Diving and asthma: literature review

Muller, A.; Rochoy, Michael

Document type :

Article dans une revue scientifique: Article de synthèse/Review paper

DOI :

10.1016/j.pneumo.2018.10.002

PMID :

30442511

Permalink :

http://hdl.handle.net/20.500.12210/17409

Title :

Diving and asthma: literature review

Author(s) :

Muller, A. [Auteur]
Rochoy, Michael [Auteur]

Journal title :

Revue de pneumologie clinique

Abbreviated title :

Rev Pneumol Clin

Publication date :

2018-11-12

ISSN :

0761-8417

English keyword(s) :

Review
asthma
Diving
Bronchial spasm
decompression sickness
Embolism
Air

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

BACKGROUND: Scuba diving has long been contraindicated for asthmatics. Recommendations are evolving towards authorisation under certain conditions. Our objective was to review the literature on the risks associated with ...
Show more >BACKGROUND: Scuba diving has long been contraindicated for asthmatics. Recommendations are evolving towards authorisation under certain conditions. Our objective was to review the literature on the risks associated with scuba diving among asthmatics and about recommendations on this subject. METHODS: We used the MEDLINE and LiSSa databases, until June 2018, in French, English or Spanish language, with the keywords "asthma AND diving" and "asthme plongée" respectively. References to the first degree were analyzed. RESULTS: We have included 65 articles. Risk of bronchospasm is well documented, particularly in cold and/or deep water, or in the event of exposure to allergens (compressor without filter). Nonasthmatic atopic divers may be at greater risk of developing bronchial hyper-reactivity. Although the theoretical risk exists, epidemiological studies do not seem to show an over-risk of barotrauma, decompression sickness or arterial gas embolism in asthmatics. French, British, American, Spanish and Australian societies agreed on the exclusion of patients with moderate to severe persistent asthma, FEV1<80%, active asthma in the last 48hours, exercise/cold asthma and poor physical fitness. CONCLUSIONS: A diver's examination should include a triple assessment: asthma control, number of exacerbations and treatment compliance. Homogenizing the recommendations would improve the framework for the practice of diving among asthmatics and allow larger studies in this population. Communicating the current recommendations remains important to divers, dive instructors and doctors in the context of the development of scuba diving.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
Université de Lille

Collections :

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2019-12-09T18:20:17Z

Version	Link	Modification date
2	20.500.12210/17409	2024-04-03T09:49:50Z
1	20.500.12210/17409.1*	2019-12-09T18:20:17Z

Diving and asthma: literature review

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