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Erschienen in: European Journal of Applied Physiology 3/2006

01.10.2006 | Original Article

No changes in lung function after a saturation dive to 2.5 MPa with intermittent reduction in \( P_{{{{\rm O}}_{{{\rm 2}}} }} \) during decompression

verfasst von: E. Thorsen, K. Segadal, L. E. B. Stuhr, K. Troland, M. Grønning, S. Marstein, A. Hope

Erschienen in: European Journal of Applied Physiology | Ausgabe 3/2006

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Abstract

Decompression stress and exposure to hyperoxia may cause a reduction in transfer factor of the lung for carbon monoxide and in maximal aerobic capacity after deep saturation dives. In this study lung function and exercise capacity were assessed before and after a helium–oxygen saturation dive to a pressure of 2.5 MPa where the decompression rate was reduced compared with previous deep dives, and the hyperoxic exposure was reduced by administering oxygen intermittently at pressures of 50 and 30 kPa during decompression. Eight experienced divers of median age 41 years (range 29–48) participated in the dive. The incidence of venous gas microemboli was low compared with previous deep dives. Except for one subject having treatment for decompression sickness, no changes in lung function or angiotensin converting enzyme, a marker of pulmonary endothelial cell damage, were demonstrated. The modified diving procedures with respect to decompression rate and hyperoxic exposure may have contributed to the lack of changes in lung function in this dive compared with previous deep saturation dives.
Literatur
Zurück zum Zitat Brizio-Molteno L, Piano G, Warpeha RL, Solliday NH, Molteni A, Angelats J, Lewis N, Patejak-Radwanski H (1992) Angiotensin−1-converting enzyme activity as an index of pulmonary damage in thermal injury with or without smoke inhalation. Ann Clin Lab Sci 22:1–10 Brizio-Molteno L, Piano G, Warpeha RL, Solliday NH, Molteni A, Angelats J, Lewis N, Patejak-Radwanski H (1992) Angiotensin−1-converting enzyme activity as an index of pulmonary damage in thermal injury with or without smoke inhalation. Ann Clin Lab Sci 22:1–10
Zurück zum Zitat Carturan D, Boussuges A, Vanuxem P, Bar-Hen A, Burnet H, Gardette B (2002) Ascent rate, age, maximal oxygen uptake, adiposity and circulating venous bubbles after diving. J Appl Physiol 93:1349–1356PubMed Carturan D, Boussuges A, Vanuxem P, Bar-Hen A, Burnet H, Gardette B (2002) Ascent rate, age, maximal oxygen uptake, adiposity and circulating venous bubbles after diving. J Appl Physiol 93:1349–1356PubMed
Zurück zum Zitat Cotes JE (1979) Allowance for the effect on transfer factor of variation in haemoglobin concentration and in capillary oxygen tension. In: Cotes JE (ed) Lung function, 4th edn. Blackwell Scientific Publications, London, pp 245–246 Cotes JE (1979) Allowance for the effect on transfer factor of variation in haemoglobin concentration and in capillary oxygen tension. In: Cotes JE (ed) Lung function, 4th edn. Blackwell Scientific Publications, London, pp 245–246
Zurück zum Zitat Cotes JE, Davey JS, Reed JW, Rooks M (1987) Respiratory effects of a single saturation dive to 300 m. Br J Ind Med 44:76–82PubMed Cotes JE, Davey JS, Reed JW, Rooks M (1987) Respiratory effects of a single saturation dive to 300 m. Br J Ind Med 44:76–82PubMed
Zurück zum Zitat Cotes JE, Chinn DJ, Quanjer PhH, Roca J, Yernault J-C (1993) Standardization of the measurement of transfer factor (diffusion capacity). Eur Respir J 6(suppl 16):41–52 Cotes JE, Chinn DJ, Quanjer PhH, Roca J, Yernault J-C (1993) Standardization of the measurement of transfer factor (diffusion capacity). Eur Respir J 6(suppl 16):41–52
