Decompression (diving) in the context of Decompression stops

Surface-supplied diving is a mode of underwater diving using equipment supplied with breathing gas through a diver's umbilical from the surface, either from the shore or from a diving support vessel, sometimes indirectly via a diving bell. This is different from scuba diving, where the diver's breathing equipment is completely self-contained and there is no essential link to the surface. The primary advantages of conventional surface-oriented surface-supplied diving are lower risk of drowning and considerably larger breathing gas supply than scuba, allowing longer working periods and safer decompression. It is also nearly impossible for the diver to get lost. Disadvantages are the absolute limitation on diver mobility imposed by the length of the umbilical, encumbrance by the umbilical, and high logistical and equipment costs compared with scuba. The disadvantages restrict use of this mode of diving to applications where the diver operates within a small area, which is common in commercial diving work.

The copper helmeted free-flow standard diving dress is the version which made commercial diving a viable occupation, and although still used in some regions, this heavy equipment has been superseded by lighter free-flow helmets, and to a large extent, lightweight demand helmets, band masks and full-face diving masks. Breathing gases used include air, heliox, nitrox and trimix.

Decompression sickness (DCS; also called divers' disease, the bends, aerobullosis, and caisson disease) is a medical condition caused by dissolved gases emerging from solution as bubbles inside the body tissues during decompression. DCS most commonly occurs during or soon after a decompression ascent from underwater diving, but can also result from other causes of depressurization, such as emerging from a caisson, decompression from saturation, flying in an unpressurised aircraft at high altitude, and extravehicular activity from spacecraft. DCS and arterial gas embolism are collectively referred to as decompression illness.

Since bubbles can form in or migrate to any part of the body, DCS can produce many symptoms, and its effects may vary from joint pain and rashes to paralysis and death. DCS often causes air bubbles to settle in major joints like knees or elbows, causing individuals to bend over in excruciating pain, hence its common name, the bends. Individual susceptibility can vary from day to day, and different individuals under the same conditions may be affected differently or not at all. The classification of types of DCS according to symptoms has evolved since its original description in the 19th century. The severity of symptoms varies from barely noticeable to rapidly fatal.

A diving cylinder or diving gas cylinder is a gas cylinder used to store and transport high-pressure gas used in diving operations. This may be breathing gas used with a scuba set, in which case the cylinder may also be referred to as a scuba cylinder, scuba tank or diving tank. When used for an emergency gas supply for surface-supplied diving or scuba, it may be referred to as a bailout cylinder or bailout bottle. It may also be used for surface-supplied diving or as decompression gas. A diving cylinder may also be used to supply inflation gas for a dry suit, buoyancy compensator, decompression buoy, or lifting bag. Cylinders provide breathing gas to the diver by free-flow or through the demand valve of a diving regulator, or via the breathing loop of a diving rebreather.

Diving cylinders are usually manufactured from aluminum or steel alloys, and when used on a scuba set are normally fitted with one of two common types of scuba cylinder valve for filling and connection to the regulator. Other accessories such as manifolds, cylinder bands, protective nets and boots and carrying handles may be provided. Various configurations of harness may be used by the diver to carry a cylinder or cylinders while diving, depending on the application. Cylinders used for scuba typically have an internal volume (known as water capacity) of between 3 and 18 litres (0.11 and 0.64 cu ft) and a maximum working pressure rating from 184 to 300 bars (2,670 to 4,350 psi). Cylinders are also available in smaller sizes, such as 0.5, 1.5 and 2 litres; however these are usually used for purposes such as inflation of surface marker buoys, dry suits, and buoyancy compensators rather than breathing. Scuba divers may dive with a single cylinder, a pair of similar cylinders, or a main cylinder and a smaller "pony" cylinder, carried on the diver's back or clipped onto the harness at the side. Paired cylinders may be manifolded together or independent. In technical diving, more than two scuba cylinders may be needed to carry different gases. Larger cylinders, typically up to 50 litre capacity, are used as on-board emergency gas supply on diving bells. Large cylinders are also used for surface supply through a diver's umbilical, and may be manifolded together on a frame for transportation.

