Breathing at depth: Physiologic and clinical aspects of diving while breathing compressed gas

Clinics in Chest Medicine

Volumn 26, Issue 3, 2005, Pages 355-380

  Tetzlaff, Kay ^a   Thorsen, Einar ^b  

^a UNIVERSITY OF TÜBINGEN   (Germany)

^b HAUKELAND UNIVERSITY HOSPITAL   (Norway)

Author keywords

[No Author keywords available]

Indexed keywords

INERT GAS;

ADAPTATION; BAROTRAUMA; BREATHING; CARBON MONOXIDE INTOXICATION; CLINICAL FEATURE; CONSCIOUSNESS DISORDER; DECOMPRESSION SICKNESS; DIVING; DROWNING; GAS EMBOLISM; GAS POISONING; HUMAN; HYPERBARISM; HYPERCAPNIA; HYPEROXIA; LUNG EDEMA; PATHOPHYSIOLOGY; PRIORITY JOURNAL; RESPIRATORY FUNCTION; REVIEW; LUNG DISEASE; PHYSIOLOGY; PRESSURE;

BAROTRAUMA; DIVING; HUMANS; LUNG DISEASES; PRESSURE;

EID: 27744484397     PISSN: 02725231     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ccm.2005.05.001     Document Type: Review

References (219)

1. National Sporting Goods Assocation Available at: http://www.nsga.org Accessed June 22, 2005
2. J.M. Clarke Pulmonary limits of oxygen tolerance in man Exp Lung Res 14 1988 897 912
3. A.L. Harabin, L.D. Homer, and P.K. Weathersby An analysis of decrements in vital capacity as an index of pulmonary oxygen toxicity J Appl Physiol 63 1987 1130 1135
4. S. Suzuki Probable lung injury by long term exposure to oxygen close to 50 kilopascals Undersea Hyperb Med 21 1994 235 243
5. E. Thorsen, K. Segadal, and J.W. Reed Contribution of hyperoxia to reduced pulmonary function after deep saturation dives J Appl Physiol 75 1993 657 662
6. J.M. Clark, R.M. Jackson, and C.J. Lambertsen Pulmonary function in men after oxygen breathing at 3.0 ATA for 3.5 hours J Appl Physiol 71 1991 878 885
7. P.J. Fracica, M.J. Knapp, and C.A. Piantadosi Responses of baboons to prolonged hyperoxia: physiology and qualitative pathology J Appl Physiol 71 1991 2352 2362
8. M.P. Hlastala, H.T. Robertson, and B.K. Ross Gas exchange abnormalities produced by venous gas emboli Respir Physiol 36 1979 1 17
9. J.J. Albertine, J.P. Wiener-Kronish, and K. Koike Quantification of damage by air emboli to lung microvessels in anesthetized sheep J Appl Physiol 57 1984 1360 1368
10. M.R. Flick, A. Perel, and N.C. Staub Leukocytes are required for increased lung microvascular permeability after microembolization in sheep Circ Res 48 1981 344 351
11. B.D. Butler, and J. Katz Vascular pressures and passage of gas emboli through the pulmonary circulation Undersea Biomed Res 15 1988 203 209
12. E. Thorsen, J. Risberg, and K. Segadal Effects of venous gas microemboli on pulmonary gas transfer function Undersea Hyperb Med 22 1995 347 353
13. Z. Dujic, D. Eterovic, and A. Denoble Effect of a single air dive on pulmonary diffusing capacity in professional divers J Appl Physiol 74 1993 55 61
14. D.A. Maio, and L.E. Farhi Effect of gas density on mechanics of breathing J Appl Physiol 23 1967 687 693
15. H. Van Liew, E.D. Thalmann, and D.K. Sponholtz Hindrance to diffusive gas mixing in the lung in hyperbaric environments J Appl Physiol 51 1981 243 247
16. E. Thorsen, M. Skogstad, and J.W. Reed Subacute effects of inspiratory resistive loading and head-out water immersion on pulmonary function Undersea Hyperb Med 26 1999 137 141
17. P.T. Wilmshurst, M. Nuri, and A. Crother Cold-induced pulmonary oedema in scuba-divers and swimmers and subsequent development of hypertension Lancet 1 1989 62 65
18. C.F. O'Cain, N.B. Dowling, and A.S. Slutsky Airway effects of respiratory heat loss in normal subjects J Appl Physiol 49 1980 875 880
19. H. Burnet, M. Lucciano, and Y. Jammes Respiratory effects of cold-gas breathing in humans under hyperbaric environment Respir Physiol 142 1990 413 424
20. I. Rønnestad, E. Thorsen, and K. Segadal Bronchial response to breathing dry gas at 3.7 MPa ambient pressure Eur J Appl Physiol 69 1994 32 35
21. J.E. Cotes, I.S. Davey, and J.W. Reed Respiratory effects of a single saturation dive to 300 m Br J Ind Med 44 1987 76 82
22. S. Suzuki, T. Ikeda, and A. Hashimoto Decrease in the single breath diffusing capacity after saturation dives Undersea Biomed Res 18 1991 103 109
