[0001] The invention relates to medicine and may be used for accelerated recovery of deep
divers after performing underwater work, in particular, for carrying out active degassing
of the body.
[0002] After performing underwater work at high pressure blood and other body fluids and
tissues are saturated with inert gases, substantially nitrogen. Due to inadequate
decompression when transiting from high-pressure environment to lower-pressure environment
in blood and body tissues there occur free gas bubbles disturbing blood micro- and
macrocirculation in consequence of which decompression sickness or caisson disease
develops. The risk of this disease increases at long-lasting stay under high pressure
which most commonly takes place when working at great depths. Under such conditions
there occurs full saturation of all body tissues and fluids with gases. Thus, at long-lasting
work of a diver his blood and tissues contain a large amount of gas, first of all
nitrogen. On returning to normal atmospheric pressure nitrogen dissolved in blood
expands forming gas bubbles which cause pain and disturb blood circulation in small
blood vessels including brain blood vessels. Pain, paralyses and some other evidences
can be eliminated, however, with diver reentering the environment of increased atmospheric
pressure with gradual decreasing this pressure which results in resorption of the
formed gas bubbles.
[0003] According to Patent
SU 1 839 983 it is known "Method of treatment of decompression sickness" in which extracorporal
vein-venous hemoperfusion is performed through desaturation container with blood substitute
at normal atmospheric pressure of gaseous environment. The disadvantage of the method
disclosed in Patent
SU 1,839,983 is the complexity of carrying it out and the usage of complex equipment.
[0004] As the closest analog regarding the claimed method, there taken the known from Patent
RU 2 251 512 "Method of decompression" which consists in that after bringing a diver up to the
surface he is placed into a special caisson (decompression) chamber where within several
hours the pressure is gradually decreased, from the pressure at which the diver worked
underwater to ambient atmospheric pressure. In the process along with the step-by-step
decompression, recompression (the repetitive increase of pressure) is used [1]. Therewith,
nitrogen dissolved in blood is eliminated. The disadvantage of the method disclosed
in Patent
RU 2 251 512 is a long time of staying in the chamber since it is necessary to remove all nitrogen
not only from the blood channels, but also from body tissues.
[0005] An object of the invention is to provide method and device which will promote accelerating
the process of diver recovery, improving the reliability of inert gas removal from
the body, and preventing the development of caisson disease after leaving the pressure
chamber.
[0006] According to the present invention the object is achieved by the method for accelerating
the recovery of deep divers which is carried out as follows: after bringing a diver
up to the surface he is placed in a decompression chamber provided with a pneumomassage
device comprising a multisection pneumatic cuff with elastic pressurized sections
separated from each other. The diver is lied down on the pneumatic cuff arranged on
a couch, in which in accordance with certain program the pressure of compressed air
is changed in consequence of which the elastic pressurized sections of the pneumatic
cuff press on the respective areas of the diver's body and massage them thereby accelerating
the circulation of body fluids and the removal of gas from the body tissues. Changing
(decreasing) pressure in the decompression chamber can be performed constantly or
stepwise, therewith the step-by-step decrease of pressure followed by massage which
is performed at constant pressure during intervals between the changes of pressure.
BRIEF DESCRIPTION OF THE DRAWINGS
[0007]
Fig. 1 is a comparative sketch of blood flow redistribution in human body in the state
of rest and muscular load.
Fig. 2 is a scheme of accelerated recovery of deep divers.
REFERENCE NUMERALS
[0008]
1 - a decompression chamber;
2 - body state observation sensors;
3 - measuring-recording instrumentation;
4 - a pneumatic cuff with elastic pressurized sections;
5 - a functional couch (chair);
6 - a pneumomassage device control block;
7 - an electro-driven pneumatic valve;
8 - a compressor;
9 - pneumo-communications;
10 - electro-communications;
11 - a synchronization unit for the pneumomassage device and a pressure control system
in pressure chamber.
[0009] Performing pneumomassage is similar to passive exercises, i.e. the diver is motionless.
During pneumomassage the blood flow redistribution in body takes place, the cutaneous
blood circulation is improved, that, in turn, essentially enhances gas release through
the cutaneous pores. As Fig. 1 shows, the cutaneous blood circulation at rest accounts
for 3-6 per cent, the muscles blood circulation accounts for 15-20 per cent (at the
left of Fig. 1). On exertion the cutaneous and muscles blood circulation increase
to 80-85 per cent in total (at the right of Fig. 1), and cerebral blood circulation
decreases from 13-15 to 3-4 per cent, and this gives the possibility to withdraw a
substantial part of gas release load from the lungs.
[0010] The method of the present invention has substantial advantages: it makes possible
to activate the release of nitrogen dissolved in blood and tissues and to reduce the
period of the diver's rehabilitation.
[0011] The method is carried out by means of the device comprising: a decompression chamber
1 equipped with diver's state observation sensors 2; a couch (or chair) 5 and arranged
on it a multisection pneumatic cuff 4 with elastic pressurized sections into which
via pneumo-communications 9 compressed air is supplied in accordance with certain
program. The air is supplied via pneumo-communications 9 by means of a compressor
8 and an electro-driven pneumatic valve 7 the work of which is controlled by a control
block 6 via electro-communications 10. In the process measuring-recording instrumentation
3 monitors the diver's state. The device includes a synchronization unit 11 for the
pneumomassage device and a pressure control system in pressure chamber.
[0012] The method is carried out as follows: after bringing the diver up to the surface
he is placed in the decompression chamber 1, lied down on the multisection pneumatic
cuff 4 arranged on the couch 5. Then the diver's functional state is determined and
the pneumomassage device control block 6 is programmed. The diver's body state is
monitored by means of the sensors 2 and, if necessary, the pneumomassage program in
the control block 6 is corrected by means of the measuring-recording instrumentation
3. The synchronization unit 11 makes it possible to supply air into the pneumatic
cuff 4 only after achieving the necessary pressure in the chamber 1.
[0013] The realization of the present method makes it possible to increase the efficiency
of inert gases removal from diver's body fluids and tissues, thereby preventing even
the possibility of caisson disease development after completing the decompression.
In addition, under reduced pressure conditions the body detoxication takes place due
to removal of toxic volatile metabolic products.
Sources of information:
1. A method for accelerating the recovery of deep divers comprising placing a diver in
a decompression chamber, wherein during the diver stay in the decompression chamber
he is given the programmed massage by means of a multisection pneumatic cuff, meanwhile
the pressure in the decompression chamber is gradually reduced.
2. The method according to claim 1, wherein the pressure in the decompression chamber
is reduced stepwise, and massage is performed at constant pressure during intervals
between the changes of pressure.
3. A device for accelerating the recovery of deep divers comprising a decompression chamber,
wherein the decompression chamber is equipped with a pneumomassage device.
4. The device according to claim 3, wherein the device further comprises the multisection
pneumatic cuff with elastic pressurized sections separated from each other, a programmed
control block, an electro-driven pneumatic valve and a compressor.