科学浅层饱和潜水探险使用潜水换气器和一个特定的干燥栖息地:医疗管理的“胶囊”方案。

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Maritime Health Pub Date : 2023-01-01 DOI:10.5603/IMH.2023.0004
Emmanuel Gouin, Jean Eric Blatteau, Emmanuel Dugrenot, François Guerrero, Bernard Gardette, On Behalf Of Under The Pole Consortium
{"title":"科学浅层饱和潜水探险使用潜水换气器和一个特定的干燥栖息地:医疗管理的“胶囊”方案。","authors":"Emmanuel Gouin,&nbsp;Jean Eric Blatteau,&nbsp;Emmanuel Dugrenot,&nbsp;François Guerrero,&nbsp;Bernard Gardette,&nbsp;On Behalf Of Under The Pole Consortium","doi":"10.5603/IMH.2023.0004","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Scientific underwater exploration could benefit from professional diving facilities. This could allow marine research for durations far exceeding anything currently possible. The closed-circuit rebreather expansion provides new perspectives by unleashing divers and their diving bell. \"Under the Pole Expeditions\" developed an innovative compact underwater habitat for this purpose.</p><p><strong>Materials and methods: </strong>The habitat's depth was fixed at 20 m. Saturation lasted 3 days and was followed by a 245 min long decompression procedure with mandatory in-water phase. Isolation and environmental constraints will require specific medical and safety procedures. \"In situ\" medical concerns were considered, and a specific evacuation plan was established. This report describes the medical management of this atypical project and the systematic clinical follow-up mostly targeted on the cardiovascular system, fatigue and psychological tolerance.</p><p><strong>Results: </strong>Seventeen individual saturation exposures were performed. All selected divers were professional. Neither severe illness nor decompression sickness was observed. These short-term saturation exposures appeared to be well tolerated. There was a relatively low bubble grade after decompression. Psychological tolerance appeared good. However, a transient moderate orthostatic hypotension suggested cardiovascular deconditioning after dive.</p><p><strong>Conclusions: </strong>This first experiment demonstrates the interest and feasibility of a shallow revisited saturation dive with rebreather use. This isolation requires medical accompaniment and rigorous preparation. Medical and physiological risks assessment is essential in this context and must be consolidated by new experiences.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Scientific shallow saturation dive expedition using diving rebreathers and a specific dry habitat: medical management of the \\\"Capsule\\\" programme.\",\"authors\":\"Emmanuel Gouin,&nbsp;Jean Eric Blatteau,&nbsp;Emmanuel Dugrenot,&nbsp;François Guerrero,&nbsp;Bernard Gardette,&nbsp;On Behalf Of Under The Pole Consortium\",\"doi\":\"10.5603/IMH.2023.0004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Scientific underwater exploration could benefit from professional diving facilities. This could allow marine research for durations far exceeding anything currently possible. The closed-circuit rebreather expansion provides new perspectives by unleashing divers and their diving bell. \\\"Under the Pole Expeditions\\\" developed an innovative compact underwater habitat for this purpose.</p><p><strong>Materials and methods: </strong>The habitat's depth was fixed at 20 m. Saturation lasted 3 days and was followed by a 245 min long decompression procedure with mandatory in-water phase. Isolation and environmental constraints will require specific medical and safety procedures. \\\"In situ\\\" medical concerns were considered, and a specific evacuation plan was established. This report describes the medical management of this atypical project and the systematic clinical follow-up mostly targeted on the cardiovascular system, fatigue and psychological tolerance.</p><p><strong>Results: </strong>Seventeen individual saturation exposures were performed. All selected divers were professional. Neither severe illness nor decompression sickness was observed. These short-term saturation exposures appeared to be well tolerated. There was a relatively low bubble grade after decompression. Psychological tolerance appeared good. However, a transient moderate orthostatic hypotension suggested cardiovascular deconditioning after dive.</p><p><strong>Conclusions: </strong>This first experiment demonstrates the interest and feasibility of a shallow revisited saturation dive with rebreather use. This isolation requires medical accompaniment and rigorous preparation. Medical and physiological risks assessment is essential in this context and must be consolidated by new experiences.</p>\",\"PeriodicalId\":45964,\"journal\":{\"name\":\"International Maritime Health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Maritime Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5603/IMH.2023.0004\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Maritime Health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5603/IMH.2023.0004","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

摘要

背景:专业的潜水设备有利于科学的水下探索。这将使海洋研究的持续时间远远超过目前可能的任何时间。闭路换气扩展器通过释放潜水员和他们的潜水钟提供了新的视角。“极地探险”为此目的开发了一种创新的紧凑型水下栖息地。材料与方法:生境深度固定为20 m。饱和持续了3天,随后进行了245分钟的减压过程,并强制进行了水相减压。隔离和环境限制将需要特定的医疗和安全程序。考虑了"现场"的医疗问题,并制定了具体的后送计划。本文描述了这一非典型项目的医疗管理和系统的临床随访,主要针对心血管系统、疲劳和心理耐受性。结果:进行了17次个体饱和曝光。所有被选中的潜水员都是专业的。未见严重疾病或减压病。这些短期饱和暴露表现出良好的耐受性。减压后气泡等级较低。心理承受力较好。然而,一过性的中度直立性低血压提示潜水后心血管状况有所改善。结论:这第一个实验证明了使用换气器进行浅层重游饱和潜水的兴趣和可行性。这种隔离需要医疗陪同和严格的准备。在这种情况下,医疗和生理风险评估至关重要,必须通过新的经验加以巩固。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Scientific shallow saturation dive expedition using diving rebreathers and a specific dry habitat: medical management of the "Capsule" programme.

Background: Scientific underwater exploration could benefit from professional diving facilities. This could allow marine research for durations far exceeding anything currently possible. The closed-circuit rebreather expansion provides new perspectives by unleashing divers and their diving bell. "Under the Pole Expeditions" developed an innovative compact underwater habitat for this purpose.

Materials and methods: The habitat's depth was fixed at 20 m. Saturation lasted 3 days and was followed by a 245 min long decompression procedure with mandatory in-water phase. Isolation and environmental constraints will require specific medical and safety procedures. "In situ" medical concerns were considered, and a specific evacuation plan was established. This report describes the medical management of this atypical project and the systematic clinical follow-up mostly targeted on the cardiovascular system, fatigue and psychological tolerance.

Results: Seventeen individual saturation exposures were performed. All selected divers were professional. Neither severe illness nor decompression sickness was observed. These short-term saturation exposures appeared to be well tolerated. There was a relatively low bubble grade after decompression. Psychological tolerance appeared good. However, a transient moderate orthostatic hypotension suggested cardiovascular deconditioning after dive.

Conclusions: This first experiment demonstrates the interest and feasibility of a shallow revisited saturation dive with rebreather use. This isolation requires medical accompaniment and rigorous preparation. Medical and physiological risks assessment is essential in this context and must be consolidated by new experiences.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
International Maritime Health
International Maritime Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.90
自引率
13.60%
发文量
37
审稿时长
20 weeks
期刊最新文献
Self-reported diabetes mellitus among seafarers: occupational and sociodemographic predictors. Praziquantel as the preferred treatment for schistosomiasis. Regulating seafarers' welfare: an examination of the protection of Filipino seafarers' well-being through a legal analysis of the POEA-Standard Employment Contract. Sickle cell disease in the Zanzibar Archipelago, the Republic of Tanzania. MAGAZINE.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1