Treatment preferences for decompression illness amongst Singapore dive physicians
Owing to the scarcity of randomized controlled trials to guide treatment for decompression illness (DCI), there are many unanswered questions about its management. Apart from reviews and expert opinion, surveys that report practice patterns provide information about useful management strategies. Hen...
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| Veröffentlicht in: | Diving and hyperbaric medicine 2017-06, Vol.47 (2), p.118-122 |
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| container_title | Diving and hyperbaric medicine |
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| creator | Tan, Valerie Huali Chin, Kenneth Kumar, Aravin Chng, Jeremiah Soh, Chai Rick Soh Rick |
| description | Owing to the scarcity of randomized controlled trials to guide treatment for decompression illness (DCI), there are many unanswered questions about its management. Apart from reviews and expert opinion, surveys that report practice patterns provide information about useful management strategies. Hence, this study aimed to identify current treatment preferences for DCI amongst diving physicians in Singapore.
An anonymous web-based questionnaire was sent to known diving physicians in Singapore. The demographics of the respondents were captured. Respondents were asked about their preferred management for five different DCI scenarios.
The response rate was 74% (17 of 23 responses). All respondents chose to recompress patients described in the five scenarios. Regarding the number of recompression sessions, "one additional session after no further improvement in signs and symptoms" was the most common end point of treatment across all the scenarios (47 of 85 responses). Analgesics would be used by five physicians, three would use lidocaine and two steroids as adjuvant therapies.
Apart from the general agreement that recompression is indicated for DCI, there was no strong consensus regarding other aspects of management. This survey reinforces the need for robust RCTs to validate the existing recommendations for DCI treatment. |
| doi_str_mv | 10.28920/dhm47.2.118-122 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6147224</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1913395827</sourcerecordid><originalsourceid>FETCH-LOGICAL-c279t-e09332a0cae298547eddc79e84ce4ef6fd36339552915fa7671247ef24f98e0d3</originalsourceid><addsrcrecordid>eNpVUU1LAzEQDaLYWr17kj162ZpMsh-5CCJ-gSCinkPMzraR3WRNtgX_vVFr0dMMM2_evJlHyDGjc6gl0LNm2YtqDnPG6pwB7JApAJU5E5LtkimrOc95wcoJOYjxjdJC8LLYJxOoS8E4iCl5fA6oxx7dmA0BWwzoDMas9SFr0Pg-FWO03mW261xKM917t4hj9mTdQg8-YNbYNWbD8iNaY7WLh2Sv1V3Eo02ckZfrq-fL2_z-4ebu8uI-N1DJMUcqOQdNjUaQdSEqbBpTSayFQYFt2Ta85FwWBUhWtLoqKwYJ1IJoZY204TNy_sM7rF57bEw6IehODcH2Onwor63633F2qRZ-rUomKgCRCE43BMG_rzCOqrfRYNdph34VFZPsS0ANVYLSH6gJPsb0p-0aRtW3E-rbCQUqOaGSE2nk5K-87cDv6_knAiSHZg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1913395827</pqid></control><display><type>article</type><title>Treatment preferences for decompression illness amongst Singapore dive physicians</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Tan, Valerie Huali ; Chin, Kenneth ; Kumar, Aravin ; Chng, Jeremiah ; Soh, Chai Rick Soh Rick</creator><creatorcontrib>Tan, Valerie Huali ; Chin, Kenneth ; Kumar, Aravin ; Chng, Jeremiah ; Soh, Chai Rick Soh Rick ; Diagnostic Radiology, Singapore General Hospital, Singapore ; Surgical Intensive Care Unit, Hyperbaric and Diving Medicine Centre, Singapore General Hospital ; Yong Loo Lin School of Medicine, National University of Singapore, Singapore ; National University Health System, Singapore ; Hyperbaric Medicine Section, Navy Medical Service, Republic of Singapore Navy, Singapore</creatorcontrib><description>Owing to the scarcity of randomized controlled trials to guide treatment for decompression illness (DCI), there are many unanswered questions about its management. Apart from reviews and expert opinion, surveys that report practice patterns provide information about useful management strategies. Hence, this study aimed to identify current treatment preferences for DCI amongst diving physicians in Singapore.
An anonymous web-based questionnaire was sent to known diving physicians in Singapore. The demographics of the respondents were captured. Respondents were asked about their preferred management for five different DCI scenarios.
The response rate was 74% (17 of 23 responses). All respondents chose to recompress patients described in the five scenarios. Regarding the number of recompression sessions, "one additional session after no further improvement in signs and symptoms" was the most common end point of treatment across all the scenarios (47 of 85 responses). Analgesics would be used by five physicians, three would use lidocaine and two steroids as adjuvant therapies.
