Pulmonary gas exchange in diving

Journal of Applied Physiology

Volumn 106, Issue 2, 2009, Pages 668-677

  Moon, R E ^a   Cherry, A D ^a   Stolp, B W ^a   Camporesi, E M ^b  

^a DUKE UNIVERSITY MEDICAL CENTER   (United States)

^b UNIVERSITY OF SOUTH FLORIDA   (United States)

Author keywords

Respiratory dead space; Respiratory mechanics; Ventilation perfusion ratio

Indexed keywords

INERT GAS; HEMOGLOBIN; OXYGEN;

AIRWAY RESISTANCE; BREATHING; DIVING; GAS POISONING; HYPERCAPNIA; HYPOVENTILATION; LUNG COMPLIANCE; LUNG DEAD SPACE; LUNG GAS EXCHANGE; LUNG VENTILATION PERFUSION RATIO; MECHANICAL STRESS; OXYGEN TENSION; PRIORITY JOURNAL; REVIEW; TIDAL VOLUME; ANIMAL; BLOOD; BREATHING MECHANICS; DIFFUSION; HUMAN; HYPEROXIA; LUNG; LUNG CIRCULATION; LUNG EDEMA; LUNG FUNCTION TEST; LUNG VENTILATION; METABOLISM; PATHOPHYSIOLOGY; VASCULARIZATION;

AIRWAY RESISTANCE; ANIMALS; DIFFUSION; DIVING; HEMOGLOBINS; HUMANS; HYPERCAPNIA; HYPEROXIA; LUNG; LUNG COMPLIANCE; OXYGEN; PULMONARY CIRCULATION; PULMONARY EDEMA; PULMONARY VENTILATION; RESPIRATORY DEAD SPACE; RESPIRATORY MECHANICS; TIDAL VOLUME; VENTILATION-PERFUSION RATIO; WORK OF BREATHING;

EID: 61949243606     PISSN: 87507587     EISSN: 15221601     Source Type: Journal    
DOI: 10.1152/japplphysiol.91104.2008     Document Type: Review

References (132)

