# Rebreather diving

For the construction and design of rebreathers, see Rebreather.
2nd Reconnaissance Battalion combat diver training with the Draeger LAR V rebreather

Rebreather diving is underwater diving using rebreathers which recirculate the air already used by the diver after replacing oxygen used by the diver and removing the carbon dioxide metabolic product. Rebreather diving is used by recreational, military and scientific divers where it has advantages over open circuit scuba, and surface supply of breathing gas is impracticable.

Rebreathers are generally used for scuba applications, but are also occasionally used for bailout systems for surface supplied diving.

## Comparison with open circuit

### Basic principle

At shallow depths, a diver using open-circuit breathing apparatus typically only uses about a quarter of the oxygen in the air that is breathed in, which is about 4 to 5% of the inspired volume. The remaining oxygen is exhaled along with nitrogen and carbon dioxide – about 95% of the volume. As the diver goes deeper, much the same mass of oxygen is used, which represents an increasingly smaller fraction of the inhaled gas. Since only a small part of the oxygen, and virtually none of the inert gas is consumed, every exhaled breath from an open-circuit scuba set represents at least 95% wasted potentially useful gas volume, which has to be replaced from the breathing gas supply.

A rebreather recirculates the exhaled gas for re-use and does not discharge it immediately to the surroundings.[1][2] The inert gas and unused oxygen is kept for reuse, and the rebreather adds gas to replace the oxygen that was consumed, and removes the carbon dioxide.[1] Thus, the gas in the rebreather's circuit remains breathable and supports life and the diver needs only carry a fraction of the gas that would be needed for an open-circuit system. The saving is proportional to the ambient pressure, so is greater for deeper dives, and is particularly significant when expensive mixtures containing helium are used as the inert gas diluent. The rebreather also adds gas to compensate for compression when depth increases, and vents gas to prevent overexpansion when depth decreases.

The main advantage of the rebreather over open circuit breathing equipment is economical use of gas. With open circuit scuba, the entire breath is expelled into the surrounding water when the diver exhales. A breath inhaled from an open circuit scuba system whose cylinders are filled with ordinary air is about 21%[3] oxygen. When that breath is exhaled back into the surrounding environment, it has an oxygen level in the range of 15 to 16% when the diver is at atmospheric pressure.[3] This leaves the available oxygen utilization at about 25%; the remaining 75% is lost. As the remaining 79% of the breathing gas (mostly nitrogen) is inert, the diver on open-circuit scuba only uses about 5% of his cylinders' contents.

At depth, the advantage of a rebreather is even more marked. The diver's metabolic rate is independent of ambient pressure (i.e. depth), and thus the oxygen consumption rate does not change with depth. The production of carbon dioxide does not change either since it also depends on the metabolic rate. This is a marked difference from open circuit where the amount of gas consumed increases as depth increases since the density of the inhaled gas increases with pressure, and the volume of a breath remains almost unchanged.

Long or deep dives using open circuit scuba equipment may not be feasible as there are limits to the number and weight of diving cylinders the diver can carry. The economy of gas consumption is also useful when the gas mix being breathed contains expensive gases, such as helium. In normal use at constant depth, only oxygen is consumed: small volumes of inert gases are lost during any one dive, due mainly to venting of the gas on ascent. For example, a closed circuit rebreather diver effectively does not use up any diluent gas after reaching the full depth of the dive. On ascent, no diluent is added, however most of the gas in the loop is lost. A very small amount of trimix could therefore last for many dives. It is not uncommon for a 3 litre (19 cubic foot nominal capacity) diluent cylinder to last for eight 40 m (130 ft) dives.

• Except on ascent, closed circuit rebreathers produce no bubbles and make no bubble noise and much less gas hissing, unlike open-circuit scuba;[3] this can conceal military divers and allow divers engaged in marine biology and underwater photography to avoid alarming marine animals and thereby get closer to them.[4]
• This lack of bubbles allows wreck divers to enter enclosed areas on sunken ships without slowly filling them with air, which can accelerate rusting, and is also an advantage in cave diving if there is loose material on the ceiling which can be dislodged by bubbles, reducing visibility.
• The fully closed circuit rebreather can be used to optimise the proportion of inert gases in the breathing mix, and therefore minimise the decompression requirements of the diver, by maintaining a specific and nearly constant relatively high oxygen partial pressure (ppO2) at all depths.
• The breathing gas in a rebreather is warmer and more humid than the dry and cold gas from open circuit equipment, making it more comfortable to breathe on long dives and causing less dehydration and chilling of the diver.
• Most modern rebreathers have a system of sensitive oxygen sensors, which allow the diver or a control circuit to adjust the partial pressure of oxygen. This can offer a dramatic advantage at the end of deeper dives, where a diver can raise the partial pressure of oxygen during decompression, permitting shorter decompression times. Care must be taken that the ppO2 is not set to a level where it can become toxic. Research has shown that a ppO2 of 1.6 bar is toxic with extended exposure[5]
• Mass loss over the dive is reduced as a much smaller amount of gas is used, so the buoyancy does not vary much as the dive progresses, and less ballast weight is needed to compensate for gas usage.

When compared with open circuit scuba, rebreathers have some disadvantages, including expense, complexity of operation and maintenance, and more critical paths to failure. A malfunctioning rebreather can supply a gas mixture which contains too little oxygen to sustain life, or it may allow carbon dioxide to build up to dangerous levels. Some rebreather designers try to solve these problems by monitoring the system with electronics, sensors and alarm systems. These are expensive and susceptible[citation needed] to failure, improper configuration and misuse.

