Comparison between Arterial Blood Gases and Oxygen Reserve Index™ in a SCUBA Diver: A Case Report

Author:

Di Pumpo Fabio12ORCID,Meloni Gualtiero2,Paganini Matteo1ORCID,Cialoni Danilo1ORCID,Garetto Giacomo3,Cipriano Alessandro4,Giacon Tommaso Antonio1ORCID,Martani Luca1,Camporesi Enrico1ORCID,Bosco Gerardo1ORCID

Affiliation:

1. Department of Biomedical Sciences, University of Padova, 35131 Padova, Italy

2. ComSubIn, Italian Navy, 19025 Varignano-Le Grazie, Italy

3. ATIP Center for Hyperbaric Medicine, 35128 Padova, Italy

4. Emergency Medicine Unit and Emergency Department, Nuovo Santa Chiara Hospital, Azienda Ospedaliero-Universitaria of Pisa, 56126 Pisa, Italy

Abstract

Hypoxia and hyperoxia are both worrisome issues potentially affecting SCUBA divers, but validated methods to monitor these two conditions underwater are still lacking. In this experiment, a volunteer SCUBA diver was equipped with a pulse oximeter to detect peripheral oxygen saturation (SpO2) and a device to monitor the oxygen reserve index (ORi™). ORi™ values were compared with arterial blood oxygen saturation (SaO2) and the partial pressure of oxygen (PaO2) obtained from the cannulated right radial artery at three steps: at rest out of water; at −15 m underwater after pedaling on a submerged bike; after resurfacing. SpO2 and ORi™ mirrored the changes in SaO2 and PaO2, confirming the expected hyperoxia at depth. To confirm the potential usefulness of an integrated SpO2 and ORi™ device, further studies are needed on a broader sample with different underwater conditions and diving techniques.

Funder

Office of Naval Research

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

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