Cave-diving is underwater diving in water-filled caves. It may be done as an extreme sport, a way of exploring flooded caves for scientific investigation, or for the search for and recovery of divers or, as in the 2018 Thai cave rescue, other cave users. The equipment used varies depending on the circumstances, and ranges from breath hold to surface supplied, but almost all cave-diving is done using scuba equipment, often in specialised configurations with redundancies such as sidemount or backmounted twinset. Recreational cave-diving is generally considered to be a type of technical diving due to the lack of a free surface during large parts of the dive, and often involves planned decompression stops. A distinction is made by recreational diver training agencies between cave-diving and cavern-diving, where cavern diving is deemed to be diving in those parts of a cave where the exit to open water can be seen by natural light. An arbitrary distance limit to the open water surface may also be specified.

Equipment, procedures, and the requisite skills have been developed to reduce the risk of becoming lost in a flooded cave, and consequently drowning when the breathing gas supply runs out. The equipment aspect largely involves the provision of an adequate breathing gas supply to cover reasonably foreseeable contingencies, redundant dive lights and other safety critical equipment, and the use of a continuous guideline leading the divers back out of the overhead environment. The skills and procedures include effective management of the equipment, and procedures to recover from foreseeable contingencies and emergencies, both by individual divers, and by the teams that dive together.

An atmospheric diving suit (ADS), atmospheric pressure diving suit or single atmosphere diving suit is a small one-person articulated submersible which resembles a suit of armour, with pressure-tight joints to allow articulation while maintaining a constant internal volume and an internal pressure of one atmosphere. An ADS can enable diving at depths of up to 2,300 feet (700 m) for many hours by eliminating the majority of significant physiological dangers associated with deep diving. The occupant of an ADS does not need to decompress, and there is no need for special breathing gas mixtures, so there is no danger of decompression sickness or nitrogen narcosis when the ADS is functioning properly. An ADS can permit less-skilled swimmers to complete deep dives, albeit at the expense of dexterity.

Atmospheric diving suits in current use include the Newtsuit, Exosuit, Hardsuit and the WASP, all of which are self-contained hard suits that incorporate propulsion units. The Hardsuit is constructed from cast aluminum (forged aluminum in a version constructed for the US Navy for submarine rescue); the upper torso hull is made from cast aluminum, while the bottom dome is machined aluminum. The WASP is of glass-reinforced plastic (GRP) body tube construction.

Nitrox refers to any gas mixture composed (excepting trace gases) of nitrogen and oxygen. It is usually used for mixtures that contain less than 78% nitrogen by volume. In the usual application, underwater diving, nitrox is normally distinguished from air and handled differently. The most common use of nitrox mixtures containing oxygen in higher proportions than atmospheric air is in scuba diving, where the reduced partial pressure of nitrogen is advantageous in reducing nitrogen uptake in the body's tissues, thereby extending the practicable underwater dive time by reducing the decompression requirement, or reducing the risk of decompression sickness (also known as the bends). The two most common recreational diving nitrox mixes are 32% and 36% oxygen, which have maximum operating depths of about 110 feet (34 meters) and 95 feet (29 meters) respectively.

Nitrox is used to a lesser extent in surface-supplied diving, as these advantages are reduced by the more complex logistical requirements for nitrox compared to the use of simple low-pressure compressors for breathing gas supply. Nitrox can also be used in hyperbaric treatment of decompression illness, usually at pressures where pure oxygen would be hazardous. Nitrox is not a safer gas than compressed air in all respects; although its use can reduce the risk of decompression sickness, it increases the risks of oxygen toxicity and fire.

Decompression Illness (DCI) comprises two different conditions caused by rapid decompression of the body. These conditions present similar symptoms and require the same initial first aid. Scuba divers are trained to ascend slowly from depth to avoid DCI. Although the incidence is relatively rare, the consequences can be serious and potentially fatal, especially if untreated.

Saturation diving is an ambient pressure diving technique which allows a diver to remain at working depth for extended periods during which the body tissues become saturated with metabolically inert gas from the breathing gas mixture. Once saturated, the time required for decompression to surface pressure will not increase with longer exposure. The diver undergoes a single decompression to surface pressure at the end of the exposure of several days to weeks duration. The ratio of productive working time at depth to unproductive decompression time is thereby increased, and the health risk to the diver incurred by decompression is minimised. Unlike other ambient pressure diving, the saturation diver is only exposed to external ambient pressure while at diving depth.