23. E. Thorsen, K. Segadal, and A. Påsche Pulmonary mechanical function and diffusion capacity after deep saturation dives Br J Ind Med 47 1990 242 247
24. M. Skogstad, E. Thorsen, and T. Haldorsen Divers' pulmonary function after open-sea bounce dives to 10 and 50 meters Undersea Hyperb Med 23 1996 71 75
25. K. Tetzlaff, L. Friege, and A. Koch Effects of ambient cold and depth on lung function in humans after a single scuba dive Eur J Appl Physiol 85 2001 125 129
26. Divers Alert Network Report on decompression illness, diving fatalities and project dive exploration. The DAN annual review of recreational scuba diving injuries and fatalities based on 2001 data 2003 Divers Alert Network Durham, NC
27. M.B. Strauss, and P.W. Wright Thoracic squeeze diving casualty Aerosp Med 42 1971 673 675
28. R.H. Strauss Diving medicine Am Rev Respir Dis 119 1979 1001 1023
29. K.E. Schaefer, W.P. McNulty, and C. Carey Mechanisms in development of interstitial emphysema and air embolism on decompression from depth J Appl Physiol 13 1958 15 29
30. M.S. Malhotra, and H.C. Wright The effects of a raised intrapulmonary pressure on the lungs of fresh unchilled cadavers J Pathol Bacteriol 82 1961 198 202
31. A.A. Liebow, J.E. Stark, and J. Vogel Intrapulmonary air trapping in submarine escape training casualties US Armed Forces Med J 10 1959 265 289
32. D.L. Schriger, G. Rosenberg, and R.J. Wilder Shoulder pain and pneumoperitoneum following a diving accident Ann Emerg Med 16 1987 1281 1284
33. S.T. Oh, W. Kim, and H.M. Jeon Massive pneumoperitoneum after scuba diving J Korean Med Sci 18 2003 281 283
34. C.M. Muth, and E.S. Shank Gas embolism N Engl J Med 342 2000 476 482
35. A.J. Dutka A review of the pathophysiology and potential application of experimental therapies for cerebral ischemia to the treatment of cerebral arterial gas embolism Undersea Biomed Res 12 1985 403 421
36. C.W. Zwillich, D.J. Pierson, and C.E. Creagh Complications of assisted ventilation: a prospective study of 354 consecutive episodes Am J Med 57 1974 161 170
37. C.R. Broome, L.J. Jarvis, and R.J. Clark Pulmonary barotrauma in submarine escape training Thorax 49 1994 186 187
38. I. Friehs, M. Friehs, and G.B. Friehs Air embolism with bilateral pneumothorax after a five-meter dive Undersea Hyperb Med 20 1993 155 157
39. A. Hamad, A. Alghadban, and L. Ward Seizure in a scuba diver Chest 119 2001 285 286
40. T.S. Neuman, I. Jacoby, and A.A. Bove Fatal pulmonary barotrauma due to obstruction of the central circulation with air J Emerg Med 16 1998 413 417
41. C.A. Roobottom, J.D. Hunter, and P.J. Bryson The diagnosis of fatal gas embolism: detection by plain film radiography Clin Radiol 49 1994 805 807
42. S. Carstairs Arterial gas embolism in a diver using a closed-circuit oxygen rebreathing apparatus Undersea Hyperb Med 28 2001 229 231
43. K. Tetzlaff, B. Neubauer, and M. Reuter Pulmonary barotrauma of a diver using an oxygen rebreathing diving apparatus Aviat Space Environ Med 67 1996 1198 1200
44. L.W. Raymond Pulmonary barotrauma and related events in divers Chest 107 1995 1648 1652
45. P.J. Benton, J.D. Woodfine, and P.R. Westwood Arterial gas embolism following a 1-meter ascent during helicopter escape training: a case report Aviat Space Environ Med 67 1996 63 64
46. L.D. Weiss, and K.M. Van Meter Cerebral air embolism in asthmatic scuba divers in a swimming pool Chest 107 1995 1653 1654
47. M. Zaugg, V. Kaplan, and U. Widmer Fatal air embolism in an airplane passenger with a giant intrapulmonary bronchogenic cyst Am J Respir Crit Care Med 157 1998 1686 1689
48. F.W. Rudge Altitude-induced arterial gas embolism: a case report Aviat Space Environ Med 63 1992 203 205
49. G.G. Cable, T. Keeble, and G. Wilson Pulmonary cyst and cerebral arterial gas embolism in a hypobaric chamber: a case report Aviat Space Environ Med 71 2000 172 176
50. F. Rios-Tejada, J. Azofra-Garcia, and J. Valle-Garrido Neurological manifestation of arterial gas embolism following standard altitude chamber flight: a case report Aviat Space Environ Med 68 1997 1025 1028
51. C.T. Lee Cerebral arterial gas embolism in air force ground maintenance crew-a report of two cases Aviat Space Environ Med 70 1999 698 700
