Breathing physiology... whats best for off-gassing

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Dr Deco:
I’m not a doctor I’m just an old retired engineer with a background in classical mechanics and an absolute minimum in physiology, so I will gladly relinquish all claims of medical benefit to you.

Isn’t blood pooling in the lower extremities a result of gravity and poor circulation? And in an atmosphere with a pressure gradient the blood pooling reduction would be attributed to the extremities having a reduce volume? And if your blood circulation was that poor should you be SCUBA diving? I believe we both can agree that barring any medical maladies SCUBA diving doesn’t improve blood flow by an appreciable amount if at all? Anyway this is way out of my area.

100day-a-year:
We couldn’t disagree more on the subject of a body being compressible or not. Our body is mostly water and water is not compressible, anyway at the pressures we are discussing. There are small voids inside the body but there isn’t sufficient volume to cause our body’s to be classified as compressible except locally. An example of this local compressibility is the lung tissue.

Blood, also mostly H2O, isn’t compressible either, even when gasses are dissolved. Example: CO2 dissolved in a liquid, i.e. Coke in a bottle, open the bottle and after all of the gas has escaped you will still have the same volume of liquid, discounting evaporation.

Our body tissues are malleable, with the exception of bone, which is not the same as compressibility, i.e. pressure on one part of the body causes a distortion not a reduce total volume. Furthermore, if our bodies were compressible (i.e. allowed to expand or contract without restriction) DCS wouldn’t be a problem, we would look real funny after a dive. Oh! Perhaps we are compressible and I’m really not this ugly! That would be great if true. But sadly for me it isn’t.

It is the gases at reduced ambient pressure coming out of solution and having no place to go is the cause of DCS, i.e. gas bubble pressing against malleable nerve tissue prohibiting or limiting the transmission of signals, or gas bubbles blocking blood flow.

Your statement:
“Furtermore the bodies reponse to immersion (vasoconstriction, reduced respiration to name a few) …”
as far as I’m concerned are contradictory to removing gas from the blood system.

I do understand this discussion is about DeltP gradients. I’m saying that there isn’t a differential pressure between the top of the lung and its bottom because of an ambient pressure gradient. Take a balloon, approximately the size of a human lung, submerge it to a depth and measure its pressure at top and bottom. The result will be the same pressure at any location inside the balloon. The physical size of the balloon may be a smaller diameter at the bottom due to the increased ambient pressure but the top will be larger for the opposite reason. I do admit that these is a pressure gradient threshold where this discussion applies, but these facts are sufficient for the case at hand.

And to answer you question: Where Do we differ from theory? Answer: From top to bottom.

By the way, this isn’t theory, it’s measurable facts.

Miles.
 
Hi Net Doc,

You said "I disagree with it now that the pressure differential has moved outside of the lungs."

I think you took my post a little too serously as I am in full agreement with you and Dr Deco. What I did, was try to illustrate that for all practical purposes the orientation of the diver during a deco stop is entirely irrelevant as the overall offgassing will be the same regardless of the orientation of the diver. The shallower parts of the body will offgas quicker and the deeper parts slower but the overall rate must be the same, if the AVERAGE depth is the same.

I took this discussion from the sublime to the rediculous and simply threw in yet another variable that needed to be considered. That is the effective "centre of gravity" (or center of decompression) for the object being decompressed.

In a vertical hang this centre of gravity will be about stomach level so, as I pointed out, the practical deco stop will be about half a metre deeper than the depth recorded at the shoulders, say. If the stop is performed in the horizontal position all parts of the body will be at this cente of gravity. So what? What earthly difference can this make in practice? Can divers maintain station within 0.5 of a metre in any case?

As I have no data to support this "theory" I used terms such maybe and also used double negatives. However, one thing I will say with absolute conviction is that for the purposes of decompression planning (with its inbuilt safety margins) I believe the orientation of the diver is totally irrelevant.

I think we medics are all agreed on that one!

Miles is right in that "an example of this local compressibility is the lung tissue" but lung tissue itself is not allowed to compress in life unless there is a pneumothorax. The chest wall and diaphragm act as a rigid container in which the lungs fit snuggly stuck to the chest wall. (The sponge in the coffee jar I alluded to).

Even free divers, who expose their lungs to considerable ambient pressure do not suffer compression of the "lung tissue". All that happens on descent is the pulmonary bed fills with sufficient blood to compensate for the reducing air volume within the alveoli. On ascent this blood is forced out of the chest cavity once more by the reinflation of the air cells.

This mechanism prevents the otherwise inevitable squeeze and doming of the diaphragm so overall lung tissue volume remains about the same in free divers but the air/blood ratio does change. In scuba, the pressure within the chest cavity is the same as at the regulator throughout, so in a vertical position as on land gravity causes some blood to pool into the dependent parts of the lungs. Howevr, if my memory serves me correctly I understood the diaphragm reflexly compensates to maintain effective lung volume and prevents the air cells from shrinking.

Even if there are some changes to ventilation/perfusion ratios, as I have already said, the lungs are not the limiting factor at all when it come to decompression, the limiting factors are the slower tissue compartments.

As the bouyancy of a scuba diver increases by about 1 Kg during inspiration this represents work and requires effort which will be the same regardless of the orientation, surely?

To my mind, the relative benefits of a vertical/horizontal orientation during a stop are not physiological.

kind regards,

(By the way how do I change my log-in to Brit doc or similar?)
 
