deep diving | John Clarke Online

Maintaining Your Respiratory Reserve

The following is a reprint from InDepth: Digital Scuba Diving Magazine by Global Underwater Explorers.

Published on September 6, 2019 By InDepth

by John Clarke

“*JJ on his JJ*.” *Photo by Andreas Hagberg.*

Just like skeletal muscles, respiratory muscles have a limited ability to respond to respiratory loads. An excellent example of this is a person’s inability to breathe through an overly long snorkel (Figure 1.) Our respiratory muscles simply aren’t strong enough to overcome the pressure difference between water depth and the surface.

*This doesn’t work. Her respiratory muscles are not strong enough.*
Illustration by Cameron Cottrill.

The primary respiratory muscle is the diaphragm, (the brown organ lying below the lungs in Figure 2.) The diaphragm is designed for low-intensity work maintained 24/7 for the entirety of your life.

Like the heart muscle, its specialty is endurance. When called upon to maximally perform, the diaphragm needs assistance.

That assistance is provided by the accessory respiratory muscles, primarily the intercostal muscles linking the ribs within the rib cage.

*The human diaphragm separating the lungs from the abdominal cavity. Graphic by John Clarke.*

Unless you’re reading this while running on a treadmill, your body is probably idling. Your heart is beating rhythmically, your diaphragm is methodically contracting and relaxing. But, if some dire event were to happen, you would be primed for action. If you needed to react to an emergency, your heart and lungs would race at full speed.

The difference between idling and full-speed capability is called physiological reserve, which in turn is divided into its components; cardiac, muscular, and ventilatory reserve. As drivers, pilots, and boat captains will attest, it’s always good to have fuel reserves. Likewise, physiological reserve is good to have in abundance.

The Dive

The following is an imaginary tale of a young, blond-haired hipster drawn to the Red Sea for a deep dive. He chose to dive on the wall at Ras Mohammed on the Eastern Shore of the Sinai, which descends quickly down to a thousand feet and beyond. That was his target—1,000 feet.

The previous year he bought a rebreather so gas usage should not be a problem for his deep dive. He also sprang for the cost of helium-oxygen diluent. Trimix would have been cheaper, but he spared no expense. Nothing but the best. To that end, he used loose-fill, fine grain Sodalime in his CO2 scrubber canister.

These were his thoughts as he descended.

Free-falling at three hundred feet. Never been this deep before. The water’s getting cold, so the warm gas from the canister feels good.

800 feet. Wow, the gas is thicker now.

When he reached the bottom, he realized something wasn’t right. He sucked harder and harder, feeling his full face mask collapsing around his face with each inhalation. He was “sucking rubber,” feeling like he was running out of gas, but his diluent pressure gage still read 1800 psi.

Unconsciously, he compensated for the respiratory load by slowing his breathing—easing his discomfort. Concerned, he briefly switched to open circuit bailout gas, but that didn’t feel any better. In fact, it was worse, so he switched back to the bag.

Surprisingly, he couldn’t get off the bottom. In fact, he was slipping further downslope. He needed to drop weights, but they were integrated. He fumbled with his vest, trying to remember how to release the weights, but he couldn’t work it out.

He found the pony bottle to inflate his integrated BC, but after a second’s spit of air, it stopped filling. He would have to swim off the bottom. As he struggled to swim upwards in the darkness, and without bubbles to guide him, he wasn’t sure which way was up.

His heart was beating at its maximum rate, trying to force blood through his lungs, but he couldn’t force enough gas in and out of his lungs to clear his bloodstream of its increasingly toxic CO2 load. The build-up of CO2 in the arterial blood was clouding his thinking. The CO₂ was making him want to breathe harder, but he couldn’t. The feeling of breathlessness—and impending doom—was overwhelming.

————

The accident investigation on the equipment was inconclusive. The dive computer had flooded, but that was irrelevant. Surface pre-dive checks were passed. The rebreather seemed to function normally when tested in a swimming pool. The investigators convinced a Navy laboratory to press the rebreather down to 1,000 feet, but nothing abnormal was found other than a slight elevation of controlled PO₂.

The Analysis

An asthma attack can kill by narrowing the airways in the lung, making the person suffering the attack feel like they’re sucking air through a clogged straw.