1. Adams RP, Welch HG. Oxygen uptake, acid-base status, and performance with varied inspired oxygen fractions. J Appl Physiol 49: 863-868, 1980.
2. Agostoni E, Gurtner G, Torri G, Rahn H. Respiratory mechanics during submersion and negative pressure breathing. J Appl Physiol 21: 251-258, 1966.
3. Aliverti A, Dellaca RL, Lotti P, Bertini S, Duranti R, Scano G, Heyman J, Lo Mauro A, Pedotti A, Macklem PT. Influence of expiratory flow-limitation during exercise on systemic oxygen delivery in humans. Eur J Appl Physiol 95: 229-242, 2005. (Pubitemid 41829790)
4. Anthonisen NR, Bradley ME, Vorosmarti J, Linaweaver PG. Mechanics of breathing with helium-oxygen and neon-oxygen breathing mixtures in deep saturation diving. In: Underwater Physiology IV: Proceedings of the Fourth Symposium on Underwater Physiology, edited by Lambertsen CJ. New York: Academic, 1971, p. 339-345.
5. Bondi KR, Young JM, Bennett RM, Bradley ME. Closing volumes in man immersed to the neck in water. J Appl Physiol 40: 736-740, 1976.
6. Camporesi EM, Bosco G. Ventilation, gas exchange and exercise under pressure. In: The Physiology and Medicine of Diving, edited by Brubakk AO, Neuman TS. New York: Elsevier Science, 2003, p. 77-114.
7. Chang H, Tai RC, Farhi LE. Some implications of ternary diffusion in the lung. Respir Physiol 23: 109-120, 1975.
8. CO2 during immersed prone exercise at 4.7 ATA. J Appl Physiol (September 11, 2008).
9. Chouteau J. Respiratory gas exchange in animals during exposure to extreme ambient pressures. In: Underwater Physiology: Proceedings of the Fourth Symposium on Underwater Physiology, edited by Lambertsen CJ. New York: Academic, 1971, p. 385-397.
10. Christopherson SK, Hlastala MP. Pulmonary gas exchange during altered density gas breathing. J Appl Physiol 52: 221-225, 1982.
11. Clark JM, Gelfand R, Lambertsen CJ, Stevens WC, Beck G Jr, Fisher DG. Human tolerance and physiological responses to exercise while breathing oxygen at 20 ATA. Aviat Space Environ Med 66: 336-345, 1995.
12. Clark JM, Sinclair RD, Lenox JB. Chemical and nonchemical components of ventilation during hypercapnic exercise in man. J Appl Physiol 48: 1065-1076, 1980.
13. Cohen R, Bell WH, Saltzman HA, Kylstra JA. Alveolar-arterial oxygen pressure difference in man immersed up to the neck in water. J Appl Physiol 30: 720-723, 1971.
14. Collett PW, Engel LA. Influence of lung volume on oxygen cost of resistive breathing. J Appl Physiol 61: 16-24, 1986.
15. Dahan A, DeGoede J, Berkenbosch A, Olievier IC. The influence of oxygen on the ventilatory response to carbon dioxide in man. J Physiol 428: 485-499, 1990. (Pubitemid 20313668)
16. Dahlback GO, Jonsson E, Liner MH. Influence of hydrostatic compression of the chest and intrathoracic blood pooling on static lung mechanics during head-out immersion. Undersea Biomed Res 5: 71-85, 1978. (Pubitemid 8319042)
17. Daly WJ, Bondurant S. Direct measurement of respiratory pleural pressure changes in normal man. J Appl Physiol 18: 513-518, 1963.
18. Dean JB, Mulkey DK, Henderson RA 3rd, Potter SJ, Putnam RW. Hyperoxia, reactive oxygen species, and hyperventilation: oxygen sensitivity of brain stem neurons. J Appl Physiol 96: 784-791, 2004.
19. Derion T, Guy HJ. Effects of age on closing volume during head-out water immersion. Respir Physiol 95: 273-280, 1994. (Pubitemid 24102980)
20. Derion T, Guy HJ, Tsukimoto K, Schaffartzik W, Prediletto R, Poole DC, Knight DR, Wagner PD. Ventilation-perfusion relationships in the lung during head-out water immersion. J Appl Physiol 72: 64-72, 1992.
