decompression


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decompression

 [de″kom-presh´un]
return to normal environmental pressure after exposure to greatly increased pressure.
cerebral decompression removal of a flap of the skull and incision of the dura mater for relief of intracranial pressure.
decompression sickness a condition resulting from a too-rapid decrease in atmospheric pressure, as when a deep-sea diver is brought too hastily to the surface. The popular term bends is derived from the bodily contortions its victims undergo when atmospheric pressure is abruptly changed from a high pressure to a relatively lower one. Called also caisson disease and divers' paralysis. A similar condition, altitude sickness, is suffered by aviators who ascend too rapidly to high altitudes. Decompression sickness may also be a complication in a type of oxygen therapy called hyperbaric oxygenation, in which the patient is placed in a high-pressure chamber to increase the oxygen content of the blood. Personnel and the patient within the chamber must be protected from decompression sickness when they emerge from the high-pressure chamber.
Cause. The phenomenon of decompression sickness is explained in terms of a law of physics: The greater the atmospheric pressure, the greater the amount of gas that can be dissolved in a liquid. The gas involved in this condition is the air we breathe, composed chiefly of nitrogen and oxygen. Under normal atmospheric pressure, nitrogen is present in the blood in dissolved form. If the atmospheric pressure is substantially increased, a proportionately greater amount of nitrogen will be dissolved in the blood. The same is true of oxygen, and this is the basis for hyperbaric oxygenation in the treatment of oxygen deficiency.

The increase in pressure causes no ill effects. Nor will there be any ill effects if the pressure is gradually brought back to normal. When the decrease in pressure is slow, the nitrogen escapes safely from the blood as it passes through the lungs to be exhaled. If the pressure drops abruptly back to normal, the nitrogen is suddenly released from its state of solution in the blood and forms bubbles. Although the body is now under normal air pressure, expanding bubbles of nitrogen are present in the circulation and force their way into the capillaries, blocking the normal passage of the blood. This blockage (or air embolus) starves cells dependent on a constant supply of oxygen and other blood nutrients. Some of these cells may be nerve cells located in the limbs or in the spinal cord. When they are deprived of blood, an attack of decompression sickness occurs.

The oxygen in the blood reacts similarly when abnormal pressure is abruptly relieved. But because oxygen is dissolved more easily than nitrogen, and because some of the oxygen combines chemically with hemoglobin, the oxygen released in decompression forms fewer bubbles, and is therefore less troublesome.
Symptoms and Treatment. Symptoms include joint pain, dizziness, staggering, visual disturbances, dyspnea, and itching of the skin. Partial paralysis occurs in severe cases; collapse and insensibility are also possible. Only rarely is decompression sickness itself fatal, although a diver while in this condition may suffer a fatal accident unless he or she is rescued. Treatment consists of placing the victim in a decompression chamber where the air pressure is at the original higher level of pressure. If the victim is a diver, this is the pressure at the depth where he or she was working. Pressure in the chamber is then reduced to normal at a safe rate.
Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.

de·com·pres·sion

(dē'kom-prĕ'shŭn),
Removal of pressure.
[L. de-, from, down, + com-primo, pp. -pressus, to press together]
Farlex Partner Medical Dictionary © Farlex 2012

decompression

(dē′kəm-prĕsh′ən)
n.
1. The act or process of decompressing.
2. A surgical procedure used to relieve pressure on an organ or part, such as the abdomen, cranium, or spinal cord.
The American Heritage® Medical Dictionary Copyright © 2007, 2004 by Houghton Mifflin Company. Published by Houghton Mifflin Company. All rights reserved.

decompression

Medtalk The therapeutic reduction of pressure in a limited space–eg, in the cranial cavity caused by cerebral edema; pericardium 2º to effusion; an extremity due to an expanding hematoma over a fracture encased in a cast. See Microvascular decompression.
McGraw-Hill Concise Dictionary of Modern Medicine. © 2002 by The McGraw-Hill Companies, Inc.

de·com·pres·sion

(dē-kŏm-presh'ŭn)
Removal of pressure.
[L. de-, from, down, + com-primo, pp. -pressus, to press together]
Medical Dictionary for the Health Professions and Nursing © Farlex 2012

decompression

Removal of pressure on a part. Decompression of the brain when bleeding is occurring within the skull is a life-saving procedure.
Collins Dictionary of Medicine © Robert M. Youngson 2004, 2005

Decompression

A decrease in pressure from the surrounding water that occurs with decreasing diving depth.
Gale Encyclopedia of Medicine. Copyright 2008 The Gale Group, Inc. All rights reserved.

de·com·pres·sion

(dē-kŏm-presh'ŭn)
Removal of pressure.
[L. de-, from, down, + com-primo, pp. -pressus, to press together]
Medical Dictionary for the Dental Professions © Farlex 2012
References in periodicals archive ?
The space that was created with the pre-rotate decompression delays the buildup of plastic pressure in front of the screw until that space has been filled with plastic.
To our knowledge, this is the first case featuring primary TEVAR to the CoA immediately followed by surgical decompression of spinal epidural hemorrhage in the emergent setting.
"A rapid decompression incident is an extremely loud, harrowing event," Tarricone said, noting that an aircraft can appear to be out of control when decompression occurs.
This surgical decompression procedure involves extensive dissection for detachment of the bilateral paravertebral muscles (PVMs) from the spinous processes and the lamina.
He said that the decompression chamber consists of a metal cylinder, in which the affected divers spend several hours, according to their state of health.
Decompression sickness describes a condition arising from dissolved gases coming out of solution into bubbles inside the body on depressurisation.
KEYWORDS: Facial muscle spasm; Microvascular decompression; Delayed healing.
In addition, surgical decompression appeared to offer no benefit over arthroscopy only.
During the study, multiple small-diameter drilling decompression combined with arthroscopic (Group A) was used to treat early stages of AVNFH patients with obvious joint effusion, and multiple small-diameter drilling decompression alone (Group B) was used to treat early stages of AVNFH patients with little or no joint effusion.
Decompression illness was suspected, but computed tomography angiography (CTA) was obtained for evaluation of other causes of hypotension and hypoxia.
In this case, there was muscle weakness due to severe canal stenosis by osseous intracanal lesion, so we considered that indirect decompression by ligamentotaxis would not be obtained, and direct decompression would be necessary [14].
Nowadays, lateral route for canal decompression and interbody fusion named transpsoas lateral interbody fusion (LLIF) is gaining more popularity, and most procedures can be performed through a single shortened operative incision [6].