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B Gardette

Publications and source records attributed to B Gardette.

4 recordsLinked to original sources

[Decompression of deep divers].

For industrial saturation dives over 50 m, Heliox (He-O2) is now used routinely as respiratory gas mix. The decompression after such dives has been investigated thoroughly as well on the animal (minipig, monkeys) as on humans. Results show that for a given ascending speed, the number of bubbles detectable by the Doppler method in the bloodstream rises according to the maximal depth. The incidence of decompression accidents follows the same trend. This finding prompted us to adopt since 1979 slower decompression speeds. Moreover we modified the ascension profile, using henceforth a linear decompression in maintaining a constant speed for a given partial oxygen pressure. For our research program Hydra, we replaced in part Helium by Hydrogen in the respiratory gas mix. We were thus able to do the first hydrogen saturation decompression between 450 and 200 meters, during our Hydra V (1985) experiment. During our following diving research program Hydra VI (1986), 8 divers were decompressed under Hydreliox (H2-He-O2) mix from 500 to 300 m by eliminating hydrogen by chemical means. We used for this purpose a dehydrogenation apparatus developed by our engineering team. These decompressions took place without any difficulty and only a low number of bubbles detected. It is therefore possible to use decompression speeds for hydrogen and helium which are very similar. A confirmatory experiment on mice, where we exposed them to a 2000 m depth dive under Hydreliox (H2-He-O2), gave good results. This gives us the possibility, to perform gas exchange studies on small animals and to extrapolate the results to humans.

Animals

Effects of exponential compression curves with nitrogen injection in humans.

Two series of experiments were carried out on humans to study the effects of fast and slow exponential compression curves with N2 additions. Eight subjects in the first series and 13 subjects in the second series were analyzed up to the depths of 400-450 m of seawater (msw). The data indicated that injections of N2 in He-O2 mixture reduced or suppressed the hyperbaric tremor in the two series. Electroencephalographic (EEG) changes were recorded with the two types of compression, but these changes (increase in slow waves, decrease in alpha-activity, appearance of microsleep EEG traces) were more important with the fast exponential compression curves between 200 and 300 msw than with the slow exponential curves. The effects of the fast rates of compression on EEG activities were not compensated by addition of 4-5% N2. Consequently, the fast exponential compression curves, even with N2 injections, cannot be used without risk and must be avoided; the slow exponential compression curve with N2 injection allowed a human subject to reach 450 msw in satisfactory condition, i.e., without tremor and with light EEG changes.

Brain

Correlation between decompression sickness and circulating bubbles in 232 divers.

Doppler monitoring examinations were carried out during 67 simulated helium-oxygen dives in the pressure chambers of the Centre d'Etudes Hyperbares (CEH) COMEX Marseille, and involved a total of 232 COMEX professional divers. Three to five detections were done in each 24-h period, each consisting of an observation at rest and an observation after deep knee bends. Recordings of the Doppler signals were subsequently analyzed by experienced listeners and graded according to the system described by Spencer and Johanson (1974). The two vestibular decompression accidents in this series were associated with bubble scores of grade 3 at rest; one occurred during the rapid initial phase of a bounce dive decompression and the other after return to the storage depth after an excursion dive. Twenty-five cases of muscular or joint pains were observed. A higher incidence of this type of problem was found with higher bubble grades in general, although it was not possible to predict pain.

Adult