21. Ekblom B, Huot R, Stein EM, Thorstensson AT. Effect of changes in arterial oxygen content on circulation and physical performance. J Appl Physiol 39: 71-75, 1975.
22. Engel LA. Gas mixing within the acinus of the lung. J Appl Physiol 54: 609-618, 1983.
23. Engel LA, Macklem PT. Gas mixing and distribution in the lung. Int Rev Physiol 14: 37-82, 1977.
24. Florio JT, Morrison JB, Butt WS. Breathing pattern and ventilatory response to carbon dioxide in divers. J Appl Physiol 46: 1076-1080, 1979.
25. Flynn ET, Saltzman HA, Summitt JK. Effects of head-out immersion at 19.18 Ata on pulmonary gas exchange in man. J Appl Physiol 33: 113-119, 1972.
26. Forkert L, Wood LD, Cherniack RM. Effect of gas density on dynamic pulmonary compliance. J Appl Physiol 39: 906-910, 1975.
27. Forkner IF, Piantadosi CA, Scafetta N, Moon RE. Hyperoxia-induced tissue hypoxia: a danger? Anesthesiology 106: 1051-1055, 2007. (Pubitemid 46684074)
28. Fothergill DM, Joye DD, Carlson NA. Diver respiratory responses to a tunable closed-circuit breathing apparatus. Undersea Hyperb Med 24: 91-105, 1997.
29. 2 inhalations. J Appl Physiol 16: 8-10, 1961.
30. 2. J Appl Physiol 35: 903-913, 1973.
31. Gelfand R, Lambertsen CJ, Peterson RE. Human respiratory control at high ambient pressures and inspired gas densities. J Appl Physiol 48: 528-539, 1980. (Pubitemid 10141910)
32. Gerth WA. Nitrogen binding to deoxyhemoglobin at high pressures and its relation to changes in hemoglobin-oxygen affinity. J Biol Chem 263: 13515-13521, 1988.
33. 2 in man during exercise: effect of SF6 breathing. J Appl Physiol 45: 512-515, 1978.
34. Hampson NB, Dunford RG. Pulmonary edema of scuba divers. Undersea Hyperb Med 24: 29-33, 1997.
35. Her C. Hyperoxia-induced decrease in organ blood flow. Anesthesiology 108: 168-169; author reply 169-170, 2008.
36. Hesser CM, Lind F, Linnarsson D. Significance of airway resistance for the pattern of breathing and lung volumes in exercising humans. J Appl Physiol 68: 1875-1882, 1990. (Pubitemid 20183071)
37. Hesser CM, Linnarsson D, Fagraeus L. Pulmonary mechanisms and work of breathing at maximal ventilation and raised air pressure. J Appl Physiol 50: 747-753, 1981. (Pubitemid 11102297)
38. Hickam JB, Pryor WW, Page EB, Atwell RJ. Respiratory regulation during exercise in unconditioned subjects. J Clin Invest 30: 503-516, 1951.
39. Hickey DD, Marky DC, Smith RJ. Gas inertia and ventilatory measurements under pressure: methodological considerations. Undersea Biomed Res 10: 273-279, 1983.
40. Hickey DD, Norfleet WT, Pasche AJ, Lundgren CE. Respiratory function in the upright, working diver at 6.8 ATA (190 fsw). Undersea Biomed Res 14: 241-262, 1987.
41. Jarrett AS. Alveolar carbon dioxide tension at increased ambient pressures. J Appl Physiol 21: 158-162, 1966.
42. 2 retention during hyperbaric exercise while breathing 40/60 nitrox. Undersea Hyperb Med 22: 339-346, 1995.
43. Kiesow LA. Hyperbaric inert gases and the hemoglobin-oxygen equilibrium in red blood cells. Undersea Biomed Res 1: 29-43, 1974.
44. Kiesow LA, Bless JW, Shelton JB. Oxygen dissociation in human erythrocytes: its response to hyperbaric environments. Science 179: 1236-1238, 1973.
45. Koehle MS, Lepawsky M, McKenzie DC. Pulmonary oedema of immersion. Sports Med 35: 183-190, 2005. (Pubitemid 40461560)
46. Kurss DI, Lundgren CEG, Pasche AJ. Effect of water temperature on vital capacity in head-out immersion. In: Underwater Physiology VII: Proceedings of the 7th Symposium on Underwater Physiology, edited by Bachrach AJ, Matzen MM. Bethesda, MD: Undersea Medical Society, 1981, p. 297-301.
