Mixed-gas model for predicting decompression sickness in rats.

A mixed-gas model for rats was developed to further explore the role of different gases in decompression and to provide a global model for possible future evaluation of its usefulness for human prediction. A Hill-equation dose-response model was fitted to over 5,000 rat dives by using the technique of maximum likelihood. These dives used various mixtures of He, N(2), Ar, and O(2) and had times at depth up to 2 h and varied decompression profiles. Results supported past findings, including 1) differences among the gases in decompression risk (He < N(2) < Ar) and exchange rate (He > Ar approximately N(2)), 2) significant decompression risk of O(2), and 3) increased risk of decompression sickness with heavier animals. New findings included asymmetrical gas exchange with gas washout often unexpectedly faster than uptake. Model success was demonstrated by the relatively small errors (and their random scatter) between model predictions and actual incidences. This mixed-gas model for prediction of decompression sickness in rats is the first such model for any animal species that covers such a broad range of gas mixtures and dive profiles.

[1]  M. Kendall,et al.  The advanced theory of statistics , 1945 .

[2]  P K Weathersby,et al.  Doppler bubble detection and decompression sickness: a prospective clinical trial. , 1985, Undersea biomedical research.

[3]  R. Lillo,et al.  Decompression comparison of N2 and O2 in rats. , 1991, Undersea biomedical research.

[4]  P. Tikuisis,et al.  Role of oxygen in a bubble model for predicting decompression illness. , 1994 .

[5]  R Ball,et al.  Predicting risk of decompression sickness in humans from outcomes in sheep. , 1999, Journal of applied physiology.

[6]  R S Lillo,et al.  Decompression outcome following saturation dives with multiple inert gases in rats. , 1985, Journal of applied physiology.

[7]  Maurice G. Kendall The advanced theory of statistics , 1958 .

[8]  M. Burkard,et al.  Simulation of exchanges of multiple gases in bubbles in the body. , 1994, Respiration physiology.

[9]  Homer Ld,et al.  Solubility of inert gases in biological fluids and tissues: a review. , 1980 .

[10]  R. Lillo,et al.  Decompression comparison of helium and hydrogen in rats. , 1997, Journal of applied physiology.

[11]  E T Flynn,et al.  On the likelihood of decompression sickness. , 1984, Journal of applied physiology: respiratory, environmental and exercise physiology.

[12]  D. Marquardt An Algorithm for Least-Squares Estimation of Nonlinear Parameters , 1963 .

[13]  J A Novotny,et al.  Xenon kinetics in muscle are not explained by a model of parallel perfusion-limited compartments. , 1990, Journal of applied physiology.

[14]  Hd Van Liew,et al.  Simulation of the dynamics of decompression sickness bubbles and the generation of new bubbles , 1991 .

[15]  J S Haldane,et al.  The Prevention of Compressed-air Illness , 1908, Journal of Hygiene.

[16]  J Himm,et al.  Does the time course of bubble evolution explain decompression sickness risk? , 1995, Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc.

[17]  B A Hills,et al.  Effect of decompression per se on nitrogen elimination. , 1978, Journal of applied physiology: respiratory, environmental and exercise physiology.

[18]  P K Weathersby,et al.  Probabilistic models of the role of oxygen in human decompression sickness. , 1996, Journal of applied physiology.

[19]  E D Thalmann,et al.  Improved probabilistic decompression model risk predictions using linear-exponential kinetics. , 1997, Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc.

[20]  R. Lillo,et al.  Effect of N2-He-O2 on decompression outcome in rats after variable time-at-depth dives. , 1988, Journal of applied physiology.

[21]  R. Eckenhoff,et al.  Human dose-response relationship for decompression and endogenous bubble formation. , 1990, Journal of applied physiology.

[22]  P K Weathersby,et al.  How countercurrent blood flow and uneven perfusion affect the motion of inert gas. , 1990, Journal of applied physiology.