Inert gas transport in the microcirculation: risk of isobaric supersaturation

This paper is concerned with the theretical background and implications of isobaric supersaturation and bubble formation in the microcirculation following an abrupt shift from one inspired inert gas to another. The use of more than one inert gas, simultaneously or sequentially, has become common in diving and presents risks as well as potential benefits. A review of microcirculatory model useds, theoretical approaches to decompression, and order of magnitude calculations indicates that present empiricisms are inadequate for predicting such supersaturation phenomena. This is true whether based on the familiar assumption of perfusion-limited behavior or its diffusion-limited counterpart. The "chromatographic" model used here, which considers both perfusion and axial diffusion in tissue cylinders, shows that these combined effects can produce unexpectedly high local supersaturation. The implications include new possibilities for the experimental evaluation of gas transport models as well as practical risks of inert gas shifts in diving and certain diagnostic procedures.

Nitrogen elimination in man during decompression

The effect of ambient pressure on inert gas elimination during decompression was investigated using human subjects breathing air in a dry hyperbaric chamber. This was done by measuring nitrogen recovery during three different decompression schedules following identical simulated dives. Five subjects were used, each with normal pulmonary function. In each case the simulated dives consisted of exposure for 40 min to air at 4 ATA corresponding to a depth of about 100 fsw and 28 degrees C. Following these exposures each subject was decompressed in different experiments to 50 fsw (2.515 ATA) and to 10 fsw (1.303 ATA) while breathing a mixture of 80:20 helium-oxygen. In addition, two of these subjects were denitrogenated isobarically, at 100 fsw, breathing 80:20 helium-oxygen. Significant differences in nitrogen-elimination rate were observed, with nitrogen removed most effectively at 50 fsw and least at 100 fsw. To explained these unexpected results it is tentatively suggested asymptomatic bubble formation occurred at both 10 and 50 fsw.