47. Kylstra JA, Paganelli CV, Lanphier EH. Pulmonary gas exchange in dogs ventilated with hyperbarically oxygenated liquid. J Appl Physiol 21: 177-184, 1966.
48. Kylstra JA, Schoenfisch WH, Herron JM, Blenkarn GD. Gas exchange in saline-filled lungs of man. J Appl Physiol 35: 136-142, 1973.
49. Lafay V, Barthelemy P, Comet B, Frances Y, Jammes Y. ECG changes during the experimental human dive HYDRA 10 (71 atm/7,200 kPa). Undersea Hyperb Med 22: 51-60, 1995.
50. 2 breathing at depths to 1200, 2000, 3000, 4000, and 5000 feet of sea water (Predictive Studies III). Aviat Space Environ Med 48: 843-855, 1977.
51. 2. J Appl Physiol 14: 966-982, 1959.
52. Lanphier E. Nitrogen-Oxygen Mixture Physiology. Phase 4: Carbon Dioxide Sensitivity as a Potential Means of Personnel Selection. Phase 6: Carbon Dioxide Regulation Under Diving Conditions. Washington, DC: Navy Experimental Diving Unit, Washington Navy Yard, 1958.
53. Lanphier E. Nitrogen-Oxygen Mixture Physiology: Phases 1 and 2. Washington, DC: Navy Experimental Diving Unit, Washington Navy Yard, 1955.
54. Leddy JJ, Roberts A, Moalem J, Curry T, Lundgren CE. Effects of water immersion on pulmonary function in asthmatics. Undersea Hyperb Med 28: 75-82, 2001. (Pubitemid 33715274)
55. Linnarsson D, Ostlund A, Lind F, Hesser CM. Hyperbaric bradycardia and hypoventilation in exercising men: effects of ambient pressure and breathing gas. J Appl Physiol 87: 1428-1432, 1999. (Pubitemid 29483130)
56. 2 gradient during exercise in normal subjects and in patients with severe COPD. Chest 107: 1218-1224, 1995.
57. Ludwig B, Mahon RT. Cardiopulmonary risk factors in swimming induced pulmonary edema (Abstract). Am J Respir Crit Care Med 167: A564, 2003.
58. Ludwig BB, Mahon RT, Parrish JS, Lamb C, Kerr S. Pulmonary edema in combat swimmers: clinical and bronchoalveolar lavage description demonstrating stress failure of the pulmonary capillaries. Undersea Hyperb Med 31: 318, 2004.
59. Lund KL, Mahon RT, Tanen DA, Bakhda S. Swimming-induced pulmonary edema. Ann Emerg Med 41: 251-256, 2003. (Pubitemid 36158023)
60. Lundgren CE. Immersion effects. In: The Lung at Depth, edited by Lundgren CE, Miller JN. New York: Dekker, 1999, p. 91-128.
61. Lundgren CEG, Miller JN. Carbon dioxide retention. Enhancement of inert gas narcosis by carbon dioxide. In: Lung Biology in Health and Disease: The Lung at Depth. New York: Dekker, 1999, p. 219-222.
62. 2 retainers. In: Lung Biology in Health and Disease: The Lung at Depth. New York: Dekker, 1999, p. 229.
63. Lundgren CEG, Miller JN. Carbon dioxide retention. Increased work of breathing. In: Lung Biology in Health and Disease: The Lung at Depth. New York: Dekker, 1999, p. 225-226.
64. Mahon RT, Kerr S, Amundson D, Parrish JS. Immersion pulmonary edema in special forces combat swimmers. Chest 122: 383-384, 2002. (Pubitemid 34754196)
65. Maio DA, Farhi LE. Effect of gas density on mechanics of breathing. J Appl Physiol 23: 687-693, 1967.
66. McMahon TJ, Moon RE, Luschinger BP, Carraway MS, Stone AE, Stolp BW, Gow AJ, Pawloski JR, Watke P, Singel DJ, Piantadosi CA, Stamler JS. Nitric oxide in the human respiratory cycle. Nature Med 8: 711-717, 2002.
67. Mead J. Measurement of inertia of the lungs at increased ambient pressure. J Appl Physiol 9: 208-212, 1956.
68. Miyamoto Y, Niizeki K. Ventilatory responses during incremental exercise in men under hyperoxic conditions. Jpn J Physiol 45: 59-68, 1995.