Originally posted by Dr Paul Thomas
Can divers maintain station within 0.5 of a metre in any case?

Alrighty then.....
Nec Doc is happy....
Roakey is dead....
And I don't care....

Now we can get back to the original topic....
Perfect buoyancy control....
(Do we need to split back?)

The answer to your question Paul is:
Net Doc .... easy vertical
Most OW, AOW, DMs ..... ????
Uncle Pug.... easy until stuff happens and then I have a better chance if horizontal...

Stuff always happens....
 
Hey Dr Thomas...

First off, lest my nick be misconstrued I am a doctor for Networks... not people. The name of my business is "NetDoc, Inc"
In reference to

Originally posted by Dr Paul Thomas
You said "I disagree with it now that the pressure differential has moved outside of the lungs."


You were not the one who moved the theory of a pressure gradient to being outside the lungs. Neither of the theories "held water", either.I really did not disagree with much you had to say, and I am sorry that my post read as such. My mistake and I apologize for the lack of lucidity there!

Then when you posted this clarification...

Originally posted by Dr Paul Thomas
As I have no data to support this "theory" I used terms such maybe and also used double negatives. However, one thing I will say with absolute conviction is that for the purposes of decompression planning (with its inbuilt safety margins) I believe the orientation of the diver is totally irrelevant.


I wholeheartedly agree with you! I would love to see some real data (one way or the other) to determine if there is any benefit at all. You see, I heard the same theory years ago, and I couldn't accept it then, just as I can not accept it now.

You see this actually was a tangent in a thread about perfect buoyancy, and I moved it here. Unfortunately, the one theory has been muddled with whether horizontal is better or worse overall. The initial discussion only concerned itself with respiratory efficiency and the mechanisms that contributed to it. Many theories, "models", and analogies have been put forth to "prove" the increased efficiency while horizontal, but no real data. No real proof! I guess it goes back to my scientific tendencies that demand that all good theories account for all of the phenomenon and should also make a few predictions as well.

Oh... Uncle Pug... We're still friends. But... I have yet another question... do you ever find a need for any other positions while diving? I know that I sure do. Horizontal all of the time would be boring, it wouldn't allow me to hang inverted so I can see what is under an overhang, etc. etc. I think I practice all angles while I am in the water.
 
That you did kill Roak....


Originally posted by NetDoc
Uncle Pug... do you ever find a need for any other positions while diving?

Yes...
As you say vertical inverted works good for looking under things...
Vertical works for getting all the gas out of the suit....
Supine works for just relaxing....

But I do find that double tanks with wing is less agile for doing the head stands and barrel rolls....

Position is not the issue I really was addressing (stressing)....
It is TRIM....
Trimmed neutrally around the center of buoyancy allows one to assume a fairly stable attitude in any position without excessive finning or hand movement.

Perfect buoyancy control cannot really be addressed as long as trim is not corrected...
Because sometimes we are moving and sometimes we are stopped...

And since trim is not a skill to be mastered but an equipment issue to be dealt with.... I think that it behooves instructors to deal with this issue at an early stage...

However I realize that it is far easier to just weight the suckers down and have them drop to their knees on the bottom... (our local training area actually has a rope along the bottom at 20fsw for them to hang on to.) Then the instructor can come along and have them demonstrate their *skills*.

Perhaps AOW is the place to introduce trim issues as by then most students have hopefully acquired their own gear. Unfortunately if the principle has not been addressed in OW they will probably buy the wrong gear and weight themselves like they were taught in OW.

This situation is not helped by overweight and overweighted DMs and Instructors who are looked upon by their students as models of correctness (why I bristled to *smug*.) I have actually seen these guys with several pairs of ankle weights !!!! The instructor was the biggest rototiller down there!

This would be of no concern to me except these guys destroy visibility and they are increasing in number.
 
These are the factors that have been of concern to me when keeping station;-

1) Each time I take a breath my bouyancy increases by at least 1 kg. Each time I exhale I lose that bouyancy.

2) To keep warm in the North Sea I have about 8 kg of insulation/bouyancy in my 20 gm/M thinsulate undersuit, much of which is in the legs causing a tendency for a head-down position.

3) When diving with my twin 300 bar 10s filled with Nitrox I gain over 6 kilograms in bouyancy as the tanks empty. (No so with Trimix, of course, in which case it is more like 3 Kg).


For item "1" I can do very little.

For item "2" I use sufficient ankle (and pocket) weights to reverse the tendency for a neutrall head-down orientation.

For item "3" my BC/wing has to be partially inflated at the start of the dive and gradually emptied as the dive progresses.

All these have taken me considerable practice to master and I am not sure I am there even now!

Its a bugger, so I am seriously considering buying a rebreather!
 
Originally posted by Dr Paul Thomas

2) To keep warm in the North Sea I have about 8 kg of insulation/bouyancy in my 20 gm/M thinsulate undersuit, much of which is in the legs causing a tendency for a head-down position.

For item "2" I use sufficient ankle (and pocket) weights to reverse the tendency for a neutrall head-down orientation.

Are your tanks all the way down in the bands?
Are you using argon...and pre-purging with it on the boat?
Are you dumping gas from the suit to keep excess from the legs?

Re-breather eh? How will that effect your trim?
 
It won't, Uncle Pug!

But I will have two out of three less things to worry about!
 
1) No changes in bouyancy with each breath.

3) No real change in bouyancy and trim as dive progresses since so little oxygen is used.

Me worry about using a rebreather?

I think this is quite another subject!
 

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