52. M.J. Hickey, and C.L. Zanetti Delayed-onset cerebral arterial gas embolism in a commercial airline mechanic Aviat Space Environ Med 74 2003 977 980
53. I.P. Unsworth Pulmonary barotraumas in a hyperbaric chamber Anaesthesia 28 1973 675 678
54. H.K. Wolf, R.E. Moon, and P.R. Mitchell Barotrauma and air embolism in hyperbaric oxygen therapy Am J Forensic Med Pathol 11 1990 149 153
55. P.H.J. Mueller, K. Tetzlaff, and B. Neubauer Pulmonary barotrauma during hyperbaric oxygen therapy: a case report [abstract] Undersea Hyperb Med 25 Suppl 1998 34
56. R.E. James Extra-alveolar air resulting from submarine escape training: a post-training roentgenographic survey of 170 submariners. Report No. 550 1968 US Naval Submarine Medical Center Groton, CT
57. Y. Yanir, A. Abramovich, and N. Beck-Razi Telephone diagnosis of a strange voice Chest 123 2003 2112 2114
58. K.W. Kizer Dysbaric cerebral air embolism in Hawaii Ann Emerg Med 16 1987 535 541
59. K. Tetzlaff, M. Reuter, and B. Leplow Risk factors for pulmonary barotrauma in divers Chest 112 1997 654 659
60. D.R. Leitch, and R.D. Green Pulmonary barotrauma in divers and the treatment of cerebral arterial gas embolism Aviat Space Environ Med 57 1986 931 938
61. Y. Melamed, A. Shupak, and H. Bitterman Medical problems associated with underwater diving N Engl J Med 326 1992 30 35
62. J.J. Collins An unusual case of air embolism precipitated by decompression N Engl J Med 266 1962 595 598
63. D. Tirpitz, and J.D. Schipke Delayed recompression after scuba diving-induced pulmonary barotraumas: a case report Aviat Space Environ Med 67 1996 266 268
64. C.P. Harker, T.S. Neuman, and L.K. Olson The roentgenographic findings associated with air embolism in sport scuba divers J Emerg Med 11 1993 443 449
65. A.P.K. Dick, and E.W. Massey Neurologic presentation of decompression sickness and air embolism in sport divers Neurology 35 1985 667 671
66. J. Krzyzak A case of delayed-onset pulmonary barotrauma in a scuba diver Undersea Biomed Res 14 1987 553 561
67. A.L. Moloff Delayed onset arterial gas embolism Aviat Space Environ Med 64 1993 1040 1043
68. D. Clarke, W. Gerard, and T. Norris Pulmonary barotrauma-induced cerebral arterial gas embolism with spontaneous recovery: commentary on the rationale for therapeutic recompression Aviat Space Environ Med 73 2002 139 146
69. T.S. Neuman Arterial gas embolism and decompression sickness News Physiol Sci 17 2002 77 81
70. J.A. Williamson, G.K. King, and V.I. Callanan Fatal arterial gas embolism. Detection by chest radiography and imaging before autopsy Med J Aust 153 1990 97 100
71. D.H. Elliott, J.A.B. Harrison, and E.E.P. Barnard Clinical and radiological features of 88 cases of decompression barotrauma C.W. Shilling M.W. Beckett Proceedings of the VI Symposium on Underwater Physiology 1978 FASEB Bethesda (MD) 527 535
72. C. Lindemark, and J. Adolfson Lung rupture as a complication in free escape H. Örnhagen A.L. Carlsson Proceedings of the XI Annual Meeting of the European Undersea Biomedical Society 1985 Kugel Tryckeri AB Bromma (Sweden) 81 84
73. M.K. Arness Scuba decompression illness and diving fatalities in an overseas military community Aviat Space Environ Med 68 1997 325 333
74. I.M. Calder Autopsy and experimental observations on factors leading to barotrauma in man Undersea Biomed Res 12 1985 165 182
75. W.R. Saywell Submarine escape training, lung cysts and tension pneumothorax Br J Radiol 62 1989 276 278
76. H. Mellem, S. Emhjellen, and O. Horgen Pulmonary barotrauma and arterial gas embolism caused by an emphysematous bulla in a scuba diver Aviat Space Environ Med 61 1990 559 562
77. M. Reuter, K. Tetzlaff, and V. Warninghoff Computed tomography of the chest in diving-related pulmonary barotrauma Br J Radiol 70 1997 440 445
78. J. Le Vot, J.C. Solacroup, and B. Muyard Le thorax de l'accidente de plongée J Radiol 70 1989 357 363
79. A.S. Toklu, E. Kiyan, and S. Aktas Should computed chest tomography be recommended in the medical certification of professional divers? A report of three cases with pulmonary air casts Occup Environ Med 60 2003 606 608