Zurück zum Zitat Eckenhoff RG, Vann RD (1985) Air and nitrox saturation decompression. A report of 4 schedules and 77 subjects. Undersea Biomed Res 12:41–52PubMed Eckenhoff RG, Vann RD (1985) Air and nitrox saturation decompression. A report of 4 schedules and 77 subjects. Undersea Biomed Res 12:41–52PubMed
Zurück zum Zitat Fracica PJ, Knapp MJ, Piantadosi CA, Takeda K, Fulkerson WJ, Coleman RE, Wolfe WG, Crapo DJ (1991) Responses of baboons to prolonged hyperoxia: physiology and qualitative pathology. J Appl Physiol 71:2352–2362PubMed Fracica PJ, Knapp MJ, Piantadosi CA, Takeda K, Fulkerson WJ, Coleman RE, Wolfe WG, Crapo DJ (1991) Responses of baboons to prolonged hyperoxia: physiology and qualitative pathology. J Appl Physiol 71:2352–2362PubMed
Zurück zum Zitat Grønning M, Hjelle J, Segadal K, Skeidsvoll H, Thorsen E, Troland K, Sundal E, Nyland H (2003) Neurological deficits during and after a simulated dive to 250 MSW. In: Jansen EC, Mortensen CR, Hyldegaard O (eds) Proceedings of 29th Annual meeting of European Underwater and Baromedical Society, Copenhagen, p 138 Grønning M, Hjelle J, Segadal K, Skeidsvoll H, Thorsen E, Troland K, Sundal E, Nyland H (2003) Neurological deficits during and after a simulated dive to 250 MSW. In: Jansen EC, Mortensen CR, Hyldegaard O (eds) Proceedings of 29th Annual meeting of European Underwater and Baromedical Society, Copenhagen, p 138
Zurück zum Zitat Hamilton RW, Thalmann ED (2003) Decompression practice. In: Brubakk AO, Neuman TS (eds) Bennett and Elliott’s physiology and medicine of diving. Saunders, Edinburgh, pp 455–500 Hamilton RW, Thalmann ED (2003) Decompression practice. In: Brubakk AO, Neuman TS (eds) Bennett and Elliott’s physiology and medicine of diving. Saunders, Edinburgh, pp 455–500
Zurück zum Zitat Hendricks PL, Hall DA, Hunter WL Jr, Haley PJ (1977) Extension of pulmonary oxygen tolerance in man at 2 ATA by intermittent oxygen exposure. J Appl Physiol 42:593–599PubMed Hendricks PL, Hall DA, Hunter WL Jr, Haley PJ (1977) Extension of pulmonary oxygen tolerance in man at 2 ATA by intermittent oxygen exposure. J Appl Physiol 42:593–599PubMed
Zurück zum Zitat Hofsø D, Ulvik RJ, Segadal K, Hope A, Thorsen E (2005) Changes in erythropoietin and haemoglobin concentrations in response to saturation diving. Eur J Appl Physiol 95:191–196PubMedCrossRef Hofsø D, Ulvik RJ, Segadal K, Hope A, Thorsen E (2005) Changes in erythropoietin and haemoglobin concentrations in response to saturation diving. Eur J Appl Physiol 95:191–196PubMedCrossRef
Zurück zum Zitat Johansen KB, Marstein S, Aas P (1987) Automated method for the determination of angiotensin converting enzyme in serum. Scand J Clin Lab Invest 47:411–414PubMedCrossRef Johansen KB, Marstein S, Aas P (1987) Automated method for the determination of angiotensin converting enzyme in serum. Scand J Clin Lab Invest 47:411–414PubMedCrossRef
Zurück zum Zitat Lehnigk B, Jorres RA, Elliott DH, Holthaus J, Magnussen H (1997) Effects of a single saturation dive on lung function and exercise performance. Int Arch Occup Environ Health 69:201–208PubMedCrossRef Lehnigk B, Jorres RA, Elliott DH, Holthaus J, Magnussen H (1997) Effects of a single saturation dive on lung function and exercise performance. Int Arch Occup Environ Health 69:201–208PubMedCrossRef
Zurück zum Zitat Marabotti C, Chiesa F, Scalzini A, Antonelli F, Lari R, Franchini C, Data PG (1999) Cardiac and humoral changes induced by recreational scuba diving. Undersea Hyperb Med 26:151–158PubMed Marabotti C, Chiesa F, Scalzini A, Antonelli F, Lari R, Franchini C, Data PG (1999) Cardiac and humoral changes induced by recreational scuba diving. Undersea Hyperb Med 26:151–158PubMed
Zurück zum Zitat Nossum V, Koteng S, Brubakk AB (1999) Endothelial damage by bubbles in the pulmonary artery of the pig. Undersea Hyperb Med 26:1–8PubMed Nossum V, Koteng S, Brubakk AB (1999) Endothelial damage by bubbles in the pulmonary artery of the pig. Undersea Hyperb Med 26:1–8PubMed
