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. [1] In 1986, this model was applied by researchers at the University of Hawaii to calculate diving decompression tables.[ citation needed ]
The VPM presumes that microscopic bubble nuclei always exist in water and tissues that contain water. Any nuclei larger than a specific "critical" size, which is related to the maximum dive depth (exposure pressure), will grow upon decompression when the diver ascends. The VPM aims to minimize the total volume of these growing bubbles by keeping the external pressure large, and the inspired inert gas partial pressures low during decompression. The model depends on the assumptions that different sizes of bubbles exist within the body; that the larger bubbles require less reduction in pressure to begin to grow than smaller ones; and that fewer large bubbles exist than smaller ones. These are used to construct an algorithm that provides decompression schedules designed to allow the larger, growing bubbles to be eliminated before they can cause problems. [2] [3]
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This bibliography list was compiled by E.B. Maiken and E.C. Baker as reference material for the V-Planner web site in 2002. [4]
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: CS1 maint: unfit URL (link)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.
The reduced gradient bubble model(RGBM) is an algorithm developed by Bruce Wienke for calculating decompression stops needed for a particular dive profile. It is related to the Varying Permeability Model. but is conceptually different in that it rejects the gel-bubble model of the varying permeability model.
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 algorithm is a mathematical model (algorithm) of the way in which inert gases enter and leave the human body as the ambient pressure changes. Versions are used to create Bühlmann decompression tables and in personal dive computers to compute no-decompression limits and decompression schedules for dives in real-time. These decompression tables allow 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.
Professor Albert Alois Bühlmann 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. His impact on diving ranged from complex commercial and military diving to the occasional recreational diver. He is held in high regard for his professional ethics and attention to his research subjects.
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 occurs during the 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.
Altitude decompression or hypobaric decompression is the reduction in ambient pressure below the normal range of sea level atmospheric pressure. Altitude decompression is the natural consequence of unprotected elevation to altitude, while hypobaric decompression is due to intentional or unintentional release of pressurisation of a pressure suit or pressurised compartment, vehicle or habitat, and may be controlled or uncontrolled, or the reduction of pressure in a hypobaric chamber.
The practice of decompression by divers comprises the planning and monitoring of the profile indicated by the algorithms or tables of the chosen decompression model, to allow asymptomatic and harmless release of excess inert gases dissolved in the tissues as a result of breathing at ambient pressures greater than surface atmospheric pressure, the equipment available and appropriate to the circumstances of the dive, and the procedures authorized for the equipment and profile to be used. There is a large range of options in all of these aspects.
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.
Shearwater Research is a Canadian manufacturer of dive computers and rebreather electronics for technical diving.
Richard Deimel Vann is an American academic and diver.
Tribonucleation is a mechanism that creates small gas bubbles by the action of making and breaking contact between solid surfaces immersed in a liquid containing dissolved gas. These small bubbles may then act as nuclei for the growth of bubbles when the pressure is reduced. As the formation of the nuclei occurs quite easily, the effect may occur in a human body engaged in light exercise, yet produce no symptoms. However tribonucleation may be a source of growing bubbles affecting scuba divers when ascending to the surface and is a potential cause of decompression sickness. The process has also been described as the basis for the cracking sound produced by the manipulation of human synovial joints.
A Pyle stop is a type of short, optional deep decompression stop performed by scuba divers at depths well below the first decompression stop mandated by a conventional dissolved phase decompression algorithm, such as the US Navy or Bühlmann decompression algorithms. They were named after Richard Pyle, an American ichthyologist from Hawaii, who found that they prevented his post-dive fatigue symptoms after deep dives to collect fish specimens.
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.
The thermodynamic model was one of the first decompression models in which decompression is controlled by the volume of gas bubbles coming out of solution. In this model, pain only DCS is modelled by a single tissue which is diffusion-limited for gas uptake and bubble-formation during decompression causes "phase equilibration" of partial pressures between dissolved and free gases. The driving mechanism for gas elimination in this tissue is inherent unsaturation, also called partial pressure vacancy or the oxygen window, where oxygen metabolised is replaced by more soluble carbon dioxide. This model was used to explain the effectiveness of the Torres Straits Island pearl divers empirically developed decompression schedules, which used deeper decompression stops and less overall decompression time than the current naval decompression schedules. This trend to deeper decompression stops has become a feature of more recent decompression models.
The physiology of decompression is the aspect of physiology which is affected by exposure to large changes in ambient pressure, and involves a complex interaction of gas solubility, partial pressures and concentration gradients, diffusion, bulk transport and bubble mechanics in living tissues. Gas is breathed at ambient pressure, and some of this gas dissolves into the blood and other fluids. Inert gas continues to be taken up until the gas dissolved in the tissues is in a state of equilibrium with the gas in the lungs,, or the ambient pressure is reduced until the inert gases dissolved in the tissues are at a higher concentration than the equilibrium state, and start diffusing out again.
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.
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