80. F. Heritiér, M.D. Schaller, and J.W. Fitting Manifestations pulmonaires des accidents de plongée Schweiz Z Sportmed 41 1993 115 120
81. C. Jego, H. Berard, and P. Moulin Des bulles qui ne doivent plus plonger Rev Mal Respir 20 2003 144 146
82. D.R. Leitch, and R.D. Green Recurrent pulmonary barotrauma Aviat Space Environ Med 57 1986 1039 1043
83. C.R. Carpenter Recurrent pulmonary barotrauma in scuba diving and the risks of future hyperbaric exposures: a case report Undersea Hyperb Med 24 1997 209 213
84. K. Tetzlaff, M. Reuter, and V. Warninghoff Dive-related pulmonary barotrauma in the differential diagnosis of pneumologic outpatients Pneumologie 50 1996 902 905
85. H.J. Colebatch, and C.K. Ng Decreased pulmonary distensibility and pulmonary barotrauma in divers Respir Physiol 86 1991 293 303
86. P.J. Benton, T.J.R. Francis, and R.J. Pethybridge Spirometric indices and the risk of pulmonary barotraumas in submarine escape training Undersea Hyperb Med 26 1999 213 217
87. R.E. Moon, R.D. Vann, and P.B. Bennett The physiology of decompression illness Sci Am 273 1995 70 77
88. D.J. Doolette, and S.J. Mitchell The physiological kinetics of nitrogen and the prevention of decompression sickness Clin Pharmacokinet 40 2001 1 14
89. B.D. Butler, and B.A. Hills The lung as a filter for microbubbles J Appl Physiol 47 1979 537 543
90. R.G. Eckenhoff, C.S. Olstad, and G. Carrod Human dose-response relationship for decompression and endogenous bubble formation J Appl Physiol 69 1990 914 918
91. D. Carturan, A. Boussuges, and P. Vanuxem Ascent rate, age, maximal oxygen uptake, adiposity, and circulating venous bubbles after diving J Appl Physiol 93 2002 1349 1356
92. S.K. Glen, D. Georgiadis, and D.G. Grosset Transcranial Doppler ultrasound in commercial air divers: a field study including cases with right-to-left shunting Undersea Hyperb Med 22 1995 129 135
93. T. Gerriets, K. Tetzlaff, and T. Liceni Arteriovenous bubbles following cold water sport dives: relation to right-to-left shunting Neurology 55 2000 1741 1743
94. A.A. Bove, J.M. Hallenbeck, and D.H. Elliott Circulatory responses to venous air embolism and decompression sickness in dogs Undersea Biomed Res 1 1974 207 220
95. T.S. Neuman, R.G. Spragg, and P.D. Wagner Cardiopulmonary consequences of decompression stress Respir Physiol 41 1980 143 153
96. B.T. Peterson, S.E. Grauer, and R.W. Hyde Response of pulmonary veins to increased intracranial pressure and pulmonary air embolization J Appl Physiol 48 1980 957 964
97. L.L. Levin, G.J. Stewart, and P.R. Lynch Blood and blood vessel wall changes induced by decompression sickness in dogs J Appl Physiol 50 1981 944 949
98. C.A. Ward, D. McCullough, and W.D. Fraser Relation between complement activation and susceptibility to decompression sickness J Appl Physiol 62 1987 1160 1166
99. K. Ohkuda, K. Nakahara, and A. Binder Venous air emboli in sheep: reversible increase in lung microvascular permeability J Appl Physiol 51 1981 887 894
100. T.B. Buttolph, E.J. Dick, and C.B. Toner Cutaneous lesions in swine after decompression: histopathology and ultrastructure Undersea Hyperb Med 25 1998 115 121
101. T.J. Francis, G.H. Pezeshkpour, and A.J. Dutka Is there a role for the autochthonous bubble in the pathogenesis of spinal cord decompression sickness? J Neuropathol Exp Neurol 47 1988 475 487
102. T.J. Francis, J.L. Griffin, and L.D. Homer Bubble-induced dysfunction in acute spinal cord decompression sickness J Appl Physiol 68 1990 1368 1375
103. A.C. Palmer Nature and incidence of bubbles in the spinal cord of decompressed goats Undersea Hyperb Med 24 1997 193 200
104. J.R. Broome, and E.J. Dick Neurological decompression illness in swine Aviat Space Environ Med 67 1996 207 213
105. E.J. Dick, J.R. Broome, and I.J. Hayward Acute neurologic decompression illness in pigs: lesions of the spinal cord and brain Lab Anim Sci 47 1997 50 57
106. M. Reuter, K. Tetzlaff, and F. Brasch Computed chest tomography in an animal model for decompression sickness: radiologic, physiologic, and pathologic findings Eur Radiol 10 2000 534 541
107. T.S. Neuman, and A.A. Bove Combined arterial gas embolism and decompression sickness following no-stop dives Undersea Biomed Res 17 1990 429 436