Apart from the general agreement that recompression is indicated for DCI, there was no strong consensus regarding other aspects of management. This survey reinforces the need for robust RCTs to validate the existing recommendations for DCI treatment.</description><identifier>ISSN: 1833-3516</identifier><identifier>EISSN: 2209-1491</identifier><identifier>DOI: 10.28920/dhm47.2.118-122</identifier><identifier>PMID: 28641324</identifier><language>eng</language><publisher>Australia: The Journal of the South Pacific Underwater Medicine Society and the European Underwater and Baromedical Society</publisher><subject>Analgesics - therapeutic use ; Decompression Sickness - therapy ; Humans ; Hyperbaric Oxygenation ; Practice Patterns, Physicians ; Retreatment ; Singapore ; Surveys and Questionnaires ; The World as It Is</subject><ispartof>Diving and hyperbaric medicine, 2017-06, Vol.47 (2), p.118-122</ispartof><rights>Copyright: © 2017 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6147224/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6147224/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28641324$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tan, Valerie Huali</creatorcontrib><creatorcontrib>Chin, Kenneth</creatorcontrib><creatorcontrib>Kumar, Aravin</creatorcontrib><creatorcontrib>Chng, Jeremiah</creatorcontrib><creatorcontrib>Soh, Chai Rick Soh Rick</creatorcontrib><creatorcontrib>Diagnostic Radiology, Singapore General Hospital, Singapore</creatorcontrib><creatorcontrib>Surgical Intensive Care Unit, Hyperbaric and Diving Medicine Centre, Singapore General Hospital</creatorcontrib><creatorcontrib>Yong Loo Lin School of Medicine, National University of Singapore, Singapore</creatorcontrib><creatorcontrib>National University Health System, Singapore</creatorcontrib><creatorcontrib>Hyperbaric Medicine Section, Navy Medical Service, Republic of Singapore Navy, Singapore</creatorcontrib><title>Treatment preferences for decompression illness amongst Singapore dive physicians</title><title>Diving and hyperbaric medicine</title><addtitle>Diving Hyperb Med</addtitle><description>Owing to the scarcity of randomized controlled trials to guide treatment for decompression illness (DCI), there are many unanswered questions about its management. Apart from reviews and expert opinion, surveys that report practice patterns provide information about useful management strategies. Hence, this study aimed to identify current treatment preferences for DCI amongst diving physicians in Singapore.
An anonymous web-based questionnaire was sent to known diving physicians in Singapore. The demographics of the respondents were captured. Respondents were asked about their preferred management for five different DCI scenarios.
The response rate was 74% (17 of 23 responses). All respondents chose to recompress patients described in the five scenarios. Regarding the number of recompression sessions, "one additional session after no further improvement in signs and symptoms" was the most common end point of treatment across all the scenarios (47 of 85 responses). Analgesics would be used by five physicians, three would use lidocaine and two steroids as adjuvant therapies.
Apart from the general agreement that recompression is indicated for DCI, there was no strong consensus regarding other aspects of management. This survey reinforces the need for robust RCTs to validate the existing recommendations for DCI treatment.</description><subject>Analgesics - therapeutic use</subject><subject>Decompression Sickness - therapy</subject><subject>Humans</subject><subject>Hyperbaric Oxygenation</subject><subject>Practice Patterns, Physicians</subject><subject>Retreatment</subject><subject>Singapore</subject><subject>Surveys and Questionnaires</subject><subject>The World as It Is</subject><issn>1833-3516</issn><issn>2209-1491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUU1LAzEQDaLYWr17kj162ZpMsh-5CCJ-gSCinkPMzraR3WRNtgX_vVFr0dMMM2_evJlHyDGjc6gl0LNm2YtqDnPG6pwB7JApAJU5E5LtkimrOc95wcoJOYjxjdJC8LLYJxOoS8E4iCl5fA6oxx7dmA0BWwzoDMas9SFr0Pg-FWO03mW261xKM917t4hj9mTdQg8-YNbYNWbD8iNaY7WLh2Sv1V3Eo02ckZfrq-fL2_z-4ebu8uI-N1DJMUcqOQdNjUaQdSEqbBpTSayFQYFt2Ta85FwWBUhWtLoqKwYJ1IJoZY204TNy_sM7rF57bEw6IehODcH2Onwor63633F2qRZ-rUomKgCRCE43BMG_rzCOqrfRYNdph34VFZPsS0ANVYLSH6gJPsb0p-0aRtW3E-rbCQUqOaGSE2nk5K-87cDv6_knAiSHZg</recordid><startdate>20170601</startdate><enddate>20170601</enddate><creator>Tan, Valerie Huali</creator><creator>Chin, Kenneth</creator><creator>Kumar, Aravin</creator><creator>Chng, Jeremiah</creator><creator>Soh, Chai Rick Soh Rick</creator><general>The Journal of the South Pacific Underwater