The extreme exposures common in saturation diving make the physiological effects of ambient pressure diving more pronounced, and they tend to have more significant effects on the divers' safety, health, and general well-being. Several short and long term physiological effects of ambient pressure diving must be managed, including decompression stress, high pressure nervous syndrome (HPNS), compression arthralgia, dysbaric osteonecrosis, oxygen toxicity, inert gas narcosis, high work of breathing, and disruption of thermal balance.

An air embolism, also known as a gas embolism, is a blood vessel blockage caused by one or more bubbles of air or other gas in the circulatory system. Air can be introduced into the circulation during surgical procedures, lung over-expansion injury, decompression, and a few other causes. In flora, air embolisms may also occur in the xylem of vascular plants, especially when suffering from water stress.

Divers can develop arterial gas embolisms as a consequence of lung over-expansion injuries. Breathing gas introduced into the venous system of the lungs due to pulmonary barotrauma will not be trapped in the alveolar capillaries, and will consequently be circulated to the rest of the body through the systemic arteries, with a high risk of embolism. Inert gas bubbles arising from decompression are generally formed in the venous side of the systemic circulation, where inert gas concentrations are highest. These bubbles are generally trapped in the capillaries of the lungs where they will usually be eliminated without causing symptoms. If they are shunted to the systemic circulation through a patent foramen ovale they can travel to and lodge in the brain where they can cause stroke, the coronary capillaries where they can cause myocardial ischaemia or other tissues, where the consequences are usually less critical. The first aid treatment is to administer oxygen at the highest practicable concentration, treat for shock and transport to a hospital where therapeutic recompression and hyperbaric oxygen therapy are the definitive treatment.

A diving cylinder or diving gas cylinder is a gas cylinder used to store and transport high-pressure gas used in diving operations. This may be breathing gas used with a scuba set, in which case the cylinder may also be referred to as a scuba cylinder, scuba tank or diving tank. When used for an emergency gas supply for surface-supplied diving or scuba, it may be referred to as a bailout cylinder or bailout bottle. It may also be used for surface-supplied diving or as decompression gas. A diving cylinder may also be used to supply inflation gas for a dry suit, buoyancy compensator, decompression buoy, or lifting bag. Cylinders provide breathing gas to the diver by free-flow or through the demand valve of a diving regulator, or via the breathing loop of a diving rebreather.

Diving cylinders are usually manufactured from aluminum or steel alloys, and when used on a scuba set are normally fitted with one of two common types of scuba cylinder valve for filling and connection to the regulator. Other accessories such as manifolds, cylinder bands, protective nets and boots and carrying handles may be provided. Various configurations of harness may be used by the diver to carry a cylinder or cylinders while diving, depending on the application. Cylinders used for scuba typically have an internal volume (known as water capacity) of between 3 and 18 litres (0.11 and 0.64 ft) and a maximum working pressure rating from 184 to 300 bars (2,670 to 4,350 psi). Cylinders are also available in smaller sizes, such as 0.5, 1.5 and 2 litres; however these are usually used for purposes such as inflation of surface marker buoys, dry suits, and buoyancy compensators rather than breathing. Scuba divers may dive with a single cylinder, a pair of similar cylinders, or a main cylinder and a smaller "pony" cylinder, carried on the diver's back or clipped onto the harness at the side. Paired cylinders may be manifolded together or independent. In technical diving, more than two scuba cylinders may be needed to carry different gases. Larger cylinders, typically up to 50 litre capacity, are used as on-board emergency gas supply on diving bells. Large cylinders are also used for surface supply through a diver's umbilical, and may be manifolded together on a frame for transportation.

In physical chemistry, Henry's law is a gas law that states that the amount of dissolved gas in a liquid is directly proportional at equilibrium to its partial pressure above the liquid. The proportionality factor is called Henry's law constant. It was formulated by the English chemist William Henry, who studied the topic in the early 19th century.

An example where Henry's law is at play is the depth-dependent dissolution of oxygen and nitrogen in the blood of underwater divers that changes during decompression, possibly causing decompression sickness if the decompression happens too quickly. An everyday example is carbonated soft drinks, which contain dissolved carbon dioxide. Before opening, the gas above the drink in its container is almost pure carbon dioxide, at a pressure higher than atmospheric pressure. After the bottle is opened, this gas escapes, thus decreasing the pressure above the liquid, resulting in degassing as the dissolved carbon dioxide is liberated from the solution.