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Contents

   



(Top)
 


1 Principles  



1.1  Tissue inert gas exchange  





1.2  Alveolar inert gas pressure  





1.3  Tissue inert gas limits  





1.4  Versions  







2 Ascent rates  





3 References  





4 Further reading  





5 External links  














Bühlmann decompression algorithm






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The Bühlmann decompression model is a neo-Haldanian model which uses Haldane's or Schreiner's formula for inert gas uptake, a linear expression for tolerated inert gas pressure coupled with a simple parameterised expression for alveolar inert gas pressure and expressions for combining Nitrogen and Helium parameters to model the way inert gases enter and leave the human body as the ambient pressure and inspired gas changes.[1] Different parameter sets are used to create decompression tables and in personal dive computers to compute no-decompression limits and decompression schedules for dives in real-time, allowing divers to plan the depth and duration for dives and the required decompression stops.

The model (Haldane, 1908)[2] assumes perfusion limited gas exchange and multiple parallel tissue compartments and uses an exponential formula for in-gassing and out-gassing, both of which are assumed to occur in the dissolved phase. Buhlmann, however, assumes that safe dissolved inert gas levels are defined by a critical difference instead of a critical ratio.

Multiple sets of parameters were developed by Swiss physician Dr. Albert A. Bühlmann, who did research into decompression theory at the Laboratory of Hyperbaric Physiology at the University Hospital in Zürich, Switzerland.[3][4] The results of Bühlmann's research that began in 1959 were published in a 1983 German book whose English translation was entitled Decompression-Decompression Sickness.[1] The book was regarded as the most complete public reference on decompression calculations and was used soon after in dive computer algorithms.

Principles[edit]

Building on the previous work of John Scott Haldane[2] (The Haldane model, Royal Navy, 1908) and Robert Workman[5] (M-Values, US-Navy, 1965) and working off funding from Shell Oil Company,[6] Bühlmann designed studies to establish the longest half-times of nitrogen and helium in human tissues.[1] These studies were confirmed by the Capshell experiments in the Mediterranean Sea in 1966.[6][7]

Tissue inert gas exchange[edit]

Inert gas exchange in haldanian models is assumed to be perfusion limited and is governed by the ordinary differential equation

This equation can be solved for constant to give the so-called Haldane equation

which is frequently expressed in decompression theory literature using the equivalent formulations:

and

Alveolar inert gas pressure[edit]

The Bühlmann model uses a simplified version of the alveolar gas equation to calculate alveolar inert gas pressure

Where is the water vapour pressure at 37 degrees centigrade (conventionally defined as 0.0627 bar), the carbon dioxide pressure (conventionally defined as 0.0534 bar), the inspired inert gas fraction, and the respiratory coefficient: the ratio of carbon dioxide production to oxygen consumption. The Buhlmann model sets to 1, simplifying the equation to

Tissue inert gas limits[edit]

Similarly to Workman, the Bühlmann model specifies an affine relationship between ambient pressure and inert gas saturation limits. However, the Buhlmann model expresses this relationship in terms of absolute pressure

Where is the inert gas saturation limit for a given tissue and and constants for that tissue and inert gas.

The constants and , were originally derived from the saturation half-time using the following expressions:

The values calculated do not precisely correspond to those used by Bühlmann for tissue compartments 4 (0.7825 instead of 0.7725) and 5 (0.8126 instead of 0.8125).[8]

Versions B and C have manually modified[8] the coefficient .

In addition to this formulation, the Bühlmann model also specifies how the constants for multiple inert gas saturation combine when both Nitrogen and Helium are present in a given tissue.

where and are the tissue's Nitrogen and Helium coefficients and the ratio of dissolved Helium to total dissolved inert gas.

Versions[edit]

Several versions of the Bühlmann set of parameters have been developed, both by Bühlmann and by later workers. The naming convention used to identify the set of parameters is a code starting ZH-L, from Zürich (ZH), Linear (L) followed by the number of different (a,b) couples (ZH-L 12 and ZH-L 16)[9]) or the number of tissue compartments (ZH-L 6, ZH-L 8), and other unique identifiers.

ZH-L16C Parameters (bar minute units)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
5.0 8.0 12.5 18.5 27.0 38.3 54.3 77.0 109.0 146.0 187.0 239.0 305.0 390.0 498.0 635.0
1.1696 1.0 0.8618 0.7562 0.62 0.5043 0.441 0.4 0.375 0.35 0.3295 0.3065 0.2835 0.261 0.248 0.2327
0.5578 0.6514 0.7222 0.7825 0.8126 0.8434 0.8693 0.8910 0.9092 0.9222 0.9319 0.9403 0.9477 0.9544 0.9602 0.9653
1.88 3.02 4.72 6.99 10.21 14.48 20.53 29.11 41.20 55.19 70.69 90.34 115.29 147.42 188.24 240.03
1.6189 1.383 1.1919 1.0458 0.922 0.8205 0.7305 0.6502 0.595 0.5545 0.5333 0.5189 0.5181 0.5176 0.5172 0.5119
0.4770 0.5747 0.6527 0.7223 0.7582 0.7957 0.8279 0.8553 0.8757 0.8903 0.8997 0.9073 0.9122 0.9171 0.9217 0.9267

ZH-L 12 (1983)

ZH-L 16 (1986)[10]

ZH-L 6 (1988)

ZH-L 8 ADT (1992)

Ascent rates[edit]

Ascent rate is intrinsically a variable, and may be selected by the programmer or user for table generation or simulations, and measured as real-time input in dive computer applications.

