Abstract
The snorkel, which allows swimmers to keep their face down in the
water while breathing, is widely used by divers, spear fishermen and monofin
swimmers. A snorkel adds an additional dead space of
160 - 170 ml and causes an increase in the
concentration of CO2 in the inspired gas due to expired air trapped
in the snorkel which is then re-inspired. In this study the metabolic and the
ventilatory response to rebreathing the expired air in the snorkel were
investigated in twelve human subjects. A 2900 C Sensor Medics gas analyzer was
used in breath-by-breath mode for the measurements. Ventilation
(VE), respiratory rate (RR), tidal volume (TV), oxygen consumption
(V˙O2) and carbon dioxide production (V˙CO2) were
measured at rest and during light exercise both with and without the snorkel
dead space. We observed a significant increase in all variables except RR, when
subjects rebreathed the gas in the snorkel. The increase in ventilation
resulted from an increase in tidal volume rather than increasing respiratory
rate. We conclude that the work of breathing is increased when CO2
concentration is high in inspired gas and re-breathing while snorkelling can be
prevented by a new snorkel design with a low-resistance two-way non-rebreathing
valve, which will allow the expired air flow into the water.
Key words
Snorkelling - work of breathing - dead space
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A. S. Toklu, M.D.
Deniz ve Sualtı Hekimligˇi A.D.
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