• Oxygen rebreathers (simple closed circuit) are limited to a shallow depth range of approximately 6 m, beyond which the risk of acute oxygen toxicity rises to unacceptable levels very rapidly.
• Semi-closed circuit rebreathers are less efficient than closed circuit, and are more mechanically complex than open circuit or closed circuit oxygen rebreathers.
• Closed circuit rebreathers are yet more mechanically complex, and generally rely on electronic instruments and control systems to monitor and maintain a safe breathing gas mixture. This makes them more expensive to produce, more complex to maintain and test, and sensitive to getting their circuitry wet.
• Depending on the complexity of the rebreather, there are more failure modes than for open circuit scuba, and several of these failure modes are not easily recognised by the diver without technological intervention.

A major disadvantage of a rebreather is that, due to a failure, gas may continue to be available for breathing, but the mixture provided may not support life, and this may not be apparent to the user. With open circuit, this type of failure can only occur if the diver selects an unsuitable gas, and the most common type of open circuit failure, the lack of gas supply, is immediately obvious, and corrective steps like changing to an alternative supply would be taken immediately.

The bailout requirement of rebreather diving can sometimes also require a rebreather diver to carry almost as much bulk of cylinders as an open-circuit diver so the diver can complete the necessary decompression stops if the rebreather fails completely.[6] Some rebreather divers prefer not to carry enough bailout for a safe ascent breathing open circuit, but instead rely on the rebreather, believing that an irrecoverable rebreather failure is very unlikely. This practice is known as alpinism or alpinist diving and is generally maligned due to the perceived extremely high risk of death if the rebreather fails.[7]

### Other differences

A major difference between rebreather diving and open-circuit scuba diving is in controlling neutral buoyancy. When an open-circuit scuba diver inhales, a quantity of highly compressed gas from his cylinder is reduced in pressure by a regulator, and enters the lungs at a much higher volume than it occupied in the cylinder. This means that the diver has a tendency to rise slightly with each inhalation, and sink slightly with each exhalation. This does not happen to a rebreather diver, because the diver is circulating a roughly constant volume of gas between his lungs and the breathing bag. This is not specifically an advantage or disadvantage, but it requires some practice to adjust to the difference.

## Operation

### Effectiveness

In rebreather diving, the typical effective duration of the scrubber will be half an hour to several hours of breathing, depending on the granularity and composition of the soda lime, the ambient temperature, the design of the rebreather, and the size of the canister. In some dry open environments, such as a recompression chamber or a hospital, it may be possible to put fresh absorbent in the canister when break through occurs.

### Controlling the mix

A basic need with a rebreather is to keep the partial pressure of oxygen (ppO2) in the mix from getting too low (causing hypoxia) or too high (causing oxygen toxicity). If not enough new oxygen is being added, the proportion of oxygen in the loop may be too low to support life. In humans, the urge to breathe is normally caused by a build-up of carbon dioxide in the blood, rather than lack of oxygen. The resulting serious hypoxia causes sudden blackout with little or no warning. This makes hypoxia a deadly problem for rebreather divers.

The method used for controlling the range of oxygen partial pressure in the breathing loop depends on the type of rebreather.

• In an oxygen rebreather, once the loop has been thoroughly flushed, the mixture is effectively static at 100% oxygen, and the partial pressure is a function only of depth.
• In a semi-closed rebreather the loop mix depends on a combination of factors:
• the type of gas addition system and its setting, combined with the gas mixture in use, which control the rate of oxygen added.
• work rate, and therefore the oxygen consumption rate, which controls the rate of oxygen depletion, and therefore the resulting oxygen fraction.
• depth, which has the usual effect of increasing partial pressure in proportion to ambient pressure and oxygen fraction.
• In manual closed circuit rebreathers the diver can control the gas mix and volume in the loop manually by injecting each of the different available gases to the loop and by venting the loop. The loop often has a pressure relief valve to prevent over-pressure injuries caused by over-pressure of the loop.
Narked at 90 Ltd – Deep Pursuit Advanced electronic rebreather controller.

In some early oxygen rebreathers the diver had to manually open and close the valve to the oxygen cylinder to refill the counter-lung each time the volume got low. In others the oxygen flow is kept constant by a pressure-reducing flow valve like the valves on blowtorch cylinders; the set also has a manual on/off valve called a bypass. In some modern oxygen rebreathers, the pressure in the breathing bag controls the oxygen flow like the demand valve in open-circuit scuba; for example, trying to breathe in from an empty bag makes the cylinder release more gas.

Most modern electronic closed-circuit rebreathers have electro-galvanic fuel cell sensors and onboard electronics, which monitor the ppO2, injecting more oxygen if necessary or issuing an audible, visual and/or vibratory warning to the diver if the ppO2 reaches dangerously high or low levels. The volume in the loop is usually controlled by a pressure controlled automatic diluent valve, which works on the same principle as a demand valve, to add diluent when inhalation lowers the pressure in the loop during descent or if the diver removes gas from the loop by exhaling through the nose.

### Calculating the loop mix

In closed circuit rebreathers the breathing loop gas mixture is either known (oxygen) or monitored and controlled within set limits, by either the diver or the control circuitry, but in the case of semi-closed rebreathers, where the gas mixture depends on the predive settings and diver exertion, it is necessary to calculate the possible range of gas composition during a dive. The calculation depends on the mose of gas addition.