A healthy diver doesn’t have airways that constrict, but gas density increases with depth, causing the same effect as a narrowed airway. It becomes increasingly difficult to breathe as depth increases. A previous InDepth blog post on gas density discusses this subject.

Normal human airways compared to airways during an asthma attack. Graphic courtesy of Asthma and Allergy Foundation of America.

If the strength of respiratory muscles is finite, just as it is for all muscles, then any load placed on those muscles will eat away a diver’s “respiratory reserve.” From the diaphragm’s perspective, the total loading it encounters is divided between that internal to the diver and that external to the diver. As gas density increases, internal loading increases. A rebreather is external to the body, so flow resistance through a rebreather adds to the total load placed on the respiratory muscles. If the internal resistance load increases a lot, as it does at great depth, there is very little reserve left for external resistance, like that of a rebreather.

In this fictional tale of a hapless diver, he needlessly added respiratory resistance by using fine-grain Sodalime in his scrubber canister. Compared to large grain Sodalime, such as Sofnolime 408, fine-grain absorbent adds scrubber duration, but it also increases breathing resistance. It thus cut into the diver’s ventilatory reserve.

This fictional diver exceeded his physiological reserves by,

not understanding the effect of dense gas on the “work of breathing,”
not understanding the limitation of his respiratory muscles, and
by not realizing the “best” Sodalime for dive duration was not the best for breathing resistance.

He also didn’t realize that a rebreather scrubber might remove all CO2 from the expired gas passing through it, but it is ventilation (breathing) that eliminates the body’s CO₂ from the diver’s bloodstream. Once CO₂ intoxication begins, cognitive and muscular ability quickly decline to the point where self-rescue may be impossible.

Lessons from The U.S. Navy

Considering the seriousness of the topic, it is worthwhile to review the following figures prepared for the U.S. Navy.

First, we define peak-to-peak mouth pressure, a measure of the pressure exerted by a working diver breathing through the external resistance of a rebreather. Total respiratory resistance for a diver comes in two parts: internal and external. In the following figures, those resistances in the upper airways are symbolized by a small opening, and in the external breathing apparatus, by a long, narrow opening representing a UBA attached to the diver’s mouth.

*High external resistance. In this case, the difference between mouth pressure and ambient water pressure is called ΔP1* Credit with modifcation: “*Direct measurement of pressures involved in vocal exercises using semi-occluded vocal tracts”*.

*Low external resistance. The difference between mouth pressure and ambient water pressure is called ΔP2.* Credit with modification: “*Direct measurement of pressures involved in vocal exercises using semi-occluded vocal tracts”*.

*Mouth pressure waveforms ΔP1 and ΔP2 during breathing with high (P1) and low (P2) external resistance.*

This author reviewed over 250 dives by Navy divers at the Naval Medical Research Institute and the Navy Experimental Diving Unit. These were working dives involving strenuous exercise at simulated depths down to 1500 feet seawater, using gas mixtures ranging from air to nitrox and heliox. Gas densities ranged from about 1 gram per liter (g/L) (air at the surface) to over 8 g/L. Each dive was composed of a team of divers, so each plotted data point had more than one man-dive result included. An “eventful” dive was one where a diver stopped work due to loss of consciousness, or respiratory distress (“dyspnea” in medical terminology.) They were marked as red in the following figure. Uneventful dives were marked in black.

Using a statistical technique called maximum likelihood, the data revealed a sloping line marking a boundary between eventful and uneventful dives.

*Peak-to-peak mouth pressure and gas density conspire to increase a diver’s risk of an “event” during a dive.*

The fact that the zero-incidence line sloped downward illustrates the fact that the higher the gas density, the greater the respiratory load imposed on a diver by both internal and external (UBA) resistance. The higher that load, the lower the diver’s tolerance to high respiratory pressures.

By measuring peak-to-peak mouth pressures, we are witnessing the effect of UBA flow resistance at high workloads. It does not reveal the flow resistance internal to the body. However, when gas density increases, internal resistance must also increase.

The interrupted lines in the figure illustrate lines of estimated equal probability of an event. The higher the peak-to- peak pressure for a given gas density, the higher the probability of an eventful dive.

Figure 7 suggests that at a gas density of over 8 grams per liter, practical work would be impossible. The only way to make it possible would be to reduce gas density by substituting helium for nitrogen, or substituting hydrogen for helium, and then doing as little work as possible to keep ΔP low.

