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International Journal of Biometeorology

, Volume 14, Issue 4, pp 323–342 | Cite as

Vital issues in computing decompression schedules from fundamentals

II. Diffusion Versus Blood Perfusion in Controlling Blood: Tissue Exchange
  • B. A. Hills
Article

Abstract

The review has been continued of the vital issues which must be answered in deriving equations for predicting the imminence of decompression sickness from fundamental physical and physiological reasoning. In this part (II), the evidence is considered for deciding whether diffusion or blood perfusion limits the rate of uptake of inert gases by the tissue type(s) responsible for marginal symptoms. This is also discussed with regard to tissues of known anatomic identity relevant to estimations of the uptake of anaesthetic agents and the measurement of local circulation rates. While this data would indicate that neither process can be ignored, the best correlation of decompression data which can be isolated from the effects of the other vital issues would appear to be offered by bulk diffusion models. The conventional method for computing decompression schedules can then be considered as a calculation technique by which hypothetical tissues of longer "half-time" must be invoked empirically in order to simulate deeper penetration of extravascular tissue by gas.

Keywords

Decompression Sickness Blood Perfusion Deep Penetration Bulk Diffusion Circulation Rate 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Zusammenfassung

Dies ist die Fortsetzung der Übersicht über die Beantwortung der Grundfragen zur Vorhersage drohender Dekompressionskrankheit anhand physikalischer und physiologischer Überlegungen. In diesem Teil wird der Beweis für die Entscheidung berücksichtigt, ob Diffusion oder Blutperfusion die Aufnahmerate inerter Gase durch Gewebe, die für Grenzsymptome verantwortlich sind, limitiert. Dies wird auch unter Bezug auf anatomisch gleiche Gewebe besprochen, was wichtig ist bei der Schätzung der Aufnahme von Anästhetika und der Messung lokaler Zirkulationsraten. Während die Unterlagen andeuten, dass weder der eine noch der andere Vorgang vernachlässigt werden kann, scheinen sich die besten Korrelationen der Dekompressionswerte, die sich aus den Wirkungen anderer vitaler Vorgänge ergeben, über Mengen-Diffusionsmodelle anzubieten. Die konventionale Methode zur Berechnung der Dekompressionszeiten lässt sich dann als Berechnungstechnik betrachten, bei der hypothetische Gewebe mit langer "Halbzeit" empirisch herangezogen werden müssen, um tiefere Gaspenetration extravaskulärer Gewebe zu simulieren.

Resume

Il s'agi ici de la suite de la compilation en vue de répondre au problème de la prévision des maux de décompression en partant de raisonnements physiques et physiologiques. Dans cette deuxième partie, on considère les preuves apportées à l'appui de 2 hypothèses de la limitation de l'absorption des gaz inertes par les tissus, absorption responsable des syptômes marginaux: la diffusion ou la perfusion sanguine. On discute également les preuves apportées en regard d'autre tissus anatomiquement semblables, ce qui est important lors de l'estimation de l'absorption des narcotiques et de la mesure du taux local de circulation. Bien que les chiffres analysés laissent à penser que ni l'un ni l'autre de ces processus ne puisse être négligé, il semble que les meilleures corrélations aux valeurs de décompression sont offertes par les modèles de diffusion quantitative, valeurs qui proviennent d'autres processus vitaux. La méthode conventionnelle pour le calcul des temps de décompression peut alors être considérée comme une technique dans laquelle des tissus hypothétiques ayant un long demi-temps doivent être considérés empiriquement pour simuler une pénétration plus profonde des gaz dans des tissus extra-vasculaires.

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Copyright information

© Swets & Zeitlinger N.V. 1970

Authors and Affiliations

  • B. A. Hills
    • 1
  1. 1.Department of SurgeryDuke University Medical CenterDurhamUSA

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