69. 2 at rest and during positive and negative work in normoxia and hyperoxia. Pflügers Arch 364: 7-15, 1976.
70. Morrison JB, Florio JT, Butt WS. The effect of insensitivity to carbon dioxide on the respiratory response to exercise at 4 ATA. R Naval Physiol Lab Rep 2/76, January 1976.
71. 2 insensitivity and respiratory pattern on respiration in divers. Undersea Biomed Res 8: 209-217, 1981.
72. Morrison JB, Taylor NA. Measurement of static and dynamic pulmonary work during pressure breathing. Undersea Biomed Res 17: 453-467, 1990.
73. +-sensitive neurons in rat brain stem slices. J Appl Physiol 95: 910-921, 2003.
74. Mummery HJ, Stolp BW, Dear GdL, Doar PO, Natoli MJ, Boso AE, Archibald JD, Hobbs GW, El-Moalem HE, Moon RE. Effects of age and exercise on physiological dead space during simulated dives at 2.8 ATA. J Appl Physiol 94: 507-517, 2003.
75. Norfleet WT, Hickey DD, Lundgren CE. A comparison of respiratory function in divers breathing with a mouthpiece or a full face mask. Undersea Biomed Res 14: 503-526, 1987.
76. Otis AB, Fenn WO, Rahn H. Mechanics of breathing in man. J Appl Physiol 2: 592-607, 1950.
77. Paiva M, Engel LA. Theoretical studies of gas mixing and ventilation distribution in the lung. Physiol Rev 67: 750-796, 1987. (Pubitemid 17145564)
78. Pedersen MEF, Fatemian M, Robbins PA. Identification of fast and slow ventilatory responses to carbon dioxide under hypoxic and hyperoxic conditions in humans. J Physiol 521: 273-287, 1999.
79. Pedley TJ, Sudlow MF, Milic-Emili J. A non-linear theory of the distribution of pulmonary ventilation. Respir Physiol 15: 1-38, 1972.
80. 2 sensitivity in SCUBA divers. Undersea Hyperb Med 33: 447-453, 2006.
81. Peterson RE, Wright WB. Pulmonary mechanical functions in man breathing dense gas mixtures at high ambient pressures-Predictive Studies III. In: Underwater Physiology V: Proceedings of the Fifth Symposium on Underwater Physiology, edited by Lambertsen CJ. Bethesda, MD: FASEB, 1976, p. 67-77.
82. Pirnay F, Marechal R, Dujardin R, Lamy M, Deroanne R, Petit JM. Exercise during hyperoxia and hyperbaric oxygenation. Int Z Angew Physiol 31: 259-268, 1973.
83. Prefaut C, Dubois F, Roussos C, Amaral-Marques R, Macklem PT, Ruff F. Influence of immersion to the neck in water on airway closure and distribution of perfusion in man. Respir Physiol 37: 312-323, 1979. (Pubitemid 9252967)
84. Prefaut C, Ramonatxo M, Boyer R, Chardon G. Human gas exchange during water immersion. Respir Physiol 34: 307-318, 1978. (Pubitemid 9032203)
85. Ray AD, Pendergast DR, Lundgren CE. Respiratory muscle training improves swimming endurance at depth. Undersea Hyperb Med 35: 185-196, 2008.
86. Reeves RB, Morin RA. Pressure increases oxygen affinity of whole blood and erythrocyte suspensions. J Appl Physiol 61: 486-494, 1986.
87. Robertson CHJ, Engle CM, Bradley ME. Lung volumes in man immersed to the neck: dilution and plethysmographic techniques. J Appl Physiol 44: 679-682, 1978.
88. Sahn SA, Zwillich CW, Dick N, McCullough RE, Lakshminarayan S, Weil JV. Variability of ventilatory responses to hypoxia and hypercapnia. J Appl Physiol 43: 1019-1025, 1977. (Pubitemid 8258275)
89. Saltzman HA, Salzano JV, Blenkarn GD, Kylstra JA. Effects of pressure on ventilation and gas exchange in man. J Appl Physiol 30: 443-449, 1971.
90. Salzano J, Rausch DC, Saltzman HA. Cardiorespiratory responses to exercise at a simulated seawater depth of 1,000 feet. J Appl Physiol 28: 34-41, 1970.