108. J.R. Broome Reduction of decompression illness risk in pigs by use of non-linear ascent profiles Undersea Hyperb Med 23 1996 19 26
109. J.R. Broome Climatic and environmental factors in the aetiology of decompression sickness in divers J R Nav Med Serv 79 1993 68 74
110. L.W. Jankowski, R.Y. Nishi, and D.J. Eaton Exercise during decompression reduces the amount of venous gas emboli Undersea Hyperb Med 24 1997 59 65
111. J.R. Broome, A.J. Dutka, and G.A. McNamee Exercise conditioning reduces the risk of neurologic decompression illness in swine Undersea Hyperb Med 22 1995 73 85
112. U. Wisløff, and A.O. Brubakk Aerobic endurance training reduces bubble formation and increases survival in rats exposed to hyperbaric pressure J Physiol 537 2001 607 611
113. Z. Dujic, D. Duplancic, and I. Marinovic-Terzic Aerobic exercise before diving reduce venous gas bubbles formation in humans J Physiol 555 2004 637 642
114. D.J. Doolette Exercise fizzy-ology J Physiol 537 2001 330
115. M.L. Dembert, J.F. Jekel, and L.W. Mooney Health risk factors for the development of decompression sickness among US Navy divers Undersea Biomed Res 11 1984 395 406
116. D. Carturan, A. Boussuges, and H. Burnet Circulating venous bubbles in recreational diving: relationships with age, weight, maximal oxygen uptake and body fat percentage Int J Sports Med 20 1999 410 414
117. R.D. Vann Mechanisms and risks of decompression A.A. Bove Bove and Davis' diving medicine 3rd edition 1997 WB Saunders Philadelphia 146 158
118. R.G. Dunford, R.D. Vann, and W.A. Gerth The incidence of venous gas emboli in recreational diving Undersea Hyperb Med 29 2002 247 259
119. M. Hagberg, and H. Örnhagen Incidence and risk factors for symptoms of decompression sickness among male and female dive masters and instructors-a retrospective cohort study Undersea Hyperb Med 30 2003 93 102
120. M. St Leger Dowse, and P. Bryson Comparative data from 2250 male and female sports divers: diving patterns and decompression sickness Aviat Space Environ Med 73 2002 743 749
121. J.J. Freiberger, P.J. Denoble, and C.F. Pieper The relative risk of decompression sickness during and after air travel following diving Aviat Space Environ Med 73 2002 980 984
122. P.J. Sheffield Flying after diving guidelines: a review Aviat Space Environ Med 61 1990 1130 1138
123. P.W. Catron, E.T. Flynn, and Y. Yaffe Morphological and physiological responses of the lungs of dogs to acute decompression J Appl Physiol 57 1984 467 474
124. B.D. Butler, S. Luehr, and J. Katz Venous gas embolism: time course of residual pulmonary intravascular bubbles Undersea Biomed Res 16 1989 21 29
125. C.E. Atkins, C.E. Lehner, and K.A. Beck Experimental respiratory decompression sickness in sheep J Appl Physiol 65 1988 1163 1171
126. V. Nossum, S. Koteng, and A.O. Brubakk Endothelial damage by bubbles in the pulmonary artery of the pig Undersea Hyperb Med 26 1999 1 8
127. V. Nossum, A. Hjelde, and A.O. Brubakk Small amounts of venous gas embolism cause delayed impairment of endothelial function and increase polymorphonuclear neutrophil infiltration Eur J Appl Physiol 86 2002 209 214
128. V. Nossum, A. Hjelde, and K. Bergh Anti-C5a monoclonal antibodies and pulmonary polymorphonuclear leukocyte infiltration-endothelial dysfunction by venous gas embolism Eur J Appl Physiol 89 2003 243 248
129. C.V. Zwirewich, N.L. Müller, and R.T. Abboud Noncardiogenic pulmonary edema caused by decompression sickness: rapid resolution following hyperbaric therapy Radiology 163 1987 81 82
130. S.A. Wirjosemito, J.E. Touhey, and W.T. Worman Type II altitude decompression sickness (DCS): US Air Force experience with 133 cases Aviat Space Environ Med 60 1989 256 262
131. B.D. Butler, and B.A. Hills Transpulmonary passage of venous air emboli J Appl Physiol 59 1985 543 547
132. A. Vik, A.O. Brubakk, and T.R. Hennessy Venous air embolism in swine: transport of gas bubbles through the pulmonary circulation J Appl Physiol 69 1990 237 244
133. A. Vik, B.M. Jenssen, and O. Eftedal Relationship between venous bubbles and hemodynamic responses after decompression in pigs Undersea Hyperb Med 20 1993 233 248
