What should be avoided during the treatment of decompression sickness?

During the treatment of decompression sickness, the use of CPAP (Continuous Positive Airway Pressure) should be avoided due to its potential to exacerbate certain physiological conditions associated with decompression sickness. The primary concern is that CPAP can increase intrathoracic pressure, which may limit the volume of nitrogen bubbles that need to be absorbed during the treatment process. These bubbles can create problems in circulation and can lead to complications if not managed properly.

In addition, during the treatment of decompression sickness, the focus is on administering hyperbaric oxygen therapy, which helps to reduce the size and consequences of nitrogen bubbles in the bloodstream and tissues. High flow oxygen and IV fluids are typically beneficial in this treatment protocol for promoting healing and reducing the potential damage caused by gas emboli. Patient positioning is also crucial as it can influence venous return and the distribution of gas bubbles, but it is generally adjusted based on the clinical situation. Thus, avoiding CPAP aligns with best practices in managing decompression sickness effectively.