journal article Open Access Feb 02, 2017

Allometric scaling of decompression sickness risk in terrestrial mammals; cardiac output explains risk of decompression sickness

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Abstract
AbstractA probabilistic model was used to predict decompression sickness (DCS) outcome in pig (70 and 20 kg), hamster (100 g), rat (220 g) and mouse (20 g) following air saturation dives. The data set included 179 pig, 200 hamster, 360 rat, and 224 mouse exposures to saturation pressures ranging from 1.9–15.2 ATA and with varying decompression rates (0.9–156 ATA • min−1). Single exponential kinetics described the tissue partial pressures (Ptiss) of N2: Ptiss = ∫(Pamb – Ptiss) • τ−1 dt, where Pamb is ambient N2 pressure and τ is a time constant. The probability of DCS [P(DCS)] was predicted from the risk function: P(DCS) = 1−e−r, where r = ∫(PtissN2 − Thr − Pamb) • Pamb–1 dt, and Thr is a threshold parameter. An equation that scaled τ with body mass included a constant (c) and an allometric scaling parameter (n), and the best model included n, Thr, and two c. The final model provided accurate predictions for 58 out of 61 dive profiles for pig, hamster, rat, and mouse. Thus, body mass helped improve the prediction of DCS risk in four mammalian species over a body mass range covering 3 orders of magnitude.
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References
46
[1]
Kayar, S. R., Aukhert, E. O., Axley, M. J., Homer, L. D. & Harabin, A. L. Lower decompression sickness risk in rats by intravenous injection of foreign protein. Undersea. Hyperbar. Med. 24, 329–335 (1997).
[2]
Mollerlokken, A., Berge, V. J., Jorgensen, A., Wisloff, U. & Brubakk, A. O. Effect of a short-acting NO donor on bubble formation from a saturation dive in pigs. J. Appl. Physiol. 101, 1541–1545, doi: 10.1152/japplphysiol.01191.2005 (2006). 10.1152/japplphysiol.01191.2005
[3]
Yang, M. et al. Microparticle Enlargement and Altered Surface Proteins after Air Decompression Are Associated with Inflammatory Vascular Injuries. J. Appl. Physiol., doi: 10.1152/japplphysiol.00953.2011 (2011). 10.1152/japplphysiol.00953.2011
[4]
Weathersby, P. K., Survanshi, S. S., Homer, L. D., Parker, E. & Thalmann, E. D. Predicting the time of occurrence of decompression sickness. J. Appl. Physiol. 72, 1541–1548 (1992). 10.1152/jappl.1992.72.4.1541
[5]
Berghage, T. E., Woolley, J. M. & Keating, L. J. The probabilistic nature of decompression sickness. Undersea. Biomed. Res. 1, 189–196 (1974).
[6]
Fahlman, A., Tikuisis, P., Himm, J. F., Weathersby, P. K. & Kayar, S. R. On the likelihood of decompression sickness during H2 biochemical decompression in pigs. J. Appl. Physiol. 91, 2720–2729 (2001). 10.1152/jappl.2001.91.6.2720
[7]
Flynn, E. T. J. & Lambertsen, C. J. in Underwater Physiology (ed C. J. Lambertsen ) 179–191 (Academic Press, 1971). 10.1016/b978-0-12-434750-2.50028-9
[8]
Weathersby, P. K. & Homer, L. Solubility of inert gases in biological fluids and tissues: a review. Undersea. Biomed. Res. 7, 277–296 (1980).
[9]
Farhi, L. E. Elimination of inert gas by the lung. Respiration physiology 3, 1–11 (1967). 10.1016/0034-5687(67)90018-7
[10]
Berghage, T. E., David, T. D. & Dyson, C. V. Species differences in decompression. Undersea. Biomed. Res. 6, 1–13 (1979).
[11]
Broome, J. R., Dutka, A. J. & McNamee, G. A. Exercise conditioning reduces the risk of neurologic decompression illness in swine. Undersea. Hyperbar. Med. 22, 73–85 (1995).
[12]
Broome, J. R., Pearson, R. R. & Dutka, A. J. Failure to prevent decompression illness in rats by pretreatment with a soluble complement receptor. Undersea. Hyperbar. Med. 21, 287–295 (1994).
