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Decompression-Related Disorders

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Principles of Clinical Medicine for Space Flight

Abstract

The physiological zone from sea level to 3048 m (10,000 ft.) encompasses the pressure to which humans are well adapted, although if appropriately acclimated, they can survive the summit of Earth’s highest mountain (Mt. Everest at 8850 m/29,028 ft.) without supplemental oxygen. At higher altitudes, artificial systems are required to supply needed oxygen and, eventually, sufficient ambient pressure. The most effective means of preventing physiological problems in aircraft and spacecraft is to provide cabin pressurization so that occupants are never exposed to pressures outside the physiological zone. Unfortunately, failure of structures, hardware, or procedures may lead to unwanted and hazardous decompression events. This chapter will review cabin pressurization schemes, events that might lead to loss of pressure, and the major medical concerns of decompression.

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Acknowledgments

The authors are grateful for the patient, critical review of the manuscript and comments by the editorial team.

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Authors and Affiliations

  1. US Air Force Research Laboratory (retired), Brooks City Base, San Antonio, TX, USA

    Andrew A. Pilmanis

  2. Department of Neurology, Space Medicine, Baylor College of Medicine, Houston, TX, USA

    Jonathan B. Clark

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  1. NASA Johnson Space Center, Houston, TX, USA

    Michael R. Barratt

  2. Gynecologic Oncology and Reproductive Medicine, University of Texas, MD Anderson Cancer Center, Houston, TX, USA

    Ellen S. Baker

  3. Deceased, Formerly Chief, Medical Sciences Division, NASA Johnson Space Center, Houston, TX, USA

    Sam L. Pool

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Pilmanis, A.A., Clark, J.B. (2019). Decompression-Related Disorders. In: Barratt, M., Baker, E., Pool, S. (eds) Principles of Clinical Medicine for Space Flight. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-9889-0_16

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