Medicine Society and the European Underwater and Baromedical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170601</creationdate><title>Treatment preferences for decompression illness amongst Singapore dive physicians</title><author>Tan, Valerie Huali ; Chin, Kenneth ; Kumar, Aravin ; Chng, Jeremiah ; Soh, Chai Rick Soh Rick</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c279t-e09332a0cae298547eddc79e84ce4ef6fd36339552915fa7671247ef24f98e0d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Analgesics - therapeutic use</topic><topic>Decompression Sickness - therapy</topic><topic>Humans</topic><topic>Hyperbaric Oxygenation</topic><topic>Practice Patterns, Physicians</topic><topic>Retreatment</topic><topic>Singapore</topic><topic>Surveys and Questionnaires</topic><topic>The World as It Is</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tan, Valerie Huali</creatorcontrib><creatorcontrib>Chin, Kenneth</creatorcontrib><creatorcontrib>Kumar, Aravin</creatorcontrib><creatorcontrib>Chng, Jeremiah</creatorcontrib><creatorcontrib>Soh, Chai Rick Soh Rick</creatorcontrib><creatorcontrib>Diagnostic Radiology, Singapore General Hospital, Singapore</creatorcontrib><creatorcontrib>Surgical Intensive Care Unit, Hyperbaric and Diving Medicine Centre, Singapore General Hospital</creatorcontrib><creatorcontrib>Yong Loo Lin School of Medicine, National University of Singapore, Singapore</creatorcontrib><creatorcontrib>National University Health System, Singapore</creatorcontrib><creatorcontrib>Hyperbaric Medicine Section, Navy Medical Service, Republic of Singapore Navy, Singapore</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Diving and hyperbaric medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tan, Valerie Huali</au><au>Chin, Kenneth</au><au>Kumar, Aravin</au><au>Chng, Jeremiah</au><au>Soh, Chai Rick Soh Rick</au><aucorp>Diagnostic Radiology, Singapore General Hospital, Singapore</aucorp><aucorp>Surgical Intensive Care Unit, Hyperbaric and Diving Medicine Centre, Singapore General Hospital</aucorp><aucorp>Yong Loo Lin School of Medicine, National University of Singapore, Singapore</aucorp><aucorp>National University Health System, Singapore</aucorp><aucorp>Hyperbaric Medicine Section, Navy Medical Service, Republic of Singapore Navy, Singapore</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment preferences for decompression illness amongst Singapore dive physicians</atitle><jtitle>Diving and hyperbaric medicine</jtitle><addtitle>Diving Hyperb Med</addtitle><date>2017-06-01</date><risdate>2017</risdate><volume>47</volume><issue>2</issue><spage>118</spage><epage>122</epage><pages>118-122</pages><issn>1833-3516</issn><eissn>2209-1491</eissn><abstract>Owing to the scarcity of randomized controlled trials to guide treatment for decompression illness (DCI), there are many unanswered questions about its management. Apart from reviews and expert opinion, surveys that report practice patterns provide information about useful management strategies. Hence, this study aimed to identify current treatment preferences for DCI amongst diving physicians in Singapore.
An anonymous web-based questionnaire was sent to known diving physicians in Singapore. The demographics of the respondents were captured. Respondents were asked about their preferred management for five different DCI scenarios.
The response rate was 74% (17 of 23 responses). All respondents chose to recompress patients described in the five scenarios. Regarding the number of recompression sessions, "one additional session after no further improvement in signs and symptoms" was the most common end point of treatment across all the scenarios (47 of 85 responses). Analgesics would be used by five physicians, three would use lidocaine and two steroids as adjuvant therapies.
Apart from the general agreement that recompression is indicated for DCI, there was no strong consensus regarding other aspects of management. This survey reinforces the need for robust RCTs to validate the existing recommendations for DCI treatment.</abstract><cop>Australia</cop><pub>The Journal of the South Pacific Underwater Medicine Society and the European Underwater and Baromedical Society</pub><pmid>28641324</pmid><doi>10.28920/dhm47.2.118-122</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Analgesics - therapeutic use Decompression Sickness - therapy Humans Hyperbaric Oxygenation Practice Patterns, Physicians Retreatment Singapore Surveys and Questionnaires The World as It Is |
| title | Treatment preferences for decompression illness amongst Singapore dive physicians |
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