Should recreational divers staying within no-decompression limits be concerned about deep stops?
Mitchell: No. There is insufficient data to justify a deep stop approach in recreational, no-decompression diving. Divers should, however, pay careful attention to ascent rates, and the imposition of shallow safety stops is still considered beneficial.
Southerland: Recreational divers should be aware of the issue. If sufficient evidence becomes available, then a diver might be better off just upgrading the dive computer with a newer algorithm.
Gutvik: No. The recommended safety stop and a controlled, slow ascent rate are adequate for performing safe no-decompression dives. These dives will normally be either too shallow to consider deeper stop depths or too short for the deep stops to have an effect.
Bennett: There is no more reason for concern about deep stops than for the widely accepted shallow safety stop. Both were developed based on the reduction of bubbles in the blood vessels seen in research studies. The research on the deep stop is, in fact, more extensive and is based also on actual recreational dives. The deep stop at half the depth for 2.5 minutes significantly reduces not only bubbles, but also the critical gas supersaturation in the "fast" tissue compartments (like the spinal cord's 13.5 minutes) without increasing the "slow" compartments usually related to limb pain. More recent research is concerned with the damaging effects of bubbles on the endothelial lining of blood vessels. Reduction of such bubbles will prevent this.
Doolette: Recreational diving within no-decompression limits conducted with a shallow safety stop has a good safety record. There is insufficient evidence to suggest a deep stop offers any advantage.
Meet Our Panel
Peter B. Bennett, Ph.D., D.Sc., is executive director of the Undersea and Hyperbaric Medical Society. A former tenured professor at the Duke University Medical Center department of anesthesiology and director of the Duke Center for Hyperbaric Medicine and Environmental Physiology, he founded Divers Alert Network in 1980.
David Doolette, Ph.D., is a research physiologist at the U.S. Navy Experimental Diving Unit, responsible for development and testing of decompression procedures.
Christian Gutvik has a master's degree in engineering cybernetics with specialization in mathematical modeling. He works with the Baromedical and Environmental Physiology Group at the Norwegian University of Science and Technology, where he is the main modeler of Copernicus, a decompression model based on ultrasonic detection of vascular bubbles.
Simon Mitchell, BHB, MBChB, DipDHM, DipOccMed, Ph.D., is an avid technical diver and a physician specializing in occupational medicine, hyperbaric medicine and anesthesiology. He received a doctorate for his work on neuroprotection from embolic brain injury.
David Southerland, M.D. is a captain in the U.S. Navy Medical Corps and the senior medical officer for Naval Diving and Salvage Training.