#### Oxygen partial pressure in a semi-closed rebreather

A diver with a constant workload during aerobic working conditions will use an approximately constant amount of oxygen $V_{O_2}$ as a fraction of the respiratory minute volume (RMV, or $V_E$). This ratio of minute ventilation and oxygen uptake is the extraction ratio $K_E$, and usually falls in the range of 17 to 25 with a normal value of about 20 for healthy humans. Values as low as 10 and as high as 30 have been measured.[8] Variations may be caused by the diet of the diver and the dead space of the diver and equipment, raised levels of carbon dioxide, or raised work of breathing and tolerance to carbon dioxide.

$K_E=\frac{V_E}{V_{O_2}}$ (≅20)

Therefore the volume of gas in the breathing circuit can be described as approximately constant, and the fresh gas addition must balance the sum of the dumped volume, the metabolically removed oxygen, and the volume change due to depth change. (metabolic carbon dioxide added to the mixture is removed by the scrubber and therfore does not affect the equation)

##### Constant mass flow

Oxygen partial pressure in a constant mass flow system is controlled by the flow rate of feed gas through the orifice and the oxygen consumption of the diver. Dump rate is equal to feed rate minus oxygen consumption for this case.

The change in the fraction of oxygen $dF_{O_2loop}$ in the breathing circuit may be described by the following equation:[9]

$V_{loop}*dF_{O_2loop}=(Q_{feed}*F_{O_2feed}-V_{O_2}-(Q_{feed}-V_{O_2})*F_{O_2loop})dt$

Where:

$V_{loop}$ = volume of the breathing circuit
$Q_{feed}$ = flow rate of the fresh gas supplied by the orifice
$F_{O_2feed}$ = oxygen fraction of the supply gas
$V_{O_2}$ = oxygen uptake flow rate of the diver

This leads to the differential equation:

$\frac{dF_{O_2loop}}{dt}=\frac{(Q_{feed}*F_{O_2feed}-V_{O_2}(t)-(Q_{feed}-V_{O_2})*F_{O_2loop}(t))}{V_{loop}}$

With solution:

$F_{O_2loop}(t)=\frac{Q_{feed}*F_{O_2feed}-V_{O_2}}{Q_{feed}-V_{O_2}}+(F_{O_2loop}^{start}-\frac{Q_{feed}*F_{O_2feed}-V_{O_2}}{Q_{feed}-V_{O_2}})*e^{-\frac{Q_{feed}-V_{O_2}}{V_{loop}}t}$

Which comprises a steady state and a transient term.

The steady state term is sufficient for most calculations:

The steady state oxygen fraction in the breathing circuit, $F_{O_2loop}$, can be calculated from the formula:[9]

$F_{O_2loop}=\frac{(Q_{feed}*F_{O_2feed}-V_{O_2})}{(Q_{feed}-V_{O_2})}$

Where:

$Q_{feed}$ = Flow rate of fresh gas supplied by the orifice
$V_{O_2}$ = Oxygen uptake flow rate of the diver
$F_{O_2feed}$ = Oxygen fraction of the supply gas

in a consistent system of units.

As oxygen consumption is an independent variable, a fixed feed rate will give a range of possible oxygen fractions for any given depth. In the interests of safety, the range can be determined by calculating oxygen fraction for maximum and minimum oxygen consumption as well as the expected rate.

(non-depth-compensated, also known as Variable Volume Exhaust (VVE)[10])

Oxygen partial pressure in a passive addition system is controlled by the breathing rate of the diver. Feed gas is added by a valve which is equivalent to an open circuit demand valve in function, which opens to supply gas when the counterlung is empty – the moving top plate of the counterlung works like the diaphragm of a demand valve to operate the lever opening the valve when the counterlung volume is low. The volume may be low because the internal bellows has discharged a part of the previous breath to the environment, or because an increase in depth has caused the contents to be compressed, or a combination of these causes. The oxygen used by the diver also slowly decreases the volume of gas in the loop.

The change in the fraction of oxygen $dF_{O_2loop}$ in the system may be described by the following equation:[11]

$V_{loop}*dF_{O_2loop}=((Q_{dump}+V_{O_2})*F_{O_2feed}-V_{O_2}-Q_{dump}*F_{O_2loop})dt$

Where:

$V_{loop}$ = volume of the breathing circuit
$F_{O_2loop}$ = oxygen fraction of the gas mixture in the breathing circuit
$Q_{dump}$ = flow of dumped gas
$V_{O_2}$ = oxygen uptake rate of the diver
$F_{O_2feed}$ = oxygen fraction of the feed gas

This leads to the differential equation:

$\frac{dF_{O_2loop}}{dt}=\frac{((Q_{dump}+V_{O_2})*F_{O_2feed}(t)-V_{O_2}-Q_{dump}*F_{O_2loop}(t))}{V_{loop}}$

With solution:

$F_{O_2loop}(t)=\frac{(Q_{dump}+V_{O_2})*F_{O_2feed}-V_{O_2}}{Q_{dump}}+(F_{O_2loop}^{start}-\frac{(Q_{dump}+V_{O_2})*F_{O_2feed}-V_{O_2}}{Q_{dump}})*e^{-\frac{Q_{dump}}{V_{loop}}t}$

Which comprises a steady state and a transient term.

