How does deco diving affect health

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There are an awful lot of variables involved. Dysbaric osteonecrosis is associated with professional divers, and in particular those with a history of deep saturation dives. But then that is an industry where it is not a question of if you will have a DCS hit, but when. And for non saturation deco dives it is (or at least was) routine to do in water stops to the 40 ft stop then pull the diver to the surface and blow them back down in an on board chamber to complete the deco. A very bend and treat approach.

I have also seen references indicating a possible asociation with professional dive instructors. My personal theory is that instructors seem to spend an inordinate amount of time going up and down and in my experience the quality of the ascent is at least as critical to DCS as is the deco time itself.

My personal experience at age 41 after 20 years of diving and quite a lot of deco diving is that I feel a lot better after diving a much more conservative deco schedule based on either a variable permiability model or on a gradient factor model incorporating deep stops.

Normally I dive DPlan with the gradient factors adjusted to give profiles very similar to the VPM-B model. I also normally use accellerated deco with 50% O2.(and sometimes 100% as well). The profiles are a LOT more conservative than US Navy Tables whihc would frankly leave me feeling fatigued with flu like symptoms the day after a day or two of diving.

Another thing to consider is that all diving is deco diving. I suspect the potential long term damage of a long history of reverse profiles, saw tooth profiles and rapid ascents all with in the "no deco" limits may be just as harmful if not more harmful than doing moderate deco dives with conservative deco schedules and slow and precise ascent rates.

My advice is to go slow, be very conservative and pay careful attention to how you feel after a dive and adjust accordingly.
 
karstdvr:
There was a study in Lancet a few years ago that should imaging changes on divers who had DCS on neurological tissue. That is direct damage to tissue,but makes me wonder even in moderate deco profiles repetitively over years,what we are doing.
But every dive is a deco dive, so going deeper and actually adhereing to some scheduled deco may be better.

If the test you noted study "NDL" dives, I could imagine it to be true: Go from 80' to 20' at 60'/min is a huge pressure change. That was the recommended approach only a few years ago. Now we're at 30'/min. Some schools are teaching deeps stops and stops at every 10' interval to give body a chance to adjust to pressure change (and circulate blood to off-gas). Deco diving was probably much safer than NDL diving a few years back. Probably will be for a while too.

Now, I don't do any scheduled deco diving yet, but it is on my list of stuff to do this year. I just have a lot more to learn.
EDIT: By "on my list" I mean via a class (GUE Tech 1). I should have said "on my list of things to LEARN this year" as I am in no real hurry to do it, but I want to learn it.

Chris
 
The problem is a lot of this is in the realm of theoretical,with very little physiological data to back it up. Most tables and tissue compartments are created by engineers or matheticians,even PADI table were created by a Dentist (if I remember correctly). DAN has started collecting data and some physiological information is being generated,but no long term studies. There is some promising things out there with VPM and RGBM,but we still don't have the physiology solved other wise we wouldn't have unearned hits,even with "conservative profiles". Probably the more interesting information for long term data is the caisson workers who worked for short durations,didn't get bent,but did it for many years.
 
Thanks for the info guys,
fyi, (I really don't know if I should be saying this) I did go down to 70m, and on air, I would advise other ppl not to do it, as it scared the **** out of me. It was a touch and go, a dive buddy talked me into it, and now I'm thankful that I'm still alive.
 
Fyodor_Sumkin:
Thanks for the info guys,
fyi, (I really don't know if I should be saying this) I did go down to 70m, and on air, I would advise other ppl not to do it, as it scared the **** out of me. It was a touch and go, a dive buddy talked me into it, and now I'm thankful that I'm still alive.

Good that is was a bounce dive. Don't do it again:wink:
Actually the maximum limit on air should be 66 meters, and this is the MAXIMUM, given that everything is OK. 66 meters constitutes for PO2 1.6, which is the maximum limit before oxygen toxicity.
Again, this should be your absolute maximum. Some people would experience problems even before 66, some others could go 85+ and still OK but it's pretty dangerous. Many people died at Dahab's Blue Hole (I bet you know that) because of such stupid practices.

Dive safe:wink:
 
I will dive safe, after that near miss, scared the hell outa me.
I now never want to go over 55metres.

btw, I heard that PO2 1.6 is the conservative boundry(sort of like the saftey stop),
and that I shouldn't go over PO2 1.7.
85 meters on air?!?! don't they get narced?

I've heard a lot about blue hole deaths...how deep is the blue hole? I heard that the floor there is around 100 meters.
 
I don't dig out some studies yet though..
Anyone has conducted any sceientific research about this issue?
 
Fyodor_Sumkin:
I will dive safe, after that near miss, scared the hell outa me.
I now never want to go over 55metres.

btw, I heard that PO2 1.6 is the conservative boundry(sort of like the saftey stop),
and that I shouldn't go over PO2 1.7.
85 meters on air?!?! don't they get narced?

I've heard a lot about blue hole deaths...how deep is the blue hole? I heard that the floor there is around 100 meters.
I think most people have moved to 1.4 as limit. Usually, that is if you are working or stressed or something like that. 1.6 is max for "no load". That is my understanding. I like the 1.4 limit just to be safe. Since there is so much theory, and not a lot of proof, I'm going to be conservative on this one. I think some people have taken it well beyond 1.7. I just won't be one of them.

Chris
 
I think a lot of people have moved back from the 1.4 to 1.2 or 1.3. When I first got trained in cave diving and nitrox 13 years ago,we all pushed 1.6,but accident reports will reveal quite a few incidences of toxing,especially when swimming against high flow cave. I used to do 1.4,but on longer dives I was pushing my O2 tox %,and had symtoms of oxygen toxicity,which is scary as hell when you are 3000' back in a cave. I have since backed down to 1.2/1.3,with much better results.
 
Fyodor_Sumkin:
I will dive safe, after that near miss, scared the hell outa me.
I now never want to go over 55metres.

btw, I heard that PO2 1.6 is the conservative boundry(sort of like the saftey stop),
and that I shouldn't go over PO2 1.7.
85 meters on air?!?! don't they get narced?

I've heard a lot about blue hole deaths...how deep is the blue hole? I heard that the floor there is around 100 meters.

Well you shouldn't cross the PO2 1.6 boundary. People are tending to lower the ceiling to PO2 1.4 now. All studies I've read state that the O2 toxicity starting point is PO2 1.6. This could differ from one diver to another. It differs also according to the physical status of the diver himself at this day.

85 metes on air is stupidly deep. However, I know people did 113 meters on air!!! Don't try this please. You promised :wink:

The Blue Hole is 120 meters deep. This is the deepest point under the arch. However, the outer side of the Blue Hole is said to be 300 meters deep.
 
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