91. Salzano JV, Camporesi EM, Stolp BW, Moon RE. Physiological responses to exercise at 47 and 66 ATA. J Appl Physiol 57: 1055-1068, 1984.
92. Sapoval B, Filoche M, Weibel ER. Smaller is better- but not too small: a physical scale for the design of the mammalian pulmonary acinus. Proc Natl Acad Sci USA 99: 10411-10416, 2002.
93. Sherman D, Eilender E, Shefer A, Kerem D. Ventilatory and occlusion- pressure responses to hypercapnia in divers and non-divers. Undersea Biomed Res 7: 61-74, 1980. (Pubitemid 10042567)
94. Shupak A, Guralnik L, Keynan Y, Yanir Y, Adir Y. Pulmonary edema following closed-circuit oxygen diving and strenuous swimming. Aviat Space Environ Med 74: 1201-1204, 2003. (Pubitemid 37351779)
95. Shupak A, Weiler-Ravell D, Adir Y, Daskalovic YI, Ramon Y, Kerem D. Pulmonary oedema induced by strenuous swimming: a field study. Respir Physiol 121: 25-31, 2000. (Pubitemid 30347469)
96. Slade JB Jr, Hattori T, Ray CS, Bove AA, Cianci P. Pulmonary edema associated with scuba diving: case reports and review. Chest 120: 1686-1694, 2001. (Pubitemid 33078491)
97. Slutsky AS. Gas mixing by cardiogenic oscillations: a theoretical quantitative analysis. J Appl Physiol 51: 1287-1293, 1981.
98. Smith RM, Hong SK, Dressendorfer RH, Dwyer HJ, Hayashi E, Yelverton C. Hana Kai II: a 17-day dry saturation dive at 18.6 ATA. IV. Cardiopulmonary functions. Undersea Biomed Res 4: 267-281, 1977.
99. Spaur WH, Raymond LW, Knott MM, Crothers JC, Braithwaite WR, Thalmann ED, Uddin DF. Dyspnea in divers at 49.5 ATA: mechanical, not chemical in origin. Undersea Biomed Res 4: 183-198, 1977.
100. Stolp BW, Moon RE, Salzano JV, Camporesi EM. 2,3 DPG levels during saturation diving to 650 msw (Abstract). Undersea Biomed Res 12, Suppl: 21, 1985.
101. Stolp BW, Moon RE, Salzano JV, Camporesi EM. P-50 in divers decompressing from 650 msw. In: Underwater Physiology VIII: Proceedings of the Eighth Symposium on Underwater Physiology, edited by Bachrach AJ and Matzen MM. Bethesda, MD: Undersea Medical Society, 1984, p. 315-326.
102. Tabakin BS, Hanson JS. Response to ventilatory obstruction during steady-state exercise. J Appl Physiol 15: 579-582, 1960.
103. Taunton JE, Banister EW, Patrick TR, Oforsagd P, Duncan WR. Physical work capacity in hyperbaric environments and conditions of hyperoxia. J Appl Physiol 28: 421-427, 1970.
104. Taylor NA, Morrison JB. Effects of breathing-gas pressure on pulmonary function and work capacity during immersion. Undersea Biomed Res 17: 413-428, 1990.
105. Taylor NA, Morrison JB. Static and dynamic pulmonary compliance during upright immersion. Acta Physiol Scand 149: 413-417, 1993.
106. Taylor NA, Morrison JB. Static respiratory muscle work during immersion with positive and negative respiratory loading. J Appl Physiol 87: 1397-1403, 1999.
107. Thalmann ED, Sponholtz DK, Lundgren CE. Effects of immersion and static lung loading on submerged exercise at depth. Undersea Biomed Res 6: 259-290, 1979.
108. Thorsen E, Hjelle J, Segadal K, Gulsvik A. Exercise tolerance and pulmonary gas exchange after deep saturation dives. J Appl Physiol 68: 1809-1814, 1990. (Pubitemid 20183061)
109. Thorsen E, Segadal K, Kambestad BK. Mechanisms of reduced pulmonary function after a saturation dive. Eur Respir J 7: 4-10, 1994. (Pubitemid 24075117)
110. Thorsen E, Segadal K, Reed JW, Elliott C, Gulsvik A, Hjelle JO. Contribution of hyperoxia to reduced pulmonary function after deep saturation dives. J Appl Physiol 75: 657-662, 1993. (Pubitemid 23260204)