134. A. Vik, B.M. Jenssen, and A.O. Brubakk Arterial gas bubbles after decompression in pigs with patent foramen ovale Undersea Hyperb Med 20 1993 121 132
135. R.E. Moon, E.M. Camporesi, and J.A. Kisslo Patent foramen ovale and decompression sickness in divers Lancet 1 1989 513 514
136. P.T. Wilmshurst, J.C. Byrne, and M.M. Webb-Peploe Relation between interatrial shunts and decompression sickness in divers Lancet 2 1989 1302 1306
137. P. Germonpré, P. Dendale, and P. Unger Patent foramen ovale and decompression sickness in sports divers J Appl Physiol 84 1998 1622 1626
138. S. Ries, M. Knauth, and R. Kern Arterial gas embolism after decompression: correlation with right-to-left shunting Neurology 52 1999 401 404
139. S.K. Glen, D. Georgiadis, and D.G. Grosset Transcranial Doppler ultrasound in commercial air divers: a field study including cases with right-to-left shunting Undersea Hyperb Med 22 1995 129 135
140. A.A. Bove Risk of decompression sickness with patent foramen ovale Undersea Hyperb Med 25 1998 175 178
141. P. Wilmshurst, and P. Bryson Relationship between the clinical features of neurological decompression illness and its causes Clin Sci 99 2000 65 75
142. R.E. Moon, and P.J. Sheffield Guidelines for treatment of decompression illness Aviat Space Environ Med 68 1997 234 243
143. R.E. Moon, L. Dear G de, and B.W. Stolp Treatment of decompression illness and iatrogenic gas embolism Respir Care Clin N Am 5 1999 93 135
144. K. Tetzlaff, E.S. Shank, and C.M. Muth Evaluation and management of decompression illness-an intensivists' perspective Intensive Care Med 29 2003 2128 2136
145. R.M. Smith, K.B. Van Hoesen, and T.S. Neuman Arterial gas embolism and hemoconcentration J Emerg Med 12 1994 147 153
146. R.M. Smith, and T.S. Neuman Elevation of serum creatine kinase in divers with arterial gas embolization N Engl J Med 330 1994 19 24
147. L.P. Warren, W.T. Djang, and R.E. Moon Neuroimaging of scuba diving injuries to the CNS Am J Radiol 151 1988 1003 1008
148. M. Reuter, K. Tetzlaff, and A. Hutzelmann MR imaging of the central nervous system in diving-related decompression illness Acta Radiol 38 1997 940 944
149. P.M. Tibbles, and J.S. Edelsberg Hyperbaric-oxygen therapy N Engl J Med 334 1996 1642 1648
150. R.E. Moon, and D.F. Gorman Treatment of the decompression disorders A.O. Brubakk T.S. Neuman Bennett and Elliott's physiology and medicine of diving 5th edition 2003 WB Saunders Philadelphia 600 650
151. M. Pons, D. Blickenstorfer, and E. Oechslin Pulmonary oedema in healthy persons during scuba-diving and swimming Eur Respir J 8 1995 762 767
152. M. Balk, and J.M. Goldman Alveolar hemorrhage as a manifestation of pulmonary barotrauma after scuba diving Ann Emerg Med 19 1990 930 934
153. J.B. Harris, E.J. Stern, and K.P. Steinberg Scuba diving accident with near drowning and decompression sickness Am J Radiol 164 1995 592
154. D. Weiler-Ravell, A. Shupak, and I. Goldenberg Pulmonary oedema and haemoptysis induced by strenuous swimming BMJ 311 1995 361 362
155. N.B. Hampson, and R.G. Dunford Pulmonary edema of scuba divers Undersea Hyperb Med 24 1997 29 33
156. J.B. Slade, T. Hattori, and C.S. Ray Pulmonary edema associated with scuba diving Chest 120 2001 1686 1694
157. C.A. Gnadinger, C.B. Colwell, and A.L. Knaut Scuba diving-induced pulmonary edema in a swimming pool J Emerg Med 21 2001 419 421
158. A. Shupak, D. Weiler-Ravell, and Y. Adir Pulmonary oedema induced by strenuous swimming: a field study Respir Physiol 121 2000 25 31
159. J.B. West Invited review: pulmonary capillary stress failure J Appl Physiol 89 2000 2483 2489
160. S.R. Hopkins, R.B. Schoene, and T.R. Martin Intense exercise impairs the integrity of the pulmonary blood-gas barrier in elite athletes Am J Respir Crit Care Med 155 1997 1090 1094
161. S.R. Hopkins, R.B. Schoene, and W.R. Henderson Sustained submaximal exercise does not alter the integrity of the lung blood-gas barrier in elite athletes J Appl Physiol 84 1998 1185 1189
162. R.T. Mahon, S. Kerr, and D. Amundson Immersion pulmonary edema in special forces combat swimmers Chest 122 2002 383 384