[13]
Robertson, A. G. Decompression sickness risk in women. Undersea. Hyperbar. Med. 19, 216–217 (1992).
[14]
Vann, R. D. In Diving Medicine (eds A. A. Bove & J. C. Davis ) 29–49 (Saunders, 1990).
[15]
Lillo, R. S. et al. Using animal data to improve prediction of human decompression risk following air-saturation dives. J Appl Physiol 93, 216–226, doi: 10.1152/japplphysiol.00670.2001 (2002). 10.1152/japplphysiol.00670.2001
[16]
Lillo, R. S., Parker, E. C. & Porter, W. R. Decompression comparison of helium and hydrogen in rats. J. Appl. Physiol. 82, 892–901 (1997). 10.1152/jappl.1997.82.3.892
[17]
Schmidt-Nielsen, K. Animal Physiology: Adaptation and Environment. 607 (Cambridge University Press, 1997). 10.1017/9780511801822
[18]
Ward, C. A., McCullough, D. & Fraser, W. D. Relation between complement activation and susceptibility to decompression sickness. J. Appl. Physiol. 62, 1160–1166 (1987). 10.1152/jappl.1987.62.3.1160
[19]
Wisloff, U., Richardson, R. S. & Brubakk, A. O. NOS inhibition increases bubble formation and reduces survival in sedentary but not exercised rats. J. Physiol. 546, 577–582 (2003). 10.1113/jphysiol.2002.030338
[20]
Wisloff, U., Richardson, R. S. & Brubakk, A. O. Exercise and nitric oxide prevent bubble formation: a novel approach to the prevention of decompression sickness? J. Physiol. 555, 825–829, doi: 10.1113/jphysiol.2003.055467 (2004). 10.1113/jphysiol.2003.055467
[21]
Lillo, R. S. Effect of N2-He-O2 on decompression outcome in rats after variable time-at-depth dives. J. Appl. Physiol. 64, 2042–2052 (1988). 10.1152/jappl.1988.64.5.2042
[22]
Fahlman, A. et al. Dive, food and exercise effects on blood microparticles in Steller sea lions (Eumetopias jubatus): exploring a biomarker for decompression sickness. Am. J. Physiol. - Reg. Int. Comp. Physiol. 310, R596–R601, doi: 10.1152/ajpregu.00512.2015 (2016). 10.1152/ajpregu.00512.2015
[23]
Montcalm-Smith, E. A. et al. Acclimation to decompression sickness in rats. J. Appl. Physiol. 108, 596–603, doi: 10.1152/japplphysiol.00596.2009 (2010). 10.1152/japplphysiol.00596.2009
[24]
Ward, C. A., McCullough, D., Yee, D., Stanga, D. & Fraser, W. D. Complement activation involvement in decompression sickness of rabbits. Undersea. Biomed. Res. 17, 51–66 (1990).
[25]
Doolette, D. J. Health outcome following multi-day occupational air diving. Undersea. Hyperbar. Med. 30, 127–134 (2003).
[26]
Eckenhoff, R. G. & Hughes, J. S. In Proceedings of the Eighth Symposium on Underwater Physiology. (eds A. J. Bachrach & M. M. Matzen ) 93–100 (Undersea Medical Society).
[27]
McWhorter, J. E. The etiological factors of compressed-air illness. Am. J. Med. Sci. 139, 373–383 (1910). 10.1097/00000441-191003000-00008
[28]
Probabilistic models of the role of oxygen in human decompression sickness

E. C. Parker, S. S. Survanshi, P. B. Massell et al.

Journal of Applied Physiology 1998 10.1152/jappl.1998.84.3.1096
[29]
Thalmann, E. D., Parker, E. C., Survanshi, S. S. & Weathersby, P. K. Improved probabilistic decompression model risk predictions using linear-exponential kinetics. Undersea. Hyperbar. Med. 24, 255–274 (1997).
