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Decompression sickness or “the bends”

Decompression sickness (DCS), or “the bends,” is an effect of the increased pressure of the air inhaled by scuba divers when swimming underwater at considerable depths. In addition to the pressure exerted by the atmosphere, divers are subjected to additional pressure due to the water above them, experiencing an increase of approximately 1 atm for each 10 m of depth. Therefore, the air inhaled by a diver while submerged contains gases at the corresponding higher ambient pressure, and the concentrations of the gases dissolved in the diver’s blood are proportionally higher per Henry’s law.

As the diver ascends to the surface of the water, the ambient pressure decreases and the dissolved gases becomes less soluble. If the ascent is too rapid, the gases escaping from the diver’s blood may form bubbles that can cause a variety of symptoms ranging from rashes and joint pain to paralysis and death. To avoid DCS, divers must ascend from depths at relatively slow speeds (10 or 20 m/min) or otherwise make several decompression stops, pausing for several minutes at given depths during the ascent. When these preventive measures are unsuccessful, divers with DCS are often provided hyperbaric oxygen therapy in pressurized vessels called decompression (or recompression) chambers ( [link] ).

Two photos are shown. The first shows two people seated in a steel chamber on benches that run length of the chamber on each side. The chamber has a couple of small circular windows and an open hatch-type door. One of the two people is giving a thumbs up gesture. The second image provides a view through a small, circular window. Inside the two people can be seen with masks over their mouths and noses. The people appear to be reading.
(a) US Navy divers undergo training in a recompression chamber. (b) Divers receive hyperbaric oxygen therapy.

Deviations from Henry’s law    are observed when a chemical reaction takes place between the gaseous solute and the solvent. Thus, for example, the solubility of ammonia in water does not increase as rapidly with increasing pressure as predicted by the law because ammonia, being a base, reacts to some extent with water to form ammonium ions and hydroxide ions.

This reaction diagram shows three H atoms bonded to an N atom above, below, and two the left of the N. A single pair of dots is present on the right side of the N. This is followed by a plus, then two H atoms bonded to an O atom to the left and below the O. Two pairs of dots are present on the O, one above and the other to the right of the O. A double arrow, with a top arrow pointing right and a bottom arrow pointing left follows. To the right of the double arrow, four H atoms are shown bonded to a central N atom. These 5 atoms are enclosed in brackets with a superscript plus outside. A plus follows, then an O atom linked by a bond to an H atom on its right. The O atom has pairs of dots above, to the left, and below the atom. The linked O and H are enclosed in brackets with superscript minus outside.

Gases can form supersaturated solutions. If a solution of a gas in a liquid is prepared either at low temperature or under pressure (or both), then as the solution warms or as the gas pressure is reduced, the solution may become supersaturated. In 1986, more than 1700 people in Cameroon were killed when a cloud of gas, almost certainly carbon dioxide, bubbled from Lake Nyos ( [link] ), a deep lake in a volcanic crater. The water at the bottom of Lake Nyos is saturated with carbon dioxide by volcanic activity beneath the lake. It is believed that the lake underwent a turnover due to gradual heating from below the lake, and the warmer, less-dense water saturated with carbon dioxide reached the surface. Consequently, tremendous quantities of dissolved CO 2 were released, and the colorless gas, which is denser than air, flowed down the valley below the lake and suffocated humans and animals living in the valley.

Two photos are shown. The first is an aerial view of a lake surrounded by green hills. The second shows a large body of water with a fountain sending liquid up into the air several yards or meters above the surface of the water.
(a) It is believed that the 1986 disaster that killed more than 1700 people near Lake Nyos in Cameroon resulted when a large volume of carbon dioxide gas was released from the lake. (b) A CO 2 vent has since been installed to help outgas the lake in a slow, controlled fashion and prevent a similar catastrophe from happening in the future. (credit a: modification of work by Jack Lockwood; credit b: modification of work by Bill Evans)

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Source:  OpenStax, Chemistry. OpenStax CNX. May 20, 2015 Download for free at http://legacy.cnx.org/content/col11760/1.9
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