163. K.L. Lund, R.T. Mahon, and D.A. Tanen Swimming-induced pulmonary edema Ann Emerg Med 41 2003 251 256
164. A. Shupak, L. Guralnik, and Y. Keynan Pulmonary edema following closed-circuit oxygen diving and strenuous swimming Aviat Space Environ Med 74 2003 1201 1204
165. S. Hempe, and P. Lierz Akutes Lungenödem bei einer Taucherin Anasthesiol Intensivmed Notfallmed Schmerzther 38 2003 648 650
166. P. Halpern, A. Gefen, and P. Sorkine Pulmonary oedema in scuba divers: pathophysiology and computed risk analysis Eur J Emerg Med 10 2003 35 41
167. P. Wilmshurst Cardiovascular problems in divers Heart 80 1998 537 538
168. D.H. Elliott Medical evaluation for commercial diving A.A. Bove Bove and Davis' diving medicine 3rd edition 1997 WB Saunders Philadelphia 361 371
169. C. Jenkins, S.D. Anderson, and R. Wong Compressed air diving and respiratory disease Med J Aust 158 1993 275 279
170. British Thoracic Society Fitness to Dive Group A subgroup of the British Thoracic Society Standards of Care Committee. British Thoracic Society guidelines on respiratory aspects of fitness for diving Thorax 58 2003 3 13
171. F. Heritiér, and E. Russi Scuba diving: barotrauma, decompression sickness, pulmonary contraindications Schweiz Med Wochenschr 123 1993 161 165
172. T.S. Neuman, A.A. Bove, and R.D. O'Connor Asthma and diving Ann Allergy 73 1994 344 350
173. F. Twarog, J.M. Weiler, and S.I. Wolf Discussion of risk of scuba diving in individuals with allergic and respiratory diseases J Allergy Clin Immunol 96 1995 871 873
174. A.D. Anderson, J. Brannan, and L. Trevillion Lung function and bronchial provocation tests for intending divers with a history of asthma SPUMS J 25 1995 233 248
175. F. Heritiér Lungs and underwater diving Rev Med Suisse Romande 117 1997 475 478
176. E.W. Russi Diving and the risk of barotrauma Thorax 53 Suppl 2 1998 S20 S24
177. K. Tetzlaff, and M. Reuter Pneumologische Aspekte der Tauchmedizin Pneumologie 52 1998 489 500
178. T.A. Dillard, and F.W. Ewald The use of pulmonary function testing in piloting, air travel, mountain climbing, and diving Clin Chest Med 22 2001 795 816
179. B.P. Krieger Diving: what to tell the patient with asthma and why Curr Opin Pulm Med 7 2001 32 38
180. D. Coëtmeur, E. Briens, and J. Dassonville Asthme et pratique de la plongée sous-marine. Contre-indication absolue pour quells asthmas? Rev Mal Respir 18 2001 381 386
181. K. Tetzlaff, C.M. Muth, and L.K. Waldhauser A review of asthma and scuba diving J Asthma 39 2002 557 566
182. M. Koehle, R. Lloyd-Smith, and D. McKenzie Asthma and recreational scuba diving Sports Med 33 2003 109 116
183. C.T. Leffler, and J.C. White Recompression treatments during the recovery of TWA Flight 800 Undersea Hyperb Med 24 1997 301 308
184. K.S. Corson, J.A. Dovenbarger, and R.E. Moon Risk assessment of asthma for decompression illness [abstract] Undersea Biomed Res 18 Suppl 1991 16 17
185. S. Glen, S. White, and J. Douglas Medical supervision of sport diving in Scotland: reassessing the need for routine medical examinations Br J Sports Med 34 2000 375 378
186. K. Tetzlaff, and C.M. Muth Demographics and illness prevalence of scuba diving asthmatics [abstract] Eur Respir J 22 Suppl 45 2003 418s
187. R. Cresp, C. Grove, and E. Lalor Health status of recreational scuba divers in Western Australia SPUMS J 30 2000 226 230
188. A.A. Bove, T. Neuman, and S. Kelsen Observation on asthma in the recreational diving population [abstract] Undersea Biomed Res 19 Suppl 1992 18
189. E. Hanson, J. Fleisher, and R. Jackman Demographics and illness prevalence in a recreational scuba diver population: fitness to dive [abstract] Undersea Hyperb Med 26 Suppl 1999 48
190. P.J.S. Farrell, and P. Glanvill Diving practices of scuba divers with asthma BMJ 300 1990 166
191. D.M. Taylor, K.S. O'Toole, and C.M. Ryan Experienced, recreational scuba divers in Australia continue to dive despite medical contraindications Wilderness Environ Med 13 2002 187 193
192. A. Ziser, A. Väänänen, and Y. Melamed Diving and chronic spontaneous pneumothorax Chest 87 1985 264 265
193. L.A. Robinson, and M.W. Rolfe Keeling syndrome-a late complication of pneumonectomy N Engl J Med 335 1996 1074