For our fictional 1,000 foot diver, the gas density would have been between 6 and 7 grams per L. Using a rebreather, there would be virtually no physiological reserve at the bottom. Moderate work against the high breathing resistance at depth would be very likely to result in an “eventful” dive.

Image Citation for medical graphics: Robieux C, Galant C, Lagier A, Legou T, Giovanni A. Direct measurement of pressures involved in vocal exercises using semi-occluded vocal tracts. Logoped Phoniatr Vocol. 2015 Oct;40(3):106-12. doi: 10.3109/14015439.2014.902496. Epub 2014 May 21. PMID: 24850270.

John Clarke, also known as John R. Clarke, Ph.D., is a Navy diving researcher in physiology and physical science. Clarke was an early graduate of the Navy’s Scientist in the Sea Program. During his forty-year government career, he conducted physiological research on numerous experimental saturation dives. Two dives were to a pressure equivalent to 1500 fsw.

For twenty- eight years he was the Scientific Director of the Navy Experimental Diving Unit.

Clarke has authored a technothriller-science fiction series called the Jason Parker Trilogy. All three volumes, Middle Waters, Triangle, and Atmosphere, feature saturation diving from depths of 100 feet to 2,500 feet. The deepest dives involve hydreliox, a mixture of helium, hydrogen and oxygen. UFOs, aliens, and an uncaring cosmos lay the framework for political and human intrigue both on and off-planet.

Although now retired, Clarke has worked for NEDU as a Scientist Emeritus. He now runs a consulting company, Clarke Life Support Consulting, LLC. He helps various companies, when he isn’t writing about diving, aviation, and space. His websites are www.johnclarkeonline.com and www.jasonparkertrilogy.com. His thriller series is available at Amazon and Barnes & Noble.

Related Blog Posts – Further Reading for Rebreather Divers

How Much is Too Much? (Carbon Dioxide – The Diver’s Nemesis)

Knock Yourself Out (Carbon Dioxide – The Diver’s Nemesis)

How Long Will Your Rebreather Scrubber Canister Last?

Does Your Rebreather Scrubber Operate in Its Goldilocks Zone?

A Look Inside Rebreather Scrubber Canisters, Part 1

Carbon Dioxide – The Diver’s Nemesis Pt. 1 (Meduna’s Mixture)

A Look Inside Rebreather Scrubber Canisters, Part 2

My Respiratory System is So Embarrassed

Of Mussels and Whales

Wal_Cuviera — Cuvier’s Beaked Whale. Image from Wikimedia Commons.

It was a coincidence forty years in the making. I was recently at the Scripps Institute of Oceanography, talking to Scripps professor and physician Paul Ponganis about deep diving whales. He told me about the recent discovery that Cuvier’s Beaked Whale, an elusive whale species, had been found to be the deepest diving of all whales.

How deep I asked? One whale dived to 9,816 feet, about 3000 meters. At that depth, water pressure exerts a force of about 4400 pounds per square inch (psi), equal to the weight of a Mercedes E63 sedan pressing on each square inch of the whale’s ample body surface. That is a seriously high pressure, a fact that I knew well since I had once created that much pressure, and more, in a small volume of seawater in a pressure vessel at the Florida State University.

Early in my science career, I published my work on the effect of deep ocean pressure on intertidal bivalves, a mussel (Modiolus demissus) being among them. I found that if you removed the hearts of such molluscs (or mollusks) and suspended them in seawater, they would continue to beat. Furthermore, those excised hearts would beat when subjected to 5000 psi of hydrostatic pressure. As if that wasn’t surprising enough, the slight genetic differences between Atlantic subspecies and Gulf Coast subspecies of mussels resulted in the isolated hearts responding slightly differently to high pressure.

oyster-anatomy — If you’ve eaten live raw oysters, a cousin to mussels, you’ve eaten beating hearts like the one in this photo. (Click to enlarge. Photo credit: rzottoli, Salt Marshes in Maine, at HTTP:// wordpress.Com )

120-modiolus-demissus-excellent-mb-oct-19-20041 — The mussel Modiolus demissus in their natural habitat at low tide (Photo credit: rzottoli, Salt Marshes in Maine, at HTTP:// wordpress.Com )

That was a remarkable finding I thought since none of those mussels had ever been exposed to high pressure; ever as in for millions of years. (This study occurred long before the discovery of deep sea vents and the almost miraculous growths of deep sea clams.)

