Albert A Bühlmann | |
---|---|
Born | 16 May 1923 |
Died | 4 March 1994 70) | (aged
Nationality | Swiss |
Alma mater | University of Zürich |
Known for | Describing and developing a decompression algorithm used throughout the world to reduce the risk of decompression sickness. |
Scientific career | |
Fields | Diving medicine, physiology |
Institutions | University of Zürich |
Albert Alois Bühlmann (16 May 1923 – 16 March 1994) was a Swiss physician who was principally responsible for a number of important contributions to decompression science at the Laboratory of Hyperbaric Physiology at the University Hospital in Zürich, Switzerland. [1] [2] [3] His impact on diving ranged from complex commercial and military diving to the occasional recreational diver. [2] He is held in high regard for his professional ethics and attention to his research subjects. [4] [5]
After completing his education at the University of Zürich, Bühlmann specialized in pathophysiology of the respiratory and circulatory systems. [2] He was particularly interested in respiratory physiology at high altitudes and high pressure environments. [2]
The Bühlmann decompression algorithm is used to create decompression tables. [6] [7]
In 1959, Hannes Keller became interested in deep diving and developed tables for mixed-gas decompression. Not a diver himself, Bühlmann was intrigued by project and suggested suitable breathing gases. [3] [8] Keller successfully tested his idea in the Lake Zurich where he reached a depth of 400 feet and then Lake Maggiore where he reached a depth of 728 feet. [2] [9]
Building on the previous work of John Scott Haldane [10] and Robert Workman, [11] and with funding from Shell Oil Company, [2] Bühlmann designed studies to establish the longest half-times of nitrogen and helium. [6] These studies were confirmed by the Capshell experiments in the Mediterranean Sea in 1966. [2] [12]
The naming convention he used to describe his algorithms, for example, ZH-L16, comes from Zürich (ZH), limits (L) and the number of tissue compartments or M-value sets used (16).
In 1962, Keller set a new world record when he reached a depth of 1000 feet off the coast of California utilizing Bühlmann's algorithm in a study funded by the United States Navy. [2] [9]
Two out of eight Swiss military divers suffered decompression sickness following dives 1800 meters above sea level in Lake Silvaplana. [2] Bühlmann recognized the problems associated with altitude diving, [13] [14] [15] and proposed a method which calculated maximum nitrogen loading in the tissues at a particular ambient pressure. [6] [16] The tables developed were adopted by the Swiss military in 1972. [2] An expedition to Lake Titicaca at 3800 meters above sea level in 1987 revealed no decompression issues while utilizing Bühlmann's ZH-L16 algorithm. [2] In addition to altitude diving, his calculations also include considerations for repetitive dive profiles. [17]
The results of Bühlmann's research that began in 1959, was published in a 1983 German book entitled Dekompression-Dekompressionskrankheit (Decompression-Decompression Sickness). [6] An English version of this book became available in 1984. [1] The book was regarded as the most complete public reference on decompression calculations and was used soon after in coding dive computer algorithms. [18] Two follow-up books were published in 1992 and 1995. [19] [20]
Versions of Bühlmann's ZHL-16 model have been used to generate the standard diving tables for a number of sports diving associations. Max Hahn used Bühlmann's model to develop the Deco '92 Tables used by the Swiss Underwater Sport Association and the Association of German Sports Divers, and Bob Cole and Bühlmann developed the Sub-Aqua Association (SAA) Bühlmann System in 1987, which used the tables and a set of instructions for their use in recreational diving without decompression stops. [18] The tables are still used in the 2020s and remain popular, while many dive computers use variations of the ZHL-8, ZH-L12, or ZHL-16 algorithm.
Bühlmann died unexpectedly of heart failure on 16 March 1994. [2]
The Undersea and Hyperbaric Medical Society gave Bühlmann the Oceaneering award in 1977. [2]
In 1993, the Divers Alert Network presented Bühlmann with an award for his life's work in the service of decompression science. [2]
Decompression sickness is a medical condition caused by dissolved gases emerging from solution as bubbles inside the body tissues during decompression. DCS most commonly occurs during or soon after a decompression ascent from underwater diving, but can also result from other causes of depressurisation, such as emerging from a caisson, decompression from saturation, flying in an unpressurised aircraft at high altitude, and extravehicular activity from spacecraft. DCS and arterial gas embolism are collectively referred to as decompression illness.
A dive computer, personal decompression computer or decompression meter is a device used by an underwater diver to measure the elapsed time and depth during a dive and use this data to calculate and display an ascent profile which, according to the programmed decompression algorithm, will give a low risk of decompression sickness. A secondary function is to record the dive profile, warn the diver when certain events occur, and provide useful information about the environment.
Diving medicine, also called undersea and hyperbaric medicine (UHB), is the diagnosis, treatment and prevention of conditions caused by humans entering the undersea environment. It includes the effects on the body of pressure on gases, the diagnosis and treatment of conditions caused by marine hazards and how relationships of a diver's fitness to dive affect a diver's safety. Diving medical practitioners are also expected to be competent in the examination of divers and potential divers to determine fitness to dive.
The Varying Permeability Model, Variable Permeability Model or VPM is an algorithm that is used to calculate the decompression stops needed for ambient pressure dive profiles using specified breathing gases. It was developed by D.E. Yount and others for use in professional diving and recreational diving. It was developed to model laboratory observations of bubble formation and growth in both inanimate and in vivo systems exposed to pressure. In 1986, this model was applied by researchers at the University of Hawaii to calculate diving decompression tables.
In diving and decompression, the oxygen window is the difference between the partial pressure of oxygen (PO2) in arterial blood and the PO2 in body tissues. It is caused by metabolic consumption of oxygen.
