inside attendants face risks in the chamber, even if serious health effects seems rare compared to the total number of SHC.

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References

  1. Haute Autorité de Santé. Oxygénothérapie hyperbare (French National Authority for Health. Hyperbaric Oxygen Therapy). http://www.hassante.fr/portail/jcms/r_1498758/fr/oxygenotherapie-hyperbare.
  2. Haldane JS, Boycott AA, Damant GC. The Prevention of Compressed-air Illness. J Hyg (Lond). 1908; 8(3): 342–443.
  3. Bergmann E, Barthélémy A, Grandjean B. Thérapeutique hyperbare des accidents de désaturation (Hyperbaric therapy for desaturation accidents). In: Broussolle B, Méliet JL, Coulange M. ed. Physiologie et médecine de la plongée. Ellipses, Paris 2006.
  4. Moon RE, Hart BB. Operational use and patient monitoring in a multiplace hyperbaric chamber. Respir Care Clin N Am. 1999; 5(1): 21–49.
  5. Vann RD, Butler FK, Mitchell SJ, et al. Decompression illness. Lancet. 2011; 377(9760): 153–164.
  6. Uguen M, Pougnet R, Uguen A, et al. Dysbaric osteonecrosis among professional divers: a literature review. Undersea Hyperb Med. 2014; 41(6): 579–587.
  7. Haller C, Guenot C, Azagury D, et al. [Intestinal barotrauma after diving--mechanical ileus in incarceration of the last loop of the small intestine between a mobile cecum and sigmoid]. Swiss Surg. 2003; 9(4): 181–183.
  8. Jansen S, Meyer MF, Boor M, et al. Repetitive freshwater diving: risk factors and prevalence of barotrauma. Undersea Hyperb Med. 2017; 44(5): 407–414.
  9. Ergözen S. Preventable Diving-related Ocular Barotrauma: A Case Report. Turk J Ophthalmol. 2017; 47(5): 296–297.
  10. Vaezeafshar R, Psaltis AJ, Rao VK, et al. Barosinusitis: Comprehensive review and proposed new classification system. Allergy Rhinol (Providence). 2017; 8(3): 109–117.
  11. Ledingham I, Davidson JK. Hazards in Hyperbaric Medicine. BMJ. 1969; 3(5666): 324–327.
  12. Pougnet R, Henckes A, Pougnet L, et al. Occupational accidents among attendants inside hyperbaric chambers in France. Med Lav. 2015; 106(1): 17–22.
  13. Johnson-Arbor K. Type II decompression sickness in a hyperbaric inside attendant. Undersea Hyperb Med. 2012; 39(5): 915–919.
  14. Matos LA, Lopez EA, Sanchez CA, Leon K (2002). Incidence of morbidity in a multiplace hyperbaric medicine practice. http://archive.rubicon-foundation.org/1217 (accessed 01 July 2014).
  15. Doolette D, Goble S, Pirone C. Health outcome of hyperbaric inside attendants following compressed-air exposure and oxygen decompression. SPUMS J. 2004; 34: 63–67.
  16. Cooper PD, Van den Broek C, Smart DR. Hyperbaric chamber attendant safety II: 14-year health review of multiplace chamber attendants. Diving Hyperb Med. 2009; 39(2): 71–76.
  17. Uzun G, Mutluoğlu M, Ay H, et al. Decompression sickness in hyperbaric nurses: retrospective analysis of 4500 treatments. J Clin Nurs. 2011; 20(11-12): 1784–1787.
  18. Hansen MB, Jansen T, Sifakis MB, et al. Chamber personnel's use of Nitrox 50 during hyperbaric oxygen treatment: a quality study--research report. Undersea Hyperb Med. 2013; 40(5): 395–402.
  19. Witucki P, Duchnick J, Neuman T, et al. Incidence of DCS and oxygen toxicity in chamber attendants: a 28-year experience. Undersea Hyperb Med. 2013; 40(4): 345–350.
  20. Cooper PD, Van den Broek C, Smart DR, et al. Hyperbaric chamber attendant safety I: Doppler analysis of decompression stress in multiplace chamber attendants. Diving Hyperb Med. 2009; 39(2): 63–70.
  21. Bell J, Thombs PA, Davison WJ, et al. Decompression tables for inside chamber attendants working at altitude. Undersea Hyperb Med. 2014; 41(6): 505–513.
  22. Ors F, Sonmez G, Yildiz S, et al. Incidence of ischemic brain lesions in hyperbaric chamber inside attendants. Adv Ther. 2006; 23(6): 1009–1015.
  23. Ozkan H, Uzun G, Yildiz S, et al. MRI screening of dysbaric osteonecrosis in hyperbaric-chamber inside attendants. J Int Med Res. 2008; 36(2): 222–226.
  24. Hyperbaric chamber nurse dies of decompression sickness; unit gets OK. Hosp Secur Saf Manage. 1992; 13(5): 3.
  25. Sheffield PJ, Desautels DA. Hyperbaric and hypobaric chamber fires: a 73-year analysis. Undersea Hyperb Med. 1997; 24(3): 153–164.
  26. Perdrizet GA. Type II DCS in an inside hyperbaric attendant: commentary. Undersea Hyperb Med. 2012; 39(5): 869.
  27. Risberg J, Englund M, Aanderud L, et al. Venous gas embolism in chamber attendants after hyperbaric exposure. Undersea Hyperb Med. 2004; 31(4): 417–429.
  28. Lier H, Schroeder S, Hering R. [Patent foramen ovale: an underrated risk for divers?]. Dtsch Med Wochenschr. 2004; 129(1-2): 27–30.
  29. Germonpré P. Patent foramen ovale and diving. Cardiol Clin. 2005; 23(1): 97–104.
  30. Sheffield PJ, Pirone CJ. Decompression sickness in inside attendants. In: Workmann WT. ed. Hyperbaric facility safety: a practical guide. Best Publishing Company, Flagstaff 1999: 643–663.
  31. Larsson AC, Uusijärvi J, Frånberg O, et al. Nitrox permits direct exit for attendants during extended hyperbaric oxygen treatment. Undersea Hyperb Med. 2012; 39(1): 605–612.