Eventually, my research transitioned from invertebrates to humans. Humans, like intertidal mussels and clams, are not normally exposed to high pressure. But like my unwilling invertebrate test subjects, sometimes humans do get exposed to high pressure, willingly. But not so much of it. Deep sea divers do quite well at 1000 feet seawater (fsw), manage fairly well at 1500 fsw, but don’t fare well at all at 2000 fsw. That depth seems to be the human pressure tolerance limit due to the high pressure nervous syndrome, or HPNS. At those pressures, cell membranes seem to change their physical state, becoming less fluid or “oily” and more solid like wax. Cells don’t work normally when the very membranes surrounding them are altered by pressure.

The Beaked Whale is genetically much more similar to man than are mussels. Therefore, man is far more likely to benefit by learning how Cetaceans like whales tolerate huge pressure changes than we are to benefit from the study of deep diving (albeit forced diving) clams and mussels.

As I talked to Dr. Ponganis it was obvious to him, I suspect, that I was excited about learning more about how these animals function so beautifully at extreme depths. But to do that, you have to collect tissue samples for study and analysis in a laboratory. The only problem is, collecting useful tissue samples from living whales without hurting them may be a bridge too far. Humans rarely even see Beaked Whales, and if the Cetaceans wash up on shore, dead, their tissues have already been degraded by post-mortem decomposition, and are no longer useful for scientific study.

RoboTuna,_1994,_view_2_-_MIT_Museum_-_DSC03730 — MIT’s RoboTuna; ca. 1994. Photo from Wikimedia Commons.

Potentially, here is a job for underwater Cetacean-like robots that when released in a likely Beaked Whale environment, can locate them, dive with them, and perhaps even earn their trust. And when the whale beasts least expect it, those robotic Judases could snatch a little biopsy material.

If only it were that easy.

Considering how difficult it would be to acquire living tissue samples, would it be worth the effort? Well, if man is ever to dive deeper than 1500 to 2000 feet without the protection of submarines, we must learn how from either the mussels or the whales. My bet is on the whales. Unlike mussels, the whales dive deep for a living, to catch their preferred prey, squid and deep sea fish.

What are arguably the first studies of the effects of high pressure on intertidal bivalves (mussels and clams) can be found here and here. Moving up the phylogenetic scale, Yoram Grossman and Joan Kendig published high pressure work on lobster neurons in 1990, and rat brain slices in 1991. I made the leap from mussels to humans by conducting a respiratory study on Navy divers at pressures of 46 atmospheres (1500 feet sea water), published in 1982. For a more recent review of high pressure biology applied to animals and man, see the 2010 book entitled Comparative High Pressure Biology. My theoretical musings about the mathematics of high pressure effects on living cells can be found here.

With time, these studies, and more, will add to our understanding of mammalian pressure tolerance. However, it may well take another generation or two of such scientific effort before we understand how the Beaked Whales make their record-breaking dives, and survive.

How Does Your Rebreather Scrubber Handle the Deep?

If you’ve planned a deep dive, to say 100 meters or deeper, you may have wondered just how your rebreather scrubber will handle that depth. Since pressure is equalized across a carbon dioxide (CO₂) absorbent canister within a rebreather, it won’t implode. But what about the chemical absorption reactions occurring within the scrubber?

The rebreather scrubber is a vital part of your underwater life support system, so that question is a pretty important one. And the answer is very hard to find.

I recently traveled to Ireland to act as an external examiner for a Ph.D. student’s Doctoral Dissertation defense in the Department of Mechanical, Biomedical, and Manufacturing Engineering of the Cork Institute of Technology. The very talented graduate student was Shona Cunningham, and her dissertation was titled, “Carbon Dioxide Absorption and Channeling in Closed Circuit Rebreather Scrubbers”. She’s an athlete, musician, and perhaps most importantly for you readers, an avid diver.

Her work is the first computational fluid dynamic representation of scrubber canister thermokinetics. A portion of her dissertation work has already been published. Apparently, it was partially inspired by some of my computer simulation descriptions posted on this blog, which can be found here, here, and here.