The steady state term is sufficient for most calculations:

$F_{O_2bag}(t)=\frac{(Q_{dump}+V_{O_2})*F_{O_2feed}-V_{O_2}}{Q_{dump}}$

The steady state oxygen fraction in the breathing circuit, $F_{O_2loop}$, can be calculated from the formula:[11]

$F_{O_2loop}=\frac{(Q_{dump}+V_{O_2})F_{O_2feed}-V_{O_2}}{Q_{dump}}$

Where:

$Q_{dump}$ = Flow rate of gas dumped by the concentric bellows
$V_{O_2}$ = Oxygen uptake flow rate of the diver
$F_{O_2feed}$ = Oxygen fraction of the supply gas

in a consistent system of units.

The gas volume dumped is related to the expired minute volume and ambient pressure, $P_{amb}$:

$Q_{dump}=P_{amb}*K_{bellows}*V_E$

Where:

$K_{bellows}$ = bellows ratio – the ratio between the volume of expired air in the counterlungs and the amount dumped.
$V_E$ = respiratory minute volume.

By substitution:

$Q_{dump}=P_{amb}*K_{bellows}*K_E*V_{O_2}$

Which can be inserted into the steady state equation to give:

$F_{O_2loop}=\frac{(P_{amb}*K_{bellows}*K_E*V_{O_2}+V_{O_2})F_{O_2feed}-V_{O_2}}{P_{amb}*K_{bellows}*K_E*V_{O_2}}$

Which simplifies to:

$F_{O_2loop}=\frac{(P_{amb}*K_{bellows}*K_E+1)F_{O_2feed}-1}{P_{amb}*K_{bellows}*K_E}$

In this case oxygen consumption and feed rate are strongly related, and the oxygen concentration in the loop is independent of oxygen uptake and is likely to remain within fairly close tolerances of the calculated value for a given depth.

The oxygen fraction of the gas in the circuit will approximate the feed gas more closely for greater depth.

The derivation above does not take into account the temperature difference between the lung contents at 37°C and the breathing loop, which will normally be at a lower temperature. RMV is given in litres per minute at body temperature and ambient pressure, oxygen consumption in standard litres per minute (STP) and the total volume of the lungs and breathing loop in actual litres.[10] This can be corrected by using the general gas equation of state to provide values for these variables at the temperature of the gas in the circuit. The effect of the temperature corrections is generally a slightly lower value for loop gas oxygen fraction.[12]

#### Maximum operating depth

MOD for a closed circuit mixed gas rebreather is usually based on the MOD of the diluent, as that is the leanest mix that can be guaranteed. After a diluent flush the gas must be breathable, and this limits MOD, but it is possible to use more than one option for diluent, and switch the gas to a hypoxic mix for the deeper sector of a dive, and a normoxic mix for the shallower sectors.

MOD calculations for SCRs are usually based on the MOD for the full strength supply gas, as this can then be used for bailout at the full planned dive depth, and is the worst case estimate for the toxicity of the loop gas. MOD calculations can also be done for loop gas as calculated, but this is subject to variations which are not always accurately predictable. Loop gas calculated values for passive addition systems could possibly be used for working MOD calculation, and supply gas for emergency MOD given the relatively stable loop fraction in the passive addition systems, however the loop gas concentration may be closer to full strength if the diver works hard and ventilation increases beyond the linear extraction ratio.

### Bailout

Rebreather diver with bailout and decompression cylinders

While the diver is underwater, the rebreather may fail and be unable to provide a safe breathing mix for the duration of the ascent back to the surface. In this case the diver needs an alternative breathing source: the bailout.

Although some rebreather divers – referred to as "alpinists" – do not carry bailouts, bailout strategy becomes a crucial part of dive planning, particularly for long dives and deeper dives in technical diving. Often the planned dive is limited by the capacity of the bailout and not the capacity of the rebreather.

Several types of bailout are possible:

• An open-circuit demand valve connected to the rebreather's diluent cylinder. While this option has the advantages of being permanently mounted on the rebreather and not heavy, the quantity of gas held by the rebreather is small so the protection offered is low.
• An open-circuit demand valve connected to the rebreather's oxygen cylinder. This is similar to the open circuit diluent bailout except it can only safely be used in depths of 6 metres (20 ft) or less because of the risk of oxygen toxicity.[13]
• An independent open-circuit system. The extra cylinders are heavy and cumbersome but larger cylinders let the diver carry more gas providing protection for the ascent from deeper and long dives. The breathing gas mix must be carefully chosen to be safe at all depths of the ascent, or more than one set will be necessary.
• An independent rebreather system.