194. K. Tetzlaff, M. Reuter, and J. Kampen Hyperbaric chamber-related decompression illness in a patient with asymptomatic pulmonary sarcoidosis Aviat Space Environ Med 70 1999 594 597
195. South Pacific Underwater Medicine Society The SPUMS recreational diving medical. Reprinted December 1999 Available at: http://www.spums.org.au/ SPUMS_Medical_1999_web.pdf Accessed June 22, 2005
196. W.A. Crosbie, M.B. Clarke, and R.A.F. Cox Physical characteristics and ventilatory function of 404 commercial divers working in the North Sea Br J Ind Med 34 1977 19 25
197. W.A. Crosbie, J.W. Reed, and M.C. Clarke Functional characteristics of the large lungs found in divers J Appl Physiol 46 1979 639 645
198. National Asthma Education and Prevention Program Expert panel report 2. Guidelines for the diagnosis and management of asthma. National Institutes of Health Publication No. 97-4051 1997 National Institutes of Health Bethesda (MD)
199. National Asthma Education and Prevention Program Expert panel report 2. Guidelines for the diagnosis and management of asthma. Update on selected topics 2002. National Institutes of Health Publication No. 02-5074 2003 National Institutes of Health Bethesda (MD)
200. K. Holzer, S.D. Anderson, and J. Douglass Exercise in elite summer athletes: challenges for diagnosis J Allergy Clin Immunol 110 2002 374 380
201. K. Tetzlaff, B. Neubauer, and M. Reuter Atopy, airway reactivity and compressed air diving in males Respiration (Herrlisheim) 65 1998 270 274
202. K. Tetzlaff, C.M. Staschen, and N. Struck Respiratory effects of a single dive to 50 meters in sport divers with asymptomatic respiratory atopy Int J Sports Med 22 2001 85 89
203. I. Cirillo, A. Vizzaccaro, and E. Crimi Airway reactivity and diving in healthy and atopic subjects Med Sci Sports Exerc 35 2003 1493 1498
204. A. Bohadana, D. Teculescu, and Y. Martinet Mechanisms of chronic airway obstruction in smokers Respir Med 98 2004 139 151
205. D.A. Buch, H. El Moalem, and J.A. Dovenbarger Cigarette smoking and decompression illness severity: a retrospective study in recreational divers Aviat Space Environ Med 74 2003 1271 1274
206. T.A. Dillard, and F.W. Ewald Should divers smoke and vice versa? Aviat Space Environ Med 74 2003 1275 1276
207. I.S. Davey, J.E. Cotes, and J.W. Reed Relationship of ventilatory capacity to hyperbaric exposure in divers J Appl Physiol 56 1984 1655 1658
208. S. Watt Effect of commercial diving on ventilatory function Br J Ind Med 42 1985 59 62
209. E. Thorsen, K. Segadal, and B. Kambestad Divers' lung function: small airways disease? Br J Ind Med 47 1990 519 523
210. K. Tetzlaff, L. Friege, and M. Reuter Expiratory flow limitation in compressed air divers and oxygen divers Eur Respir J 12 1998 895 899
211. Dmitrouk A.I., Gulyar S.A., Ilyin V.N., et al. Physiological mechanisms of adaptation of divers to the condition of deepwater in the Antarctic. In: Sterk W., Geeraedts L., editors. Proceedings of 16th Annual Meeting of the European Biomedical Society. Amsterdam; 1990. p. 311-9
212. A. Bouhuys, and G.J. Beck Large lungs in divers? J Appl Physiol 47 1979 1136 1137
213. M. Skogstad, E. Thorsen, and T. Haldorsen Lung function over the first 3 years of a professional diving career Occup Environ Med 57 2000 390 395
214. M. Skogstad, E. Thorsen, and T. Haldorsen Lung function over six years among professional divers Occup Environ Med 59 2002 629 633
215. E. Thorsen, K. Segadal, and B.K. Kambestad Pulmonary function one and four years after a deep saturation dive Scand J Work Environ Health 19 1993 115 120
216. E. Thorsen, and B.K. Kambestad Persistent small airways dysfunction after exposure to hyperoxia J Appl Physiol 78 1995 1421 1424
217. S. Bermon, J.M. Lapoussiere, and C. Dolisi Pulmonary function of a firemen-diver population: a longitudinal study Eur J Appl Physiol 69 1994 32 35
218. E. Thorsen, K. Segadal, and B. Kambestad Characteristics of the response to exercise in professional saturation divers Undersea Biomed Res 18 1991 93 101
219. E. Thorsen, Å. Irgens, and M. Grønning Prevalence of obstructive lung disease among retired North Sea divers [abstract] Undersea Hyperb Med 30 Suppl 2003 223