Balance testing and Doppler monitoring during hyperbaric exposure. 2003

Stein H G Nordahl, and Torbjørn Aasen, and Jan Risberg, and Otto I Molvaer
Department of Otolaryngology/Head and Neck Surgery, Haukeland University Hospital, Bergen, Norway. mail@fms.as

BACKGROUND The effects on the postural system of saturation diving to shallow and medium depths have not previously been adequately tested. The purpose of this study was to investigate whether postural function is affected by a moderate hyperbaric exposure, and whether any deterioration is correlated with the presence of intravascular bubbles. OBJECTIVE Postural control and the vestibulo-ocular reflex are not affected during heliox saturation diving to 5 meters of seawater (msw). At greater depths, an effect may occur. METHODS Postural control was tested with the subjects standing on a static balance platform before, during, and after onshore experimental saturation chamber dives to 5 msw heliox, 20 msw air, and to 100 msw heliox. Standard caloric testing with electronystagmography was performed before and after the heliox dives. Cardiac ultrasound and Doppler monitoring were used to detect possible venous gas emboli (VGE) during decompression in the heliox dives. RESULTS During the heliox exposure to 5 msw, no significant change in body sway was found. However, a significant change in body sway was found during an air dive to 20 msw and during the 100 msw heliox exposure. Caloric responses were unchanged immediately post-dive. After decompression from 5 msw, VGE were detected in two divers. During the 100 msw exposure, one case of VGE was observed. CONCLUSIONS Exposure to hyperbaric heliox conditions corresponding to 5 msw, did not influence postural control significantly, while exposure to 100 msw heliox, and air diving to 20 msw, did. Although VGE were detected in the heliox dives, we could not find any correlation between this observation and postural instability.

UI MeSH Term Description Entries
D008297 Male Males
D010100 Oxygen An element with atomic symbol O, atomic number 8, and atomic weight [15.99903; 15.99977]. It is the most abundant element on earth and essential for respiration. Dioxygen,Oxygen-16,Oxygen 16
D012027 Reflex, Vestibulo-Ocular A reflex wherein impulses are conveyed from the cupulas of the SEMICIRCULAR CANALS and from the OTOLITHIC MEMBRANE of the SACCULE AND UTRICLE via the VESTIBULAR NUCLEI of the BRAIN STEM and the median longitudinal fasciculus to the OCULOMOTOR NERVE nuclei. It functions to maintain a stable retinal image during head rotation by generating appropriate compensatory EYE MOVEMENTS. Vestibulo-Ocular Reflex,Reflex, Vestibuloocular,Reflexes, Vestibo-Ocular,Reflexes, Vestibuloocular,Reflex, Vestibulo Ocular,Reflexes, Vestibo Ocular,Vestibo-Ocular Reflexes,Vestibulo Ocular Reflex,Vestibuloocular Reflex,Vestibuloocular Reflexes
D002150 Caloric Tests Elicitation of a rotatory nystagmus by stimulating the semicircular canals with water or air which is above or below body temperature. In warm caloric stimulation a rotatory nystagmus is developed toward the side of the stimulated ear; in cold, away from the stimulated side. Absence of nystagmus indicates the labyrinth is not functioning. Barany Test,Barany's Test,Baranys Test,Caloric Test,Test, Barany,Test, Barany's,Test, Caloric,Tests, Caloric
D004242 Diving An activity in which the organism plunges into water. It includes scuba and bell diving. Diving as natural behavior of animals goes here, as well as diving in decompression experiments with humans or animals. Divings
D004583 Electrons Stable elementary particles having the smallest known negative charge, present in all elements; also called negatrons. Positively charged electrons are called positrons. The numbers, energies and arrangement of electrons around atomic nuclei determine the chemical identities of elements. Beams of electrons are called CATHODE RAYS. Fast Electrons,Negatrons,Positrons,Electron,Electron, Fast,Electrons, Fast,Fast Electron,Negatron,Positron
D004618 Embolism, Air Blocking of a blood vessel by air bubbles that enter the circulatory system, usually after TRAUMA; surgical procedures, or changes in atmospheric pressure. Air Embolism,Embolism, Gas,Air Embolisms,Embolisms, Air,Embolisms, Gas,Gas Embolism,Gas Embolisms
D004856 Postural Balance A POSTURE in which an ideal body mass distribution is achieved. Postural balance provides the body carriage stability and conditions for normal functions in stationary position or in movement, such as sitting, standing, or walking. Postural Control,Posture Balance,Posture Control,Posture Equilibrium,Balance, Postural,Musculoskeletal Equilibrium,Postural Equilibrium,Balance, Posture,Control, Postural,Control, Posture,Equilibrium, Musculoskeletal,Equilibrium, Postural,Equilibrium, Posture,Postural Controls,Posture Balances,Posture Controls,Posture Equilibriums
D006371 Helium A noble gas with the atomic symbol He, atomic number 2, and atomic weight 4.003. It is a colorless, odorless, tasteless gas that is not combustible and does not support combustion. It was first detected in the sun and is now obtained from natural gas. Medically it is used as a diluent for other gases, being especially useful with oxygen in the treatment of certain cases of respiratory obstruction, and as a vehicle for general anesthetics. Helium-4,Helium 4
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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