[30]
Weathersby, P. K., Homer, L. D. & Flynn, E. T. On the likelihood of decompression sickness. J. Appl. Physiol. 57, 815–825 (1984). 10.1152/jappl.1984.57.3.815
[31]
Fahlman, A. & Kayar, S. R. Probabilistic modelling for estimating gas kinetics and decompression sickness risk in pigs during H2 biochemical decompression. Bull. Math. Biol. 65, 747–766, doi: 10.1016/s0092-8240(03)00038-7 (2003). 10.1016/s0092-8240(03)00038-7
[32]
Kleiber, M. The Fire of Life: An Introduction to Animal Energetics. (Wiley, 1961).
[33]
Bishop, C. R. Heart mass and the maximum cardiac output of birds and mammals: implications for estimating the maximum aerobic power input of flying animals. Phil. Trans. Roy. Soc. Lon. 352, 447–456 (1997). 10.1098/rstb.1997.0032
[34]
West, G. B., Woodruff, W. H. & Brown, J. H. Allometric scaling of metabolic rate from molecules and mitochondria to cells and mammals. Proc. Nat. Acad. Sci. 99 Suppl 1, 2473–2478, doi: 10.1073/pnas.012579799 (2002). 10.1073/pnas.012579799
[35]
White, C. R. & Seymour, R. S. Allometric scaling of mammalian metabolism. J. Exp. Biol. 208, 1611–1619 (2005). 10.1242/jeb.01501
[36]
Wisloff, U. & Brubakk, A. O. Aerobic endurance training reduces bubble formation and increases survival in rats exposed to hyperbaric pressure. J. Physiol. 537, 607–611 (2001). 10.1111/j.1469-7793.2001.00607.x
[37]
Dromsky, D. M. et al. Natural history of severe decompression sickness after rapid ascent from air saturation in a porcine model. J. Appl. Physiol. 89, 791–798 (2000). 10.1152/jappl.2000.89.2.791
[38]
Flagg, S. Y., Cronin, W. A., Regis, D. P. & Mahon, R. T. Improving predictions for DISSUB rescue using 70 kg swine dropout decompression from 50-30 fsw. In Undersea and Hyperbaric Medicine 39 (2012).
[39]
Petersen, K., Soutiere, S. E., Tucker, K. E., Dainer, H. M. & Mahon, R. T. Oxygen Breathing Accelerates Decompression from Saturation at 40 msw in 70-kg Swine. Av. Space Envir. Med. 81, 639–645 (2010). 10.3357/asem.2681.2010
[40]
Buckles, R. G. & Hardenbergh, E. The role of inert gas exchange and population statistics in the studies of decompression sickness., (Bureau of Medicine, Washington D.C., 1973). 10.1021/ba-1973-0118.ch002
[41]
Lillo, R. S., Flynn, E. T. & Homer, L. D. Decompression outcome following saturation dives with multiple inert gases in rats. J. Appl. Physiol. 59, 1503–1514 (1985). 10.1152/jappl.1985.59.5.1503
[42]
Lillo, R. S. & MacCallum, M. E. Decompression comparison of N2 and O2 in rats. Undersea. Biomed. Res. 18, 317–331 (1991).
[43]
Berghage, T. E., Conda, K. J. & Armstrong, F. W. The synergistic effect of pressure and oxygen and its relationship to decompression sickness in mice. (U.S. Naval Medical Research Center, Bethesda, 1973).
[44]
Weathersby, P. K., Hart, B. L., Flynn, E. T. & Walker, W. F. Role of oxygen in the production of human decompression sickness. J. Appl. Physiol. 63, 2380–2387 (1987). 10.1152/jappl.1987.63.6.2380
[45]
Darveau, C.-A., Suarez, R. K., Andrews, R. D. & Hochachka, P. W. Allometric cascade as a unifying principle of body mass effects on metabolism. Nature 417, 166–170 (2002). 10.1038/417166a
[46]
Dromsky, D. M. et al. Natural history of severe decompression sickness after rapid ascent from air saturation in a porcine model. J. Appl. Physiol. 89, 791–798 (2000). 10.1152/jappl.2000.89.2.791
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Feb 02, 2017
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Andreas Fahlman (2017). Allometric scaling of decompression sickness risk in terrestrial mammals; cardiac output explains risk of decompression sickness. Scientific Reports, 7(1). https://doi.org/10.1038/srep40918