Zurück zum Zitat Quanjer PhH, Tammeling GJ, Cotes JE, Pedersen OF, Peslin R, Yernault J-C (1993) Lung volumes and forced ventilatory flows. Eur Respir J 6(suppl 16):5–40 Quanjer PhH, Tammeling GJ, Cotes JE, Pedersen OF, Peslin R, Yernault J-C (1993) Lung volumes and forced ventilatory flows. Eur Respir J 6(suppl 16):5–40
Zurück zum Zitat Segadal K, Risberg J, Eftedal O, Hope A, Thorsen E, Suzuki S, Stuhr L, Marstein S, Sundland H, Holand B, Hjelle J, Brubakk AO (2003) A simulated 250 MSW saturation dive: venous gas emboli, pulmonary function, maximum oxygen uptake and angiotensin converting enzyme. In: Jansen EC, Mortensen CR, Hyldegaard O (eds) Proceedings of 29th Annual meeting of European Underwater and Baromedical Society, Copenhagen, p 98 Segadal K, Risberg J, Eftedal O, Hope A, Thorsen E, Suzuki S, Stuhr L, Marstein S, Sundland H, Holand B, Hjelle J, Brubakk AO (2003) A simulated 250 MSW saturation dive: venous gas emboli, pulmonary function, maximum oxygen uptake and angiotensin converting enzyme. In: Jansen EC, Mortensen CR, Hyldegaard O (eds) Proceedings of 29th Annual meeting of European Underwater and Baromedical Society, Copenhagen, p 98
Zurück zum Zitat Spencer MP, Clark HF (1972) Precordial monitoring of pulmonary gas embolism and decompression sickness. Aerosp Med 43:762–767PubMed Spencer MP, Clark HF (1972) Precordial monitoring of pulmonary gas embolism and decompression sickness. Aerosp Med 43:762–767PubMed
Zurück zum Zitat Suzuki S, Ikeda T, Hashimoto A (1991) Decrease in the single breath diffusing capacity after saturation dives. Undersea Biomed Res 18:103–109PubMed Suzuki S, Ikeda T, Hashimoto A (1991) Decrease in the single breath diffusing capacity after saturation dives. Undersea Biomed Res 18:103–109PubMed
Zurück zum Zitat Tetzlaff K, Friege L, Reuter M (1998) Expiratory flow limitation in compressed air divers and oxygen divers. Eur Respir J 12:895–899PubMedCrossRef Tetzlaff K, Friege L, Reuter M (1998) Expiratory flow limitation in compressed air divers and oxygen divers. Eur Respir J 12:895–899PubMedCrossRef
Zurück zum Zitat Thorsen E, Segadal K, Kambestad BK, Gulsvik A (1990a) Divers’ lung function: small airways disease? Br J Ind Med 47:519–523 Thorsen E, Segadal K, Kambestad BK, Gulsvik A (1990a) Divers’ lung function: small airways disease? Br J Ind Med 47:519–523
Zurück zum Zitat Thorsen E, Hjelle J, Segadal K, Gulsvik A (1990b) Exercise tolerance and pulmonary gas exchange after deep saturation dives. J Appl Physiol 68:1809–1814 Thorsen E, Hjelle J, Segadal K, Gulsvik A (1990b) Exercise tolerance and pulmonary gas exchange after deep saturation dives. J Appl Physiol 68:1809–1814
Zurück zum Zitat Thorsen E, Segadal K, Reed JW, Elliott C, Gulsvik A, Hjelle J (1993) Contribution of hyperoxia to reduced pulmonary function after deep saturation dives. J Appl Physiol 75:657–662PubMed Thorsen E, Segadal K, Reed JW, Elliott C, Gulsvik A, Hjelle J (1993) Contribution of hyperoxia to reduced pulmonary function after deep saturation dives. J Appl Physiol 75:657–662PubMed
Zurück zum Zitat Thorsen E, Segadal K, Kambestad BK (1994) Mechanisms of reduced pulmonary function after a saturation dive. Eur Respir J 7:4–10PubMedCrossRef Thorsen E, Segadal K, Kambestad BK (1994) Mechanisms of reduced pulmonary function after a saturation dive. Eur Respir J 7:4–10PubMedCrossRef
Metadaten
Titel
No changes in lung function after a saturation dive to 2.5 MPa with intermittent reduction in during decompression
verfasst von
E. Thorsen
K. Segadal
L. E. B. Stuhr
K. Troland
M. Grønning
S. Marstein
A. Hope
Publikationsdatum
01.10.2006
Verlag
Springer-Verlag
Erschienen in
European Journal of Applied Physiology / Ausgabe 3/2006
Print ISSN: 1439-6319
Elektronische ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-006-0276-8

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