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Encyclopedia of Respiratory Medicine Second Edition

Diving

Publication ,  Chapter
Sayers, MP; Moon, RE
January 1, 2021

Humans are poorly adapted to the underwater environment. Breath-hold diving is limited by limits on the capacity of the thorax to compress during descent, and ability to withstand hyperoxia and hypercapnia. Using compressed gas technology humans can breathe underwater, although with effects on pulmonary statics, dynamics, and gas exchange. Immersion causes blood redistribution from the periphery into the lung, and a decrease in compliance. Breathing compressed gas causes an increase in density, leading to impairment of both inspiratory and expiratory flow, and hence a reduction in maximum exercise ventilation. In addition, there can be an increased Bohr dead space, further reducing alveolar ventilation. These changes can result in hypercapnia during a dive. Gaseous compounds exert their physiological effects in proportion to their partial pressures. Thus, gases that are in concentrations that are safe to breathe at 1 atmosphere absolute (ATA, or 101.325kPa) can become toxic during diving, including oxygen. Pulmonary O2 toxicity can occur with prolonged breathing of gas with a PO2 that exceeds 0.5–0.6 atmospheres (atm, or 49.0–58.8kPa). Other diving hazards include pulmonary barotrauma, and pulmonary edema due to venous gas embolism or the hemodynamics of immersed exercise. Mild long-term reductions in pulmonary function have been observed in professional divers and may be due to effects other than diving. Some lung conditions preclude safe diving.

Duke Scholars

DOI

Publication Date

January 1, 2021

Volume

2

Start / End Page

209 / 218
 

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Sayers, M. P., & Moon, R. E. (2021). Diving. In Encyclopedia of Respiratory Medicine Second Edition (Vol. 2, pp. 209–218). https://doi.org/10.1016/B978-0-12-801238-3.11602-2
Sayers, M. P., and R. E. Moon. “Diving.” In Encyclopedia of Respiratory Medicine Second Edition, 2:209–18, 2021. https://doi.org/10.1016/B978-0-12-801238-3.11602-2.
Sayers MP, Moon RE. Diving. In: Encyclopedia of Respiratory Medicine Second Edition. 2021. p. 209–18.
Sayers, M. P., and R. E. Moon. “Diving.” Encyclopedia of Respiratory Medicine Second Edition, vol. 2, 2021, pp. 209–18. Scopus, doi:10.1016/B978-0-12-801238-3.11602-2.
Sayers MP, Moon RE. Diving. Encyclopedia of Respiratory Medicine Second Edition. 2021. p. 209–218.

DOI

Publication Date

January 1, 2021

Volume

2

Start / End Page

209 / 218