Walker, III J R., Murphy-Lavoie Heather M.
University of TN Health Science Center
University Medical Center, LSU Medical School
Open-circuit self-contained underwater breathing apparatus (SCUBA) has been used by recreational, exploration, scientific, and military divers since the advent of the technology by Cousteau and Gagnon shortly after World War II. At the most fundamental level, an underwater breathing apparatus can be delineated into surface-supplied and self-contained units. Surface-supplied divers use an umbilical to provide breathing gas to the diver, whereas SCUBA divers always carry their life support equipment with them. SCUBA systems are further classified as open-circuit or closed-circuit types. Open-circuit dive equipment provides the diver with breathing gas from a container (or tank) of compressed gas, allowing the diver to exhale directly into the environment. Although simple and easy to maintain, this system is inefficient, as a large volume of inert gas is exhaled to the environment, and a substantial amount of oxygen remains unused. With a closed-circuit breathing apparatus, commonly known as a rebreather, exhaled gas is collected, carbon dioxide is removed, oxygen is replenished, and the refreshed gas is recirculated back to the diver through a breathing loop. The oxygen consumed by the diver through metabolic consumption is the only thing that must be replaced to continue to sustain the diver, whereas carbon dioxide must be removed. This system is inherently more efficient, up to 50 times more efficient for a given gas supply, but also more complex, requiring constant monitoring of the gas in the system to ensure it can sustain life. Rebreathers have been used since ancient times, when humans first discovered that they could extend the duration of a free dive by breathing in and out of a leather bag. Over 100 years ago, more sophisticated models were developed to allow miners to escape from contaminated atmospheric conditions and were used with varying degrees of success. During World War II, rebreather technology was adapted to enable combat divers to operate in enemy harbors without releasing surface bubbles that could reveal their position. The challenges associated with rebreathers include the potential for hypercarbia, oxygen toxicity, and hypoxia. Before more technically advanced devices became available in the 1980s and 1990s, blackouts due to various gas problems were a common complication. In the 1990s, several commercial units became available on the civilian market, leading to a significant increase in civilian diver use in the early 2000s. Today, a wide variety of rebreather systems is available, designed to meet the diverse demands of various diving environments and applications.
自第二次世界大战后不久库斯托和加尼翁发明该技术以来,开路式自给式水下呼吸器(SCUBA)就一直被休闲潜水者、探索潜水者、科研潜水者和军事潜水者所使用。从最基本的层面来看,水下呼吸器可分为水面供气式和自给式两种。水面供气式潜水者通过脐带向潜水者提供呼吸气体,而SCUBA潜水者则始终随身携带其生命支持设备。SCUBA系统又进一步分为开路式和闭路式。开路式潜水设备从压缩气体容器(或气瓶)中为潜水者提供呼吸气体,使潜水者能够直接向周围环境呼气。尽管这种系统简单且易于维护,但效率低下,因为大量惰性气体被呼出到环境中,且大量氧气未被利用。对于闭路式呼吸设备,通常称为循环呼吸器,呼出的气体被收集起来,二氧化碳被去除,氧气得到补充,经过更新的气体通过呼吸回路再循环回潜水者。潜水者通过新陈代谢消耗的氧气是维持潜水者生命唯一必须补充的物质,而二氧化碳则必须被去除。这种系统本质上效率更高,在给定气体供应情况下效率可高达50倍,但也更复杂,需要持续监测系统中的气体以确保其能维持生命。循环呼吸器自古代就已被使用,那时人类首次发现通过在皮囊中呼吸可以延长自由潜水的时间。100多年前,人们开发出了更复杂的型号,以使矿工能够逃离受污染的大气环境,并在不同程度上取得了成功。第二次世界大战期间,循环呼吸器技术被加以改进,使战斗潜水者能够在敌方港口行动而不产生可能暴露其位置的水面气泡。与循环呼吸器相关的挑战包括高碳酸血症、氧中毒和缺氧的可能性。在20世纪80年代和90年代出现更先进的设备之前,由于各种气体问题导致的昏迷是一种常见的并发症。20世纪90年代,几种商业型号在民用市场上出现,导致21世纪初民用潜水者的使用量大幅增加。如今,有各种各样的循环呼吸器系统可供选择,旨在满足各种潜水环境和应用的不同需求。