Comments on unresponsive decompression illness case

Mirasoglu B., Aktas S.

JOURNAL OF INTENSIVE CARE, vol.6, 2018 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Letter
  • Volume: 6
  • Publication Date: 2018
  • Doi Number: 10.1186/s40560-018-0347-z
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Istanbul University Affiliated: Yes


We have read the case report about a decompression sickness that was unresponsive to hyperbaric oxygen treatment in your journal. Presented case is intriguing; however, we think there are some contradictive issues in the discussion of the case. In this letter, we aim to comment on these issues that may raise further question. Bubble formation plays a very important role for decompression sickness, but proposed mechanism is incorrect as nitrogen does not change state during decompression. Use of terminology for diving-related diseases and comments on properties of helium may cause misunderstandings. Also importance of history of the dive in evaluating an accident should be emphasized.