## Safety

The general principle of diving safety, that the diver must be able to deal with any single immediately life-threatening equipment failure without outside assistance holds for rebreather diving.[citation needed]

If recovery from a failure leaves the diver in a compromised position where there is a high risk single point failure mode which can no longer be managed by the diver, the dive should be terminated.[citation needed]

### Hazards

In addition to the risk of other diving disorders that open circuit divers are exposed to, rebreather divers are also more exposed to hazards which are directly connected with the effectiveness and reliability of generic and specific rebreather design and construction, not necessarily with the principles of rebreathing:

• Sudden blackout due to hypoxia caused by too low a partial pressure of oxygen in the loop. A particular problem is the drop in ambient pressure caused by the ascent phase of the dive, which can reduce the partial pressure of oxygen to hypoxic levels leading to what is sometimes called deep water blackout.[14]
• Seizures due to oxygen toxicity caused by too high a partial pressure of oxygen in the loop. This can be caused by the rise in ambient pressure caused by the descent phase of the dive, which raises the partial pressure of oxygen to hyperoxic levels. In fully closed circuit equipment, ageing oxygen sensors may become "current limited" and fail to measure high partial pressures of oxygen resulting in dangerously high oxygen levels.
• Disorientation, panic, headache, and hyperventilation due to excess of carbon dioxide caused by incorrect configuration, failure or inefficiency of the scrubber. The scrubber must be configured so that no exhaled gas can bypass it; it must be packed and sealed correctly, and it has a limited capacity for absorption of carbon dioxide. Another problem is the diver producing carbon dioxide faster than the absorbent can handle; for example, during hard work or fast swimming. The solution to this is to slow down and let the absorbent catch up. The scrubber efficiency may be reduced at depth where the increased concentration of other gas molecules, due to pressure, prevents some of the carbon dioxide molecules reaching the active ingredient of the scrubber before the gas gets out the far side of the absorbent stack.[citation needed] Low temperatures in the scrubber will also slow down the reaction rate.
• The rebreather diver must keep breathing in and out all the time,[citation needed] to keep the exhaled gas flowing over the carbon dioxide absorbent, so the absorbent can work all the time. Divers need to lose any air conservation habits that may have been developed while diving with open-circuit scuba. In closed circuit rebreathers, this also has the advantage of mixing the gases preventing oxygen-rich and oxygen-lean spaces developing within the loop, which may give inaccurate readings to the oxygen control system.
• "Caustic cocktail" in the loop if water comes into contact with the soda lime used in the carbon dioxide scrubber. The diver is normally alerted to this by a chalky taste in the mouth. A safe response is to bail out to "open circuit" and rinse the mouth out.
• Slow low-temperature start-up of the CO2-absorbing chemical. This is a particular problem with the Chemox chemical rebreather which requires breath moisture to activate the potassium superoxide and the CO2 absorption.[citation needed] A chlorate candle can be provided that produces enough oxygen to allow the user's breath to activate the system.[citation needed]

### Inherent limitations of the types of rebreather

Each type of rebreather has limitations on safe operating range, and specific hazards inherent to the method of operation, which affect the operating range and operating procedures.

#### Oxygen rebreather

Oxygen rebreathers are simple and reliable due to the simplicity. The gas mixture is known and reliable providing the loop is adequately flushed at the start of a dive and the correct gas is used. There is little that can go wrong with the function other than flooding, leaking and running out of gas, both of which are obvious to the user, and there is no risk of decompression sickness, so emergency free ascent to the surface is always an option in open water. The critical limitation of the oxygen rebreather is the very shallow depth limit, due to oxygen toxicity considerations.

#### Active addition SCR

Active addition SCRs vary in complexity, but all operate with a breathing loop which is normally near the upper limit of its capacity. Therefore, if the gas addition system fails, the volume of gas in the loop will generally remain sufficient to provide no warning to the diver that the oxygen is depleting, and the risk of hypoxia is relatively high.

##### Constant mass flow SCR
Scuba diver with Draeger Dolphin constant mass flow semi-closed circuit rebreather

Constant mass flow addition provides the loop with added gas which is independent of depth and metabolic oxygen consumption. If the addition to make up for depth increases is disregarded, the endurance of the unit is basically fixed for a given orifice and supply gas combination. However, the oxygen partial pressure will vary depending on metabolic requirements, and this is generally predictable only within limits. The uncertain composition of the gas means that worst case estimates are usually made for both maximum operating depth and decompression considerations. Unless the gas is monitored in real time by a decompression computer with an oxygen sensor, these rebreathers have a smaller safe depth range than open circuit on the same gas, and are a disadvantage for decompression.

A specific hazard of the gas metering system is that if the orifice is partly or completely blocked, the gas in the loop will be depleted of oxygen without the diver being aware of the problem. This can result in hypoxia and unconsciousness without warning. This can be mitigated by monitoring the partial pressure in real time using an oxygen sensor, but this adds to the complexity and cost of the equipment.

##### Demand controlled SCR

The principle of operation is to add a mass of oxygen that is proportional to ventilation volume. The fresh gas addition is made by controlling the pressure in a dosage chamber proportional to the counterlung bellows volume. The dosage chamber is filled with fresh gas to a pressure proportional to bellows volume, with the highest pressure when the bellows is in the empty position. When the bellows fills during exhalation, the gas is released from the dosage chamber into the breathing circuit, proportional to the volume in the bellows during exhalation, and is fully released when the bellows is full. Excess gas is dumped to the environment through the overpressure valve after the bellows is full.

There is no dosage dependency on depth or oxygen uptake. Dosage ratio is constant once the gas has been selected, and the variations remaining on oxygen fraction are due to variations in the extraction ratio. This system provides a fairly stable oxygen fraction which is a reasonable approximation of open circuit for decompression and maximum operating depth purposes.

If the gas supply to the dosage mechanism were to fail without warning, the gas addition would stop and the diver would use up the oxygen in the loop gas until it became hypoxic and the diver lost consciousness. To prevent this, a system is needed that warns the diver that there is a feed gas supply failure so the diver must take appropriate action. This can be done by purely mechanical methods.

