Related Experiment Video
Updated: Sep 29, 2025

02:06
Full-Endoscopic Interlaminar Approach for Decompression of Lateral Recess Stenosis
Published on: February 24, 2023
654
Ceiling-controlled versus staged decompression: comparison between decompression duration and tissue tensions
Sergio A Angelini1,2, Lorenzo Tonetto1, Michael A Lang3
1Mares SpA, Salita Bonsen 4, 16035 Rapallo (GE), Italy.
Diving and Hyperbaric Medicine
|March 21, 2022
Summary
Ceiling-controlled decompression accelerates ascent by maintaining optimal gas washout gradients. However, this method may increase supersaturation in fast-tissue compartments, with unknown risks for decompression sickness.
Area of Science:
- Diving Physiology
- Decompression Theory
Background:
- The ceiling in decompression algorithms represents the maximum tolerated dissolved gas pressure.
- Staged decompression involves fixed depth intervals, while ceiling-controlled decompression follows a continuous ascent.
- Both methods aim to manage dissolved gas pressure during ascent from dives.
Purpose of the Study:
- To compare staged and ceiling-controlled decompression strategies.
- To analyze tissue gas supersaturation and decompression times.
- To evaluate the effectiveness of different decompression algorithms.
Main Methods:
- Mathematical simulations using the ZH-L16C algorithm and gradient factors.
- Analysis of various dive profiles.
- Comparison of inert gas washout and supersaturation patterns.
Main Results:
- Ceiling-controlled decompression maintained optimal gas washout gradients.
- Decompression times were 4-12% shorter with ceiling-controlled methods.
- Faster-half-time tissues experienced higher supersaturation with ceiling-controlled decompression.
Conclusions:
- Ceiling-controlled approaches offer faster decompression.
- The impact of accelerated decompression on decompression sickness risk remains undetermined.
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