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Hypercapnia is a hazard of underwater diving associated with breath-hold diving, scuba diving, particularly on rebreathers, and deep diving where it is associated with increased breathing gas density due to the high ambient pressure. [3] [4] [5]
SIPE usually occurs during heavy exertion in conditions of water immersion, such as swimming and diving. It has been reported in scuba divers, [15] [16] apnea (breath hold) free-diving competitors, [17] [18] combat swimmers, [19] [20] and triathletes. [14] The causes are incompletely understood at the present time. [14] [21] [22]
Diving disorders are medical conditions specifically arising from underwater diving. The signs and symptoms of these may present during a dive, on surfacing, or up to several hours after a dive. The principal conditions are decompression illness (which covers decompression sickness and arterial gas embolism ), nitrogen narcosis , high pressure ...
Human physiology of underwater diving is the physiological influences of the underwater environment on the human diver, and adaptations to operating underwater, both during breath-hold dives and while breathing at ambient pressure from a suitable breathing gas supply.
Narcosis results from breathing gases under elevated pressure, and may be classified by the principal gas involved. The noble gases, except helium and probably neon, [2] as well as nitrogen, oxygen and hydrogen cause a decrement in mental function, but their effect on psychomotor function (processes affecting the coordination of sensory or cognitive processes and motor activity) varies widely.
High-pressure nervous syndrome (HPNS – also known as high-pressure neurological syndrome) is a neurological and physiological diving disorder which can result when a diver descends below about 500 feet (150 m) using a breathing gas containing helium. The effects experienced, and the severity of those effects, depend on the rate of descent ...
The permissive hypercapnia leads to respiratory acidosis which might have negative side effects, but given that the patient is in ARDS, improving ventilatory function is more important. Since hypoxemia is a major life-threatening condition and hypercapnia is not, one might choose to accept the latter. Hence the term, "permissive hypercapnia."
Freediving blackout, breath-hold blackout, [1] or apnea blackout is a class of hypoxic blackout, a loss of consciousness caused by cerebral hypoxia towards the end of a breath-hold (freedive or dynamic apnea) dive, when the swimmer does not necessarily experience an urgent need to breathe and has no other obvious medical condition that might have caused it.