#### Passive addition SCR

Passive addition relies on inhalation by the diver to trigger gas addition when the volume of gas in the breathing loop is low. This will provide warning to the diver if the addition system stops working for any reason, as the discharge system will continue to empty the loop and the diver will have a decreasing volume of gas to breathe from. This will generally provide adequate warning before hypoxia is likely.

##### Non-depth compensated PASCR

Gas extension for the non-depth compensated passive addition SCR is directly proportional to the bellows ratio – the proportion of gas that is discharged suring each breath cycle. A small ratio means that the amount of gas added each cycle is small, and the gas is rebreathed more times, but it also means that more oxygen is removed from the loop gas mix, and at shallow depths the oxygen deficit compared to the supply gas concentration is large. A large bellows ratio adds a larger proportion of the breath volume as fresh gas, and this keeps the gas mix closer to supply composition at shallow depth, but uses the gas up faster.

The mechanism is mechanically simple and reliable, and not sensitive to blockage by small particles. It is more likely to leak than block, which would use gas faster, but not compromise the safety of the gas mixture. Oxygen fraction of the loop gas is considerably less than of the supply gas in shallow water, and only slightly less at deeper depths, so the safe depth range for a given supply gas is smaller than for open circuit, and the variation in oxygen concentration is also disadvantageous for decompression. Gas switching may compensate for this limitation at the expense of complexity of construction and operation. The ability to switch to open circuit in shallow depths is an option which can compensate for the reduction in oxygen content at those depth, at the expense of operational complexity and greatly increased gas use while on open circuit. This may be considered a relatively minor problem if the requirement for bailout gas is considered. The diver will be carrying the gas anyway, and using it for decompression at the end of a dive does not increase the volume requirement for dive planning.

The loop oxygen fraction is critically dependent on an accurate assumption of the extraction ratio. If this is chosen incorrectly the oxygen fraction may differ significantly from the calculated value. Very little information on variation of extraction ratio is available in easily accessible references.

##### Depth compensated PASCR

Gas extension for the depth compensated passive addition rebreather is approximately proportional to metabolic usage. The volume of gas dumped by the system is, for a given depth, a fixed fraction of the volume breathed by the diver, as in the case of the non-depth-compensated system. However, this ratio is changed in inverse proportion to ambient pressure – the bellows ratio is greatest at the surface, and decreases with depth. The effect is for an amount of gas of reasonably constant mass proportion to oxygen usage to be discharged, and the same amount, on average, is supplied by the addition valve, to make up the loop volume at steady state. This is very similar to the demand controlled SCR in effect on the oxygen fraction of the loop gas, which remains nearly constant at all depths where the compensation is linear, and for aerobic levels of exercise. The limitations on this system appear to be mainly in the mechanical complexity, bulk and mass of the equipment. The linearity of depth compensation is limited by structural considerations, and below a certain depth the compensation will be less effective, and finally dissipate. However, this does not have a great effect on oxygen fraction, as the changes at those depths are already small. The slightly higher concentrations in this case are a bit nearer to the supply gas value than if the compensation was still effective. The depth compensated PASCR can provide almost identical breathing gas to open circuit over a large depth range, with a small and nearly constant oxygen fraction in the breathing gas, eliminating a major limitation of the non-compensated system at the expense of complexity.

#### Mixed gas CCR

Close up side view of diver using Inspiration electronically controlled closed circuit rebreather
Diver using Inspiration rebreather at the wreck of the MV Orotava
Front view of diver using Inspiration rebreather

The mixed gas closed circuit rebreather can provide an optimised gas mixture for any given depth and duration, and does this with great precision and efficiency of gas usage until it fails, and there are several ways it can fail. Many of the failure modes are not easily identified by the diver without the use of sensors and alarms, and several failure modes can reduce the gas mixture to one unsuitable for supporting life. This problem can be managed by monitoring the state of the system and taking appropriate action when it diverges from the intended state. The composition of the loop gas is inherently unstable, so a control system with feedback is required. Oxygen partial pressure, which is the characteristic to be controlled, must be measured and the value provided to the control system for corrective action. The control system may be the diver or an electronic circuit. The measuring sensors are susceptible to failure for various reasons, so more than one is required, so that if one fails without warning, the diver can use the other(s) to make a controlled termination of the dive.

##### Manually controlled CCR

The manually controlled CCR relies on the attention, knowledge and skill of the diver to maintain the gas mixture at the desired composition. It relies on electrochemical sensors and electronic monitoring instruments to provide the diver with the information required to make the necessary decisions and take the correct actions to control the gas mixture. The diver is required to be aware of the status of the system at all times, which increases task loading, but along with the experience, the diver develops and retains the skills of keeping the mixture within planned limits, and is well equipped to manage minor failures. The diver remains aware of the need to constantly check the status of the equipment, as this is necessary to stay alive.

##### Electronically controlled CCR

The electronically controlled closed circuit rebreather uses electronic circuitry to monitor the status of the loop gas in real time, and to make adjustments to keep it within narrow tolerances. It is generally very effective at this function until something goes wrong. When something does go wrong the system should notify the diver of the fault so that appropriate action can be taken. Two critical malfunctions may occur which may not be noticed by the diver.

• A dangerously low oxygen partial pressure (Hypoxia) will not be noticed by the diver, but if there are functioning oxygen sensors, they will usually pick this up.
• A dangerously high oxygen partial pressure is more likely to be missed, as sensors may still work for low concentrations, but provide inaccurate results for high partial pressures.

