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Breathing from scuba

Breathing from scuba is mostly a straightforward matter. Under most circumstances, it differs very little from normal surface breathing. In the case of a full-face mask, the diver may usually breathe through the nose or mouth as preferred, and in the case of a mouth held demand valve, the diver will have to hold the mouthpiece between the teeth and maintain a seal around it with the lips. Over a long dive this can induce jaw fatigue, and for some people, a gag reflex. Various styles of mouthpiece are available off the shelf or as customised items, and one of them may work better if either of these problems occur.

The frequently quoted warning against holding one's breath on scuba is a gross oversimplification of the actual hazard. The purpose of the admonition is to ensure that inexperienced divers do not accidentally hold their breath while surfacing, as the expansion of gas in the lungs could over-expand the lung air spaces and rupture the alveoli and their capillaries, allowing lung gases to get into the pulmonary return circulation, the pleura, or the interstitial areas near the injury, where it could cause dangerous medical conditions. Holding the breath at constant depth for short periods with a normal lung volume is generally harmless, providing there is sufficient ventilation on average to prevent carbon dioxide buildup, and is done as a standard practice by underwater photographers to avoid startling their subjects. Holding the breath during descent can eventually cause lung squeeze, and may allow the diver to miss warning signs of a gas supply malfunction until it is too late to remedy.

Skilled open-circuit divers make small adjustments to buoyancy by adjusting their average lung volume during the breathing cycle. This adjustment is generally in the order of a kilogram (corresponding to a litre of gas), and can be maintained for a moderate period, but it is more comfortable to adjust the volume of the buoyancy compensator over the longer term.

The practice of shallow breathing or skip breathing in an attempt to conserve breathing gas should be avoided as it is inefficient and tends to cause a carbon dioxide buildup, which can result in headaches and a reduced capacity to recover from a breathing gas supply emergency. The breathing apparatus will generally increase dead space by a small but significant amount, and cracking pressure and flow resistance in the demand valve will cause a net work of breathing increase, which will reduce the diver's capacity for other work. Work of breathing and the effect of dead space can be minimised by breathing relatively deeply and slowly. These effects increase with depth, as density and friction increase in proportion to the increase in pressure, with the limiting case where all the diver's available energy may be expended on simply breathing, with none left for other purposes. This would be followed by a buildup in carbon dioxide, causing an urgent feeling of a need to breathe, and if this cycle is not broken, panic and drowning are likely to follow. The use of a low-density inert gas, typically helium, in the breathing mixture can reduce this problem, as well as diluting the narcotic effects of the other gases.

Breathing from a rebreather is much the same, except that the work of breathing is affected mainly by flow resistance in the breathing loop. This is partly due to the carbon dioxide absorbent in the scrubber, and is related to the distance the gas passes through the absorbent material, and the size of the gaps between the grains, as well as the gas composition and ambient pressure. Water in the loop can greatly increase the resistance to gas flow through the scrubber. There is even less point in shallow or skip breathing on a rebreather as this does not even conserve gas, and the effect on buoyancy is negligible when the sum of loop volume and lung volume remains constant.

A breathing pattern of slow, deep breaths which limits gas velocity and thereby turbulent flow in the air passages will minimise the work of breathing for a given gas mixture composition and density, and respiratory minute volume.