Dr. Cunningham’s analytical approach (using Ansys CFX) showed that ambient pressure (depth) could reduce the effectiveness of scrubber canisters. In support of that finding were the words from the Dive Gear Express website regarding the Diverite O2ptima using the ExtendAir scrubber cartridge.

“As pressure increases the total number of molecules, the relative concentration of CO₂ molecules in the loop is reduced, slowing the chemical absorption process. Thus as depth increases, scrubber efficiency will decrease.”

The U.S. Navy has no experience with the Diverite O2ptima, but they have information on other rebreathers using granular absorbent. That experience shows that there is no reliable depth effect across all rebreathers and all absorbents.

U.S. Navy MK 16. US Navy photo by Bernie Campoli.

For example, in one rebreather there was indeed a 17% decrease in endurance using large grain absorbent (Sofnolime 408) at 50°F in descending from 190 fsw to 300 fsw (58 to 92 msw) breathing air. However, there was no decrease in duration when using fine grain absorbent (Sofnolime 812) under the same conditions. (On an actual dive, air would never be used at 300 fsw, but air was used in this study for scientific reasons.)

In another rebreather using Sofnolime 812, for a change in depth from 99 fsw to 300 fsw (30.3 to 92 msw) there was a 29% increase in duration at 75°F, a 10% increase at 55°F, and a 15% decrease at 40°F. Although air diluent was used at 99 fsw, 88/12 heliox diluent was used at 300 fsw.

From another manufacturer, I obtained information on two of their rebreathers. At 4°C, 1.6 L/min CO₂ injection rate (corresponding to a fairly heavy work rate), 40 L/min ventilation rate using air diluent, there was a 27% decrease in one rebreather in going from 15 to 40 msw (50 fsw to 132 fsw), and a 11% decrease in another of their rebreathers in dropping from 40 msw to 100 msw.

In another rebreather tested under the same conditions except for depth, the canister duration dropped 39% between 15 and 40 msw.

So, there is some support for a drop in duration with depth, but in other cases, there is either no effect or an increase in duration with deeper depths. Clearly, if the high number of inert gas molecules coming with a pressure increase makes it more difficult for CO₂ to reach absorption sites, then that would be a simple and unavoidable fact of physics. But that cannot be the whole story. What is likely to be going on, a hypothesis, is being developed for a later posting.

Should the effect of depth on your particular rebreather matter to you? Logically it shouldn’t. Even on a deep dive, the majority of the dive time is spent shallow, decompressing.

However, consider the case where you conduct a deep dive with an anticipated short bottom time, but something bad happens on the bottom. You or your dive team becomes fouled, ensnared in lines. Or there is a partial cave collapse trapping you. The benefit of a rebreather over scuba is that it gives you time to sort out your problem. Gas consumption is not nearly as great a concern as with open-circuit breathing apparatus.

However, as the minutes tick by as you work deep to get yourself or a team member free, you might wonder, “How is my scrubber handling this depth?” In the middle of a crisis is no time to be making assumptions about the status of a major part of your life support system.

Ask your manufacturer how your canister performs at depth. You have a right to know, and that information just might prove useful someday.

In Diving, What is Best is Not Always Good

EX19 — A Closed Circuit Rebreather diver in a Florida spring.

In technical or recreational rebreather diving, safety is a matter of personal choice. Wrong choices can turn deadly.

Some poor choices are made for expediency, while others are made with the best of intentions but based on faulty or incomplete information. As a diving professional, it is those latter choices that concern me the most.

A poignant and well documented diving fatality involved a record setting Australian diver, David Shaw. David was an Air Bus pilot for Cathay Pacific.

Professional pilots are immersed in a culture of safety, a culture that makes airline travel the surest means of long distance transport. David applied that same sort of attention to his diving, recording on his personal web site his detailed plans for a record setting dive to recover the body of a diver who died in the 890 feet (271 meter) deep Boemansgat Cave of South Africa 10-years prior to David’s ill-fated dive.

Despite his extensive preparations, David Shaw made a fatal mistake. Like those who fail to appreciate the threat of an approaching hurricane, David failed to recognize the risk of really deep diving with a rebreather.