An insidious problem with oxygen sensor failure is when a sensor indicates a low oxygen partial pressure which is actually not low, but a sensor failure. If the diver or the control system respond to this by adding oxygen, a hyperoxic gas can be caused which may result in convulsions. To avoid this, multiple sensors are fitted to ECCCRs, so that a single cell failure does not have fatal consequences. Three or four cells are used for systems which use voting logic.

A control circuit may fail in complex ways. If extensive testing of failure modes is not done, the user can not know what might happen if the circuit fails, and some failures may produce unexpected consequences. A failure which does not alert the user to the correct problem may have fatal consequences.

ECCCR alarm systems may include flashing displays on handsets, flashing LEDs on head-up displays, audible alarms and vibratory alarms.

### Failure modes

Several failure modes are common to most types of diving rebreather, and others can occur only when the specific technology is used in the rebreather.

#### Scrubber failure

The term "break-through" means the failure of the "scrubber" to continue removing carbon dioxide from the exhaled gas mix. There are several ways that the scrubber may fail or become less efficient:

• Complete consumption of the active ingredient ("break-through").
• The scrubber canister has been incorrectly packed or configured allowing the exhaled gas to bypass the absorbent.
• The absorbent must be packed tightly so that all exhaled gas comes into close contact with the granules, and the loop is designed to avoid any spaces or gaps between the absorbent and the canister walls that would let gas bypass contact with the absorbent. If the absorbent is packed loosely it can settle, and in some cases this may allow an air path to form through or around the absorbent, known as "tunnelling".
• If any of the seals, such as O-rings, or spacers that prevent bypassing of the scrubber, are not cleaned or lubricated or fitted properly, gas may bypass the scrubber, or water may get into the circuit.
• When the gas mix is under pressure caused by depth, the closer proximity of the constituent molecules reduces the freedom of the carbon dioxide molecules to move around to reach the absorbent. In deeper diving, the scrubber needs to be bigger than is needed for a shallow-water or industrial oxygen rebreather, because of this effect.
• A Caustic Cocktail – Soda lime is caustic and can cause burns to the eyes and skin. A "caustic cocktail" is a mixture of water and soda lime that occurs when the "scrubber" floods. It gives rise to a chalky taste, which should prompt the diver to switch to an alternative source of breathing gas and rinse his or her mouth out with water. Many modern diving rebreather absorbents are designed not to produce "cocktail" if they get wet.
• in below-freezing operation (primarily mountain climbing) the wet scrubber chemicals can freeze when oxygen bottles are changed, thus preventing CO2 from reaching the scrubber material.
##### Prevention
• An indicating dye in the soda lime. It changes the colour of the soda lime after the active ingredient is consumed. For example, a rebreather absorbent called "Protosorb" supplied by Siebe Gorman had a red dye, which was said to go white when the absorbent was exhausted. Colour indicating dye was removed from US Navy fleet use in 1996 when it was suspected of releasing chemicals into the circuit.[15] With a transparent canister, this may be able to show the position of the reaction "front". This is useful in dry open environments, but is not useful on diving equipment, where:
• A transparent canister would likely be brittle and easily cracked by knocks.
• Opening the canister to look inside would flood it with water or let unbreathable external gas in.
• The canister is usually out of sight of the user, e.g. inside the breathing bag or inside a backpack box.
• Temperature monitoring. As the reaction between carbon dioxide and soda lime is exothermic, temperature sensors, along the length of the scrubber can be used to measure the position of the reaction front and therefore the life of the scrubber.[16][17]
• Diver training. Divers are trained to monitor and plan the exposure time of the soda lime in the scrubber and replace it within the recommended time limit. At present, there is no effective technology for detecting the end of the life of the scrubber or a dangerous increase in the concentration of carbon dioxide causing carbon dioxide poisoning. The diver must monitor the exposure of the scrubber and replace it when necessary.
• Carbon dioxide gas sensors exist, such systems are not useful as a tool for monitoring scrubber life when underwater as the onset of scrubber "break through" occurs quite rapidly. Such systems should be used as an essential safety device to warn divers to bail off the loop immediately.
• Scrubbers can be designed and built so that the whole reaction front does not reach the end of the canister at one time, but gradually, so that the increase of carbon dioxide concentration is gradual, and the diver gets some warning and is able to bail out before the effects are too severe.
##### Mitigation

Scrubber breakthrough results in carbon dioxide toxicity (hypercarbia), which generally produces symptoms of a powerful, even desperate, urge to breathe. If the diver does not bail out to a breathing gas with low carbon dioxide fairly quickly, the urge to breathe may prevent removal of the mouthpiece even for the short time required to make the switch. A bailout valve integrated into the dive/surface valve or connected to the full-face mask reduces this difficulty.

The appropriate procedure for breakthrough or other scrubber failure is bailout.

#### Oxygen monitoring failure

Partial pressure monitoring of oxygen in the breathing circuit is generally done by electrochemical cells, which are sensitive to water on the cell and in the circuitry. They are also subject to gradual failure due to using up the reactive materials, and may lose sensitivity in cold conditions. Any of the failure modes may lead to inaccurate readings, without any obvious warning. Cells should be tested at the highest available oxygen partial pressure, and should be replaced after a use period and shelf life recommended by the manufacturer.

