Does the time course of bubble evolution explain decompression sickness risk?

Undersea Hyperb Med. 1995 Sep;22(3):263-80.

Abstract

A probabilistic model of decompression sickness (DCS) risk based on linear-exponential (LE) kinetics has given the best fit of the human air and nitrox DCS database. To test the hypothesis that its success may be due to the formation of a gas phase during decompression, we developed a physiologically based bubble evolution model using a numerical solution of a partial differential equation system. Because of the computational intensity of this method, it could not be used to fully explore our hypothesis. Consequently, we compared the solution with that of a computationally simpler approximation that was previously published by Van Liew and found the two approaches gave similar results. Using the simpler model, assuming bubble densities of 1 and 1,000 bubbles/cm3, we found a tissue time constant of at least 80 min (equivalent to perfusion of 1/80 ml.g-1.min-1) was required to achieve a delay in bubble dissolution comparable to the prolonged risk of DCS predicted by the LE model. We suggest that the persistence of single bubbles in a uniformly perfused homogeneous tissue alone is unlikely to explain persistent DCS risk.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Blood Flow Velocity
  • Decompression Sickness / blood
  • Decompression Sickness / etiology*
  • Decompression Sickness / physiopathology
  • Diffusion
  • Humans
  • Kinetics
  • Models, Biological*
  • Noble Gases / pharmacokinetics*
  • Risk Assessment
  • Time Factors

Substances

  • Noble Gases