Unlike other types of underwater breathing equipment, a rebreather is entirely breath powered. That means you must force gas entirely through the “breathing loop” with the power of your respiratory muscles. On a dive to 890 feet, you are exposed to 28 times normal pressure, and breathing gas more than five times denser than normal. The effort involved is enough to dismay some U.S. Navy divers at depths far less than David Shaw intended to dive. Yet in David’s own words, he had previously never had a problem with the effort of breathing.

“The Mk15.5 (rebreather) breathes beautifully at any depth. WOB (work of breathing) has never been an issue for me. Remember that when at extreme depth I am breathing a very high helium mixture though, which will reduce the gas density problem to a certain extent.”

He goes on to say, “I always use the best quality, fine-grained absorbent on major dives. The extra expense is worth it.”

“I have had 9:40 (9 hrs, 40 min duration) out of the canister and felt it still had more time available, but one needs to qualify that statement with a few other facts. Most of the time on a big dive I am laying quietly on deco (decompression), producing minimal CO₂ (carbon dioxide).

In those words lie a prescription for disaster.

Scrubber canister — A rebreather scrubber canister containing granular absorbent through which a diver has to breathe.

David wanted to use a single rebreather that would accomplish two tasks — provide a long duration gas supply and CO₂ absorbing capability for a dive lasting over nine hours, and provide a low work of breathing so he could ventilate adequately at the deepest depth. To ensure the “scrubber canister” would last as long as possible, he chose the finest grain size, most expensive sodalime available. His thought was, that was the best available.

Arguably, the two aims are incompatible. He could not have both a long duration sodalime fill and low breathing resistance.

BALLPIT schematic — Cartoon of breathing through a scrubber canister.

As illustrated in a previous blog posting, the smaller the size of granules you’re breathing through, the harder it is to breathe. Think of breathing through a child’s ball pit versus breathing through sand.

Perhaps if David had maintained a resting work rate throughout the deepest portion of his fatal dive, he might have had a chance of survival. After all, he had done it before.

But the unexpected happens. He became fouled and was working far harder to maintain control of the situation than he had anticipated. That meant his need to ventilate, to blow off carbon dioxide from his body, increased precipitously.

A sure sign of high breathing effort is that you cannot ventilate as much as is necessary to keep a safe level of carbon dioxide in your blood stream. CO_2, which is highly toxic, can build rapidly in your blood, soon leading to unconsciousness. From the videotaped record, that is exactly what happened.

Purer A, Deason GA, Hammonds BH, Nuckols ML. The effects of pressure and particle size on CO2 absorption characteristics of High-Performance Sodasorb. Naval Coastal Systems Center Tech. Manual 349-82, 1982. (Click for larger image.)

Had David been fully aware of the insidious nature of carbon dioxide intoxication from under breathing (hypoventilating), he probably would have chosen an alternative method to conduct the dive.

One alternative would be to use a larger granule size absorbent in a rebreather at considerable depth (say, 100 meters and deeper), and reserve the fine-grain absorbent for use in a separate rebreather shallower than 100 meters.

David chose the fine-grain absorbent because of the longer dive duration it made possible. Although fine grains are more difficult to breathe through than large grain absorbent, fine grain absorbent lasts longer than large grain absorbent.

But that long duration is only needed during decompression which is accomplished far shallower than the deep portions of the dive. The time spent deep where work of breathing is a threat is quite short. He did not need the capabilities of a long duration, fine grain absorbent.

From the U.S. Navy experience, there are other problems with this dive which might have hastened the end result. A rapid and deep descent causes the oxygen pressure within the rebreather to climb to potentially dangerous levels; a phenomenon called oxygen overshoot. Thus he might have been affected somewhat by oxygen toxicity. A rapid descent might also have induced the High Pressure Nervous Syndrome which would affect manual dexterity.

While those contributing factors are speculative and not evident on the tape, the certainty of the physics of dense gas flow through granular chemical absorbent beds is an unavoidable fact.

No doubt, many have offered opinions on what caused David’s accident. I certainly do not claim to be intimately involved in all the details, nor familiar with all the theories offered to date. Nevertheless, David’s mistaken belief that using the “best absorbent” was the best thing for his dive, is a mistake that needs to be explained and communicated before this accident is repeated with a different diver in some other deep and dark place.

tim051wc14_61083a — Click to go to the source document.