The Bühlmann decompression model is a neo-Haldanian model which uses Haldane's or Schreiner's formula for inert gas uptake, a linear expression for tolerated inert gas pressure coupled with a simple parameterised expression for alveolar inert gas pressure and expressions for combining Nitrogen and Helium parameters to model the way inert gases enter and leave the human body as the ambient pressure and inspired gas changes. Different parameter sets are used to create decompression tables and in personal dive computers to compute no-decompression limits and decompression schedules for dives in real-time, allowing divers to plan the depth and duration for dives and the required decompression stops.
Capt. Edward Deforest Thalmann, USN (ret.) was an American hyperbaric medicine specialist who was principally responsible for developing the current United States Navy dive tables for mixed-gas diving, which are based on his eponymous Thalmann Algorithm (VVAL18). At the time of his death, Thalmann was serving as assistant medical director of the Divers Alert Network (DAN) and an assistant clinical professor in anesthesiology at Duke University's Center for Hyperbaric Medicine and Environmental Physiology.
In physiology, isobaric counterdiffusion (ICD) is the diffusion of different gases into and out of tissues while under a constant ambient pressure, after a change of gas composition, and the physiological effects of this phenomenon. The term inert gas counterdiffusion is sometimes used as a synonym, but can also be applied to situations where the ambient pressure changes. It has relevance in mixed gas diving and anesthesiology.
Captain Albert Richard Behnke Jr. USN (ret.) was an American physician, who was principally responsible for developing the U.S. Naval Medical Research Institute. Behnke separated the symptoms of Arterial Gas Embolism (AGE) from those of decompression sickness and suggested the use of oxygen in recompression therapy.
Half time is the time taken by a quantity to reach one half of its extremal value, where the rate of change is proportional to the difference between the present value and the extremal value. It is synonymous with half-life, but used in slightly different contexts.
The decompression of a diver is the reduction in ambient pressure experienced during ascent from depth. It is also the process of elimination of dissolved inert gases from the diver's body which accumulate during ascent, largely during pauses in the ascent known as decompression stops, and after surfacing, until the gas concentrations reach equilibrium. Divers breathing gas at ambient pressure need to ascend at a rate determined by their exposure to pressure and the breathing gas in use. A diver who only breathes gas at atmospheric pressure when free-diving or snorkelling will not usually need to decompress. Divers using an atmospheric diving suit do not need to decompress as they are never exposed to high ambient pressure.
To prevent or minimize decompression sickness, divers must properly plan and monitor decompression. Divers follow a decompression model to safely allow the release of excess inert gases dissolved in their body tissues, which accumulated as a result of breathing at ambient pressures greater than surface atmospheric pressure. Decompression models take into account variables such as depth and time of dive, breathing gasses, altitude, and equipment to develop appropriate procedures for safe ascent.
Decompression in the context of diving derives from the reduction in ambient pressure experienced by the diver during the ascent at the end of a dive or hyperbaric exposure and refers to both the reduction in pressure and the process of allowing dissolved inert gases to be eliminated from the tissues during this reduction in pressure.
Decompression theory is the study and modelling of the transfer of the inert gas component of breathing gases from the gas in the lungs to the tissues and back during exposure to variations in ambient pressure. In the case of underwater diving and compressed air work, this mostly involves ambient pressures greater than the local surface pressure, but astronauts, high altitude mountaineers, and travellers in aircraft which are not pressurised to sea level pressure, are generally exposed to ambient pressures less than standard sea level atmospheric pressure. In all cases, the symptoms caused by decompression occur during or within a relatively short period of hours, or occasionally days, after a significant pressure reduction.
Haldane's decompression model is a mathematical model for decompression to sea level atmospheric pressure of divers breathing compressed air at ambient pressure that was proposed in 1908 by the Scottish physiologist, John Scott Haldane, who was also famous for intrepid self-experimentation.
There are several categories of decompression equipment used to help divers decompress, which is the process required to allow divers to return to the surface safely after spending time underwater at higher ambient pressures.
Brian Andrew Hills, born 19 March 1934 in Cardiff, Wales, died 13 January 2006 in Brisbane, Queensland, was a physiologist who worked on decompression theory.
Inner ear decompression sickness, (IEDCS) or audiovestibular decompression sickness is a medical condition of the inner ear caused by the formation of gas bubbles in the tissues or blood vessels of the inner ear. Generally referred to as a form of decompression sickness, it can also occur at constant pressure due to inert gas counterdiffusion effects.
The US Navy has used several decompression models from which their published decompression tables and authorized diving computer algorithms have been derived. The original C&R tables used a classic multiple independent parallel compartment model based on the work of J.S.Haldane in England in the early 20th century, using a critical ratio exponential ingassing and outgassing model. Later they were modified by O.D. Yarborough and published in 1937. A version developed by Des Granges was published in 1956. Further developments by M.W. Goodman and Robert D. Workman using a critical supersaturation approach to incorporate M-values, and expressed as an algorithm suitable for programming were published in 1965, and later again a significantly different model, the VVAL 18 exponential/linear model was developed by Edward D. Thalmann, using an exponential ingassing model and a combined exponential and linear outgassing model, which was further developed by Gerth and Doolette and published in Revision 6 of the US Navy Diving Manual as the 2008 tables.
{{cite journal}}
: CS1 maint: unfit URL (link){{cite journal}}
: CS1 maint: unfit URL (link){{cite journal}}
: CS1 maint: unfit URL (link){{cite journal}}
: CS1 maint: unfit URL (link){{cite journal}}
: CS1 maint: unfit URL (link)