111. Thorsen E, Skogstad M, Reed JW. Subacute effects of inspiratory resistive loading and head-out water immersion on pulmonary function. Undersea Hyperb Med 26: 137-141, 1999.
112. Van Liew HD, Thalmann ED, Sponholtz DK. Diffusion-dependence of pulmonary gas mixing at 5.5 and 95 ATA. Undersea Biomed Res 6: 251-258, 1979.
113. Van Liew HD, Thalmann ED, Sponholtz DK. Hindrance to diffusive gas mixing in the lung in hyperbaric environments. J Appl Physiol 51: 243-247, 1981.
114. Vorosmarti J, Bradley ME, Anthonisen NR. The effects of increased gas density on pulmonary mechanics. Undersea Biomed Res 2: 1-10, 1975.
115. 2max to hemoglobin-P50 as sea level and altitude. Respir Physiol 107: 205-212, 1997.
116. 2. J Clin Invest 54: 54-68, 1974.
117. Warkander DE, Nagasawa GK, Lundgren CE. Effects of inspiratory and expiratory resistance in divers' breathing apparatus. Undersea Hyperb Med 28: 63-73, 2001.
118. Warkander DE, Norfleet WT, Nagasawa GK, Lundgren CE. CO2 retention with minimal symptoms but severe dysfunction during wet simulated dives to 6.8 atm abs. Undersea Biomed Res 17: 515-523, 1990.
119. Warkander DE, Norfleet WT, Nagasawa GK, Lundgren CE. Physiologically and subjectively acceptable breathing resistance in divers' breathing gear. Undersea Biomed Res 19: 427-445, 1992.
120. Weibel ER, Sapoval B, Filoche M. Design of peripheral airways for efficient gas exchange. Respir Physiol Neurobiol 148: 3-21, 2005. (Pubitemid 41132747)
121. Weiler-Ravell D, Shupak A, Goldenberg I, Halpern P, Shoshani O, Hirschhorn G, Margulis A. Pulmonary oedema and haemoptysis induced by strenuous swimming. BMJ 311: 361-362, 1995.
122. Whalen R, Saltzman H, Holloway D, McIntosh HD, Sieker HO, Brown IW Jr. Cardiovascular and blood gas responses to hyperbaric oxygenation. Am J Cardiol 15: 638-646, 1965.
123. Wilmshurst PT, Nuri M, Crowther A, Webb-Peploe MM. Cold-induced pulmonary oedema in scuba divers and swimmers and subsequent development of hypertension. Lancet 1: 62-65, 1989. (Pubitemid 19033992)
124. Wilson BA, Welch HG, Liles JN. Effects of hyperoxic gas mixtures on energy metabolism during prolonged work. J Appl Physiol 39: 267-271, 1975.
125. Wood LD, Bryan AC. Effect of increased ambient pressure on flow-volume curve of the lung. J Appl Physiol 27: 4-8, 1969.
126. Wood LD, Bryan AC. Exercise ventilatory mechanics at increased ambient pressure. J Appl Physiol 44: 231-237, 1978.
127. Wood LD, Bryan AC, Bau SK, Weng TR, Levison H. Effect of increased gas density on pulmonary gas exchange in man. J Appl Physiol 41: 206-210, 1976.
128. Wood WB. Ventilatory dynamics under hyperbaric states. In: Proceedings of the Second Symposium on Underwater Physiology, edited by Lambertsen CJ, Greenbaum LJ, Jr. Washington, DC: National Academy of Sciences-National Research Council (Publication 1181), 1963, p. 108-123.
129. Wright WB, Crothers JR. Effects of immersion and high pressures on pulmonary mechanical functions in man (Abstract). In: Proceedings of the Aerospace Medical Association Annual Scientific Meeting. Aerospace Medical Association, 1973, p. 39.
130. Wylegala JA, Pendergast DR, Gosselin LE, Warkander DE, Lundgren CE. Respiratory muscle training improves swimming endurance in divers. Eur J Appl Physiol 99: 393-404, 2007.
131. Yang QH, Kaplowitz MR, Lai-Fook SJ. Regional variations in lung expansion in rabbits: prone vs supine positions. J Appl Physiol 67: 1371-1376, 1989.
132. Zechman F, Hall FG, Hull WE. Effects of graded resistance to tracheal air flow in man. J Appl Physiol 10: 356-362, 1957.