Why Deep Saturation Diving Is Like Going to the Moon, and Beyond

This week, as the Space Shuttle is making its last circuits around our planet, I lament what has happened to our space program. Yet, I am reminded of another exploration program that has, like the shuttle and the moon programs, reached incredible milestones only to retreat to a less exotic but still impressive status. That other program is experimental, deep saturation diving.

I have been privileged to conduct human physiological research on several deep saturation dives, one being a record-breaking U.S. Navy dive at the Navy Experimental Diving Unit (NEDU) in 1977 to a pressure equivalent to that found at 1500 feet sea water (fsw), or 460 msw*, and on a 450 msw (1470 fsw) dive at the GUSI diving facility at the GKSS Institute in Geesthacht, Germany in 1990. For perspective, the safe SCUBA diving depth is considered to be 130 fsw, although technical and cave divers often descend deeper, to 300 fsw or so.

Dives in hyperbaric chambers like at GUSI and NEDU are simulated; the divers don’t actually go anywhere. But the effects of the high pressure on the divers’ bodies are just as they would be in the ocean. Of course, even in simulated dives, divers wear Underwater Breathing Apparatus, and descend into water contained within the hyperbaric complex.

In 1979, NEDU again set the U.S. Navy record for deep diving to 1800 fsw (551 msw). At Duke University in 1981, the U.S. record for pressure exposure was set by three saturation divers inside an eight-foot diameter sphere. The internal pressure was 2250 fsw (686 msw). One of those divers went on to become the senior medical officer at NEDU, none the worse for his high pressure exposure.

The French company Comex, of Marseille used an experimental gas mixture of hydrogen-helium-oxygen to reach 675 msw, before being forced back to 650 msw due to physical and physiological problems with the divers. However, like teams attempting the summit of Mount Everest, one diver from the dive team was pressed to a world record of 701 msw (2290 fsw), just squeaking past the U.S. record.

There is a poorly understood physiological barrier called the High Pressure Nervous Syndrome (HPNS) that limits our penetration to ever deeper depths. In spite of the use of increasingly exotic gas mixtures, helium-oxygen in the U.S. Navy, helium-nitrogen-oxygen at Duke University, and hydrogen-helium-oxygen at Comex, all attempts to dive deeper have, to date, been rebuffed.

Just as I had thought as a young man that trips to the moon would be common-place by now, I had also assumed diving to 3000 feet would be routine. But it is not.

In my early research days I was interested in the effects on organisms of very high pressure, 5000 psi, which is equivalent to a depth of over 11,000 feet (3430 meters). We now know those effects can be profound, altering the very structure of cell membranes. Reversing those effects while maintaining high pressure, at great depth, is a daunting scientific task. We don’t yet know how to do it.

What we do know is that reaching 1500 feet can be done without too much difficulty. In the 1980s it became almost routine to dive to 1000 feet at both the Naval Medical Research Institute (Bethesda) and NEDU. Deep saturation diving is a thriving business in the oil fields of the Gulf of Mexico and the North Sea.

Click for a larger image.

But as for the similarity between deep saturation diving and NASA’s moon missions, in the Apollo program it took slightly over three days to get to the moon, and almost an equal time to return. But as the above dive profile shows, it took sixteen days to reach the maximum depth of 1500 fsw, and seventeen days to safely return. Over that period of time astronauts would have whizzed past the moon and been well on their way to Mars. Unlike spacecraft and astronauts, divers must slow their descent to avoid HPNS, and must slow their return to the surface to avoid debilitating and painful decompression sickness. Diving without submarines or armored suits is very much a demanding, physical stress.

Politically, exceeding our current depth limits of approximately 2000 feet is akin to returning to the moon, and going beyond. We could do it, but at what cost? Should we? Will it ever be a national priority?

Maybe not for the United States, but I have a suspicion that other countries, perhaps not as heavily committed to space as we, will find the allure of beating current diving records irresistible. If there are medical or pharmacological interventions developed for getting divers safely and productively down to 3000 feet, then that would be a scientific achievement comparable to sending men to Mars.

*[The feet to meters conversion is slightly different from the feet of sea water to meters of sea water conversion. The latter represents pressure, not depth, and therefore includes a correction factor for the density of sea water.]