The rate of ascent to the first stop is limited to 3 bar per minute for compartments 1 to 5, 2 bar per minute for compartments 6 and 7, and 1 bar per minute for compartments 8 to 16. Chamber decompression may be continuous, or if stops are preferred they may be done at intervals of 1 or 3 m.[16]

References[edit]

  1. ^ a b c Bühlmann, Albert A. (1984). Decompression-Decompression Sickness. Berlin New York: Springer-Verlag. ISBN 0-387-13308-9.
  • ^ a b Boycott, A.E.; Damant, G.C.C.; Haldane, John Scott (1908). "Prevention of compressed air illness". Journal of Hygiene. 8 (3). Cambridge University Press: 342–443. doi:10.1017/S0022172400003399. PMC 2167126. PMID 20474365. Archived from the original on 2011-03-24. Retrieved 2009-06-12.{{cite journal}}: CS1 maint: unfit URL (link)
  • ^ Bühlmann, Albert A. (1982). "[Experimental principles of risk-free decompression following hyperbaric exposure. 20 years of applied decompression research in Zurich]". Schweizerische Medizinische Wochenschrift (in German). 112 (2): 48–59. PMID 7071573.
  • ^ Wendling, J; Nussberger, P; Schenk, B (1999). "Milestones of the deep diving research laboratory Zurich". South Pacific Underwater Medicine Society Journal. 29 (2). ISSN 0813-1988. OCLC 16986801. Archived from the original on 2012-02-03. Retrieved 2009-04-02.{{cite journal}}: CS1 maint: unfit URL (link)
  • ^ Workman, Robert D. (1965). "Calculation of decompression schedules for nitrogen-oxygen and helium-oxygen dives". Navy Experimental Diving Unit Panama City Fl. Research rept. Retrieved 2023-07-29.
  • ^ a b Völlm, T.G. (1994). "Leading diving researcher dies unexpectedly: Albert A Bühlmann, 1923 - 1994". Pressure, Newsletter of the Undersea and Hyperbaric Medical Society. 23 (3): 1–3. ISSN 0889-0242.
  • ^ Bühlmann, Albert A.; Frei, P.; Keller, Hannes (October 1967). "Saturation and desaturation with N2 and He at 4 atm". Journal of Applied Physiology. 23 (4): 458–62. doi:10.1152/jappl.1967.23.4.458. PMID 6053671.
  • ^ a b Bühlmann, A.A.; Völlm, E.B.; Nussberger, P. (2002). Tauchmedizin (in German). Springer-Verlag, p. 158. doi:10.1007/978-3-642-55939-6. ISBN 978-3-642-55939-6.
  • ^ a b Bühlmann, A.A. (1984). Decompression - Decompression Sickness. Springer -Verlag. p. 26. doi:10.1007/978-3-662-02409-6. ISBN 978-3-662-02409-6.
  • ^ Mueller, Beat. "Bühlmann Memorial Symposium 29.03.2019" (PDF). Retrieved 29 July 2023.
  • ^ Technical diving software for Galilio: User manual (PDF). Scubapro. Retrieved 18 September 2019.
  • ^ a b Völlm, Ernst. "Bühlmann algorithm for dive computers" (PDF). Retrieved 29 July 2023.
  • ^ Staff. "Smart microbubble management" (PDF). In Depth. Uwatec. Archived from the original (PDF) on 21 September 2005. Retrieved 12 March 2016.
  • ^ Staff. "Diving with PDIS (Profile-Dependent Intermediate Stop)" (PDF). Dykkercentret website. Frederiksberg: Dykkercentret ApS. Archived from the original (PDF) on 17 October 2016. Retrieved 5 March 2016.
  • ^ Scubapro. "Predictive Multi Gas for Galileo Luna" (PDF). Retrieved 29 July 2023.
  • ^ Bühlmann, A.A. (1984). Decompression - Decompression Sickness. Springer -Verlag. doi:10.1007/978-3-662-02409-6. ISBN 978-3-662-02409-6.
  • Further reading[edit]

  • Bühlmann, Albert A (1992). Tauchmedizin: Barotrauma Gasembolie Dekompression Dekompressionskrankheit (in German). Berlin: Springer-Verlag. ISBN 3-540-55581-1.
  • Bühlmann, Albert A (1995). Tauchmedizin (in German). Berlin: Springer-Verlag. ISBN 3-540-55581-1.
  • External links[edit]

    Many articles on the Bühlmann tables are available on the web.


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