PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Diving physiology”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 217 records · Page 12Linked to original sources

Balancing conflicting metabolic demands of exercise and diving.

During enforced diving, aquatic animals activate a set of physiological reflexes (apnea, bradycardia, peripheral vasoconstriction), which are termed the diving response and are in effect the first line of defense against hypoxia. At least in the Weddell seal, this strategy is now known also to be used in voluntary diving at sea, but the response is necessarily modified to accommodate potentially conflicting demands of diving and swimming exercise. The main modification appears to involve skeletal muscles used in swimming, which, because of their high energy requirements, must be powered by aerobic metabolism. Thus they must remain perfused at rates porportional to swimming velocity (which is why heart rates are adjusted to swimming velocity). The required regulation of O2 delivery is achieved at least in part by a well-paced release of oxygenated red blood cells, stored at the beginning of the dive apparently in the spleen. The main metabolic difference between laboratory and voluntary diving is that, in the latter, working muscles serve as a sink for lactate and thus the entry rates of lactate into the plasma can be balanced by exit rates from the plasma; the maintenance of this balance means that no excess lactate remains for a lactate washout in postdiving exercise except under long, exploratory diving. Even in the latter long dives, however, the amount of lactate formed is far less than would be expected if the energetic shortfall caused by hypoperfusion and O2 lack were made up by anaerobic glycolysis (Pasteur effect). Consequently, during diving, hypoperfused tissues necessarily sustain a metabolic arrest of variable degrees as a mechanism of defense against hypoxia.

Animals↗

Why some people do not drown. Hypothermia versus the diving response.

OBJECTIVE: To examine our present state of knowledge regarding the remarkable survival of some victims from prolonged submersion for an hour or more. Debate continues on the relative importance of the two explanatory theories--diving response and hypothermia. DATA SOURCES: A wide range of physiological, pathophysiological and clinical papers relating to the diving response, hypothermia and near-drowning, with emphasis on the period 1981-1991. DATA SYNTHESIS: The normothermic human brain suffers irreversible damage if subjected to acute asphyxia for longer than 10 minutes. Significant resistance of brain tissue to hypoxia occurs only after its temperature has fallen from 37 degrees C to 30 degrees C or less. Body surface cooling depresses core temperature by only one-third of this drop in 10 minutes. Hence an additional factor, other than hypothermia, is required to explain survival from near-drowning. The idea that ingestion and aspiration of large amounts of cold water produce such a temperature drop lacks quantitative evidence. The diving response seen in marine mammals also occurs in humans but to a lesser extent; however, about 15% of volunteers tested exhibit a profound response. This response which starts immediately upon submersion prevents aspiration of water, redistributes oxygen stores to heart and brain, slows cardiac oxygen use and initiates a hypometabolic state. The possible influence of alcohol on these processes is considered. CONCLUSIONS: Survival from prolonged near-drowning appears to depend upon a specific temporal interplay between the diving response and hypothermia, resulting in a protective state of hypometabolism.

Bradycardia↗

Otolaryngology and sport scuba diving. Update and guidelines.

There are over a million certified sport scuba divers in the United States today. The sport is growing at an average annual rate of 7%. The vast majority of medical problems associated with scuba diving are related to the head and neck area, especially the ears. This paper provides an update on the physiology and pathophysiology of sport scuba diving. It also offers guidelines for the physician who may be called upon to examine candidates for the sport or to make decisions on continued diving for trained sport divers.

Barotrauma↗

Resting pulmonary ventilation in sports scuba divers.

It should be investigated whether the traditional dependency between respiratory and systemic measures is preserved during scuba diving, and whether the diving experience would affect respiration. Additionally, respiration data were analyzed for gender differences (118 sports divers). Respiratory variables were assessed at poolside and during diving in the pool. The respiration pattern at poolside was significantly different from the pattern during diving, where respiration rate (RR) decreased (11.8 +/- 3.8 vs. 7.8 +/- 2.9 min(-1); -34%) and tidal volume increased (1.1 +/- 0.5 vs. 1.6 +/- 0.6 L; +45%). This produced a decrease in respiratory minute volume (RMV) from 12.4 +/- 4.7 to 11.2 +/- 3.8 L/min (-10%). Respiratory Minute Volume and vital capacity correlated at poolside. This physiologic correlation was lost while diving. Instead, RMV and number of dives (= diver's experience) correlated negatively. Because RMV at both poolside and during diving correlates with RR, an increased RMV in diving beginners can be estimated via RR. Thus, close observation of RR could help improve safety during a regular dive, avoiding hazardous hyperventilation. Female divers, irrespective of body height and weight, need less air during diving.

Adolescent↗

Diving medicine.

This article orients the practicing physician to the physical and physiologic basis for the more common medical problems encountered in diving, discusses the common presenting manifestations for these disorders, and provides a framework for their treatment. Medical fitness for diving is also briefly addressed.

Barotrauma↗

[The principles of oxygen standardization in artificial hyperbaric gas mixtures during the prolonged stay of aquanauts at depths down to 500 m].

In simulation of saturation dives at 3.6-5.1 MPa, physiologically optimal limits of oxygen partial pressure were determined in breathing gas mixtures. The parameters of oxygen-dependent carbohydrate and lipid metabolism as well as the blood oxygen transport function were found to be the most important criteria for determination of the optimal concentration of oxygen in hyperbaric breathing gas mixtures.

Adult↗