Abstract
Elite apnea divers have considerably extended the limits of dive
depth and duration but the mechanisms allowing humans to tolerate the
compression- and decompression-induced changes in alveolar gas partial
pressures are still not fully understood. Therefore we measured arterial blood
gas tensions and acid-base-status in two elite apnea divers during simulated
wet dives lasting 3 : 55 and 5 : 05 minutes,
respectively. Arterial pO2 followed the compression- (from
13.8/16.9 kPa before the dive to 30 kPa at the start of the
bottom time) and decompression-induced (from 13.7/21.0 kPa to
3.3/4.9 kPa immediately after surfacing) variations of ambient pressure,
while the arterial pCO2 remained within the physiologic range
(3.0/3.9 kPa before diving vs. 5.7/5.9 kPa at the end of the
bottom time), probably due to the CO2 storage capacity of the blood.
These findings may help to explain why humans can sustain deep and long apnea
dives without major increases in respiratory drive.
Key words
Buccal pumping - alveolar gas exchange - breath-holding
References
-
1 Association Internationale pour le Développement
de l'Apnée (AIDA) . Tableau des performances [Online]. http://www.multimania.com/aidafrance/AIDA/Tableau.htm
-
2
Andersson J, Schagatay E.
Arterial oxygen desaturation during apnea in humans.
Undersea Hyperb Med.
1998;
25
21-25
-
3
Craig A B Jr, Harley A D.
Alveolar gas exchanges during breath-hold dives.
J Appl Physiol.
1968;
24
182-189
-
4
Craig A B Jr, Medd W L.
Oxygen consumption and carbon dioxide production during
breath-hold diving.
J Appl Physiol.
1968;
24
190-202
-
5
Ferretti G, Costa M, Ferrigno M, Grassi B, Marconi C, Lundgren C E, Cerretelli P.
Alveolar gas composition and exchange during deep breath-hold
diving and dry breath holds in elite divers.
J Appl Physiol.
1991;
70
794-802
-
6
Ferretti G.
Extreme human breath-hold diving.
Eur J Appl Physiol.
2001;
84
254-271
-
7 Ferrigno M, Lundgren C EG. Human breath-hold diving. In: Lundgren CEG, Miller JN (eds). The Lung at Depth. New York; Marcel Dekker 1999: 576-585
-
8
Hong S K, Rahn H, Kang D H.
Diving pattern, lung volumes, and alveolar gas of the Korean
diving women (Ama).
J Appl Physiol.
1963;
18
457-465
-
9
Lanphier E H, Rahn H.
Alveolar gas exchange during breath-hold diving.
J Appl Physiol.
1963;
18
471-477
-
10
Linér M H, Ferrigno M, Lundgren C EG.
Alveolar gas exchange during simulated breath-hold diving to
20 m.
Undersea Hyperb Med.
1993;
20
27-38
-
11
Linér M H, Linnarsson D.
Tissue oxygen and carbon dioxide stores and breath-hold
diving in humans.
J Appl Physiol.
1994;
77
542-547
-
12
Linér M H, Linnarsson D.
Intrapulmonary distribution of alveolar gas exchange during
breath-hold diving in humans.
J Appl Physiol.
1995;
78
410-416
-
13 Örnhagen H, Schagatay E, Andersson J, Bergsten E, Gustafsson P, Sandström S. Mechanisms of ‘buccal pumping' (‘lung
packing') and its pulmonary effects. Proceedings of the XXIV. Annual Scientific Meeting of
the European Underwater Baromedical Society Stockholm, Sweden, August 12 - 15,
1998: 80-83
-
14
Olsen C R, Fanestil D D, Scholander P F.
Some effects of apneic underwater diving on blood gases,
lactate, and pressure in man.
J Appl Physiol.
1962;
17
938-942
-
15
Paulev P E, Naeraa N.
Hypoxia and carbon dioxide retention following breath-hold
diving.
J Appl Physiol.
1967;
22
436-440
-
16
Piiper J.
Carbon dioxide-oxygen relationships in gas exchange of
animals. In memory of Hermann Rahn.
Boll Soc Ital Biol Sper.
1991;
67
635-658
-
17
Qvist J, Hill R D, Schneider R C, Falke K J, Liggins G C, Guppy M, Elliot R L, Hochachka P W, Zapol W M.
Hemoglobin concentrations and blood gas tensions of
free-diving Weddell seals.
J Appl Physiol.
1986;
61
1560-1569
-
18
Qvist J, Hurford W E, Park Y S, Radermacher P, Falke K J, Ahn D W, Guyton G P, Stanek K S, Hong S K, Weber R E, Zapol W M.
Arterial blood gas tensions during breath-hold diving in the
Korean ama.
J Appl Physiol.
1993;
75
285-293
-
19
Schaefer K E, Carey C R.
Alveolar pathways during 90-foot breath-hold dives.
Science.
1962;
137
1051-1052
-
20
Schaefer K E, Allison R D, Dougherty J H Jr, Carey C R, Walker R, Yost F, Parker D.
Pulmonary and circulatory adjustments determining the limits
of depths in breathhold diving.
Science.
1968;
162
1020-1023
CM Muth, MD
Division of Pathophysiology and Process Development in Anaesthesia
· Department of Anaesthesiology · University Medical School
· Ulm · Germany
Parkstr. 11 · 89073 Ulm · Germany
Telefon: +49-731-50025140
Fax: 49-731-50025143
eMail: claus-martin.muth@medizin.uni-ulm.de