Journals / İstanbul Üniversitesi İstanbul Tıp Fakültesi Mecmuası / 2002 / Cilt: 65 - Sayı: 2

İmportance of respiratory system examination and pulmonary radiography for fitness to dive: Two cases

Solunum sistemi değerlendirmesi ve akciğer radyolojisinin dalışa uygunluk muayenesindeki önemi: İki olgu sunumu

Pages
157–160
Publication Date
2022-10-17
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

For this reason, diving of two cases was forbidden.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Evaluation of respiratory system has an important role in diving fitness examination.
📊
Key Findings & Data:Detailed history and physical examination, lung function tests and pulmonary radiography are important for investigation of diseases which are contraindicated for diving.
💡
Conclusion & Impact:For this reason, diving of two cases was forbidden.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Evaluation of respiratory system has an important role in diving fitness examination. Detailed history and physical examination, lung function tests and pulmonary radiography are important for investigation of diseases which are contraindicated for diving. If respiratory system evaluation ends with a pathologic finding then diving is forbidden. We report two cases with normal respiratory system examination and lung function tests but with abnormal pulmonary radiological findings. One of them had normal chest x-ray but high resolution computerized tomograpy revealed an air-trapping lesion. Other had abnormal chest x-ray with gross pathologic findings. For this reason, diving of two cases was forbidden.

Özet

Dalışa uygunluk muayenesinde solunum sisteminin değerlendirilmesi önemli bir yer tutar. Ayrıntılı ve sistemli sorgulama ile fizik muayeneye ek olarak solunum fonksiyon testleri ve akciğer radyolojisi dalışa engel olan akciğer hastalıklarının tanınmasında ve bu tip adayların dalıştan elenmesinde önem taşır. Fizik muayenesi ve solunum fonksiyon testleri normal sınırlar içinde bulunan iki olgumuzdan birinde direkt radyografi ile diğerinde ise ancak yüksek çözünürlüklü bilgisayarlı tomografi ile hava hapsine yol açan lezyonlar saptanmış ve adayların dalışına izin verilmeyerek olası yaşamsal riskler önlenmiştir.

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Cite This Article

KIYAN, E., İLGEZDİ, S., AKTAŞ, Ş. (2022). İmportance of respiratory system examination and pulmonary radiography for fitness to dive: Two cases. İstanbul Üniversitesi İstanbul Tıp Fakültesi Mecmuası, Cilt: 65 - Sayı: 2, 157–160. https://ajindex.com/articles/553715

References (12)

  1. Aktaş Ş: Dekompresyon hastalığı ve barotravmalar, "Göğüs Hastalıkları Acilleri, editörler: Ekim N, Türktaş H, Bilimsel Tıp Yayınevi, Ankara (2000)", s: 151
  2. Aktaş Ş, Aydın S, Nogay HA, Çimşit M: Pulmonary CT scan should be considered in doubtful DCS to eliminate pulmonary gas embolism. Proceedings XIXth EUBS, Trondheim, Norway, (1993), s: 105
  3. Bove AF: Pulmonary barotrauma in divers: Can prospective pulmonary function testing identify those at risk? Chest 112: 576 (1997)
  4. Edmonds C: Barotrauma. "Diving and Subaquatic Medicine, editörler: Edmonds C, Lowry C, Pennefather J, Diving Medical Center, Sydney, (1980)", s: 93
  5. Kıyan E: Amatör dalıcılarda solunum sistemi muayenesi ve seçim kriterleri. Sualtı Bilim ve Teknolojisi Toplantısı, 9-11 Kasım 2001, Kocaeli, Toplantı Kitabı, editörler: Toker K, Turan O, s: 13
  6. Kıyan E, Aktaş Ş, Toklu AS: Hemopthysis provoked by voluntary diaphragmatic contractions in breath-hold diving. Chest 120: 2098 (2001)
  7. Mebane GY, McIver NKI: Fitness to dive. "The Physiology and Medicine of Diving, editörler: Bennett P, Elliott DH, WB Saunders co. London 4. baskı, (1993)", s: 53
  8. Mellem H, Emhjellen S, Horgen O: Pulmonary barotrauma and arterial gas embolism caused by an emphysematous bulla in a SCUBA diver. Aviat Space Environ Med:559 (1990)
  9. Neuman TS: Pulmonary disorders in diving. "Diving Medicine, editörler: Bove AA, Davis JC, W.B. Saunders Co, Philadelphia (1990)", s: 233
  10. Neuman TS: Pulmonary fitness for diving. "The Lung at Depth, editörler: Lundgren CEG, Miller JN, Marcel Dekker Inc, New York, (1999)", s:73
  11. Russi EW: Diving and the risk of barotruma. Thorax 53:20 (1998)
  12. Webb WR: Diseases characterized primarily by decreased lung opacity, including cystic abnormalities, emphysema, and bronchiectasis. "High-Resolution CT of the Lung, editörler: Webb WR, Müller NL, Naidich DP, Lippincott-Raven, Philadelphia, (1996)'', s: 227.