##### Prevention

Multiple oxygen sensors with independent circuitry reduce the risk of losing information on oxygen partial pressure. An electronically controlled CCR generally uses a minimum of three oxygen monitors to ensure that if one fails, it will be able to identify the failed cell with reasonable reliability.

Use of cells with different ages reduces the risk of all failing at the same time.

##### Mitigation

If oxygen monitoring fails, the diver can not be sure that the contents of a mixed gas CCR rebreather will sustain consciousness. Bailout is the only safe option.

Oxygen monitoring is generally an optional facility on a SCR, but may be part of real time decompression calculations. Appropriate action will depend on circumstances, but this is not an immediately life-threatening event.

#### Gas injection control circuit failure

##### Prevention

Two basic approaches are possible. Either a redundant independent control system may be used, or the risk of the single system failing may be accepted, and the diver takes the responsibility for manual gas mixture control in the event of failure.

##### Mitigation

Most (possibly all) electronically controlled CCRs have manual injection override. If the electronic injection fails, the user can take manual control of the gas mixture provided that the oxygen monitoring is still reliably functioning. Alarms are usually provided to warn the diver of failure.

#### Loop flood

The breathing resistance of a loop may more than treble if the scrubber material is flooded.[18] The absorption of carbon dioxide by the scrubber requires a certain amount of humidity for the reaction, but an excess will degrade absorption and may lead to accelerated breakthrough.

##### Prevention

Predive leak checks and careful assembly are the key to avoiding leaks through connections and detecting damage. The negative pressure test is most important for this purpose.

Care in using the dive/surface valve will prevent flooding through the mouthpiece.

##### Mitigation

The diver will usually be made aware of flooding by increased breathing resistance, water noise, or carbon dioxide buildup, and sometimes by buoyancy loss. A caustic cocktail is usually a sign of a fairly extensive flood and is only likely if there are a lot of small particles in the scrubber material, or a relatively soluble absorbent material is used.

Some rebreathers have water traps to prevent water entering through the mouthpiece from getting as far as the scrubber, and in some cases there are mechanisms to remove water from the loop while diving.

Some scrubbers are virtually unaffected by water, either due to the type of absorbent medium, or due to a protective membrane.[citation needed]

If all else fails, and the loop is flooded beyond safe functionality, the diver can bail out to open circuit.

#### Gas leakage

A well assembled rebreather in good condition should not leak gas from the breathing circuit into the environment except that which is required by functional considerations, such as venting during ascent, or to compensate for, or control, the addition of gas in a semi-closed rebreather.

##### Prevention

Pre-use preparation of the rebreather includes checking of seals and post-assembly leak checks. Inspection and replacement of soft components should detect damage before component failure.

##### Mitigation

Minor gas leakage is not in itself a serious problem, but it is often a sign of damage or incorrect assembly that may later develop into a more serious problem. Manufacturer's operating manuals generally require the user to identify the cause of any leak and rectify it before using the equipment. Leaks which develop during a dive will be assessed by the dive team for cause and risk, but there is not often much that can be done about them in the water.

#### CMF Orifice blockage

A blockage to the constant mass flow orifice is one of the more hazardous failures of this type of semi-closed rebreather, as it will restrict the feed gas supply and may lead to a hypoxic loop gas with a high risk of the diver losing consciousness and either drowning or dry asphyxiation.[citation needed]

##### Prevention

Inspection and flow testing of the CMF orifice before each dive or on each diving day will ensure that the orifice does not clog from corrosion, and an upstream microfilter to trap particles large enough to block the orifice will greatly reduce the risk of blockage during a dive by foreign matter in the gas supply.[citation needed]

Some rebreathers use two orifices as this will usually ensure that at least one remains functional, and the gas is less likely to become fatally hypoxic.[citation needed]

##### Mitigation

If the oxygen content is monitored and the diver identifies a problem with feed gas delivery, it may be possible to manually add gas, or induce triggering of the automatic diluent valve by exhaling to the environment through the nose and thereby artificially reducing the volume of gas in the loop. The forced addition of gas will bring up the oxygen content, but the dive should be terminated as this problem can not be rectified during the dive. This hazard is the strongest argument for oxygen partial pressure monitoring in a CMF SCR.[citation needed]

### Risk

The percentage of deaths that involve the use of a rebreather among US and Canadian residents increased from approximately 1 to 5% of the total diving fatalities collected by the Divers Alert Network from 1998 through 2004.[19] Investigations into rebreather deaths focus on three main areas: medical, equipment, and procedural.[19]

Divers Alert Network (DAN) report 80 to 100 fatal accidents per 500,000 to 1 million active scuba divers in the USA, per year. British Sub-Aqua Club (BSAC) and DAN open-circuit accident rates are very similar, although BSAC dives have a higher proportion of deep and decompression dives.

An analysis of 164 fatal rebreather accidents documented from 1994 to Feb 2010 by Deeplife,[20] reports a fatal accident rate of one in 243 per year, using a conservative assumption of linear growth of rebreather use and an average of around 2500 active participants over that time. This is a fatal accident rate of over 100 times that of open circuit scuba. The statistics indicate that equipment choice has a dramatic effect on dive safety.

A further analysis of these rebreather deaths[21] found significant inaccuracies in the original data. Review shows that the risk of death while diving on a rebreather is in the region of 5.33 deaths per 100,000 dives, roughly 10 times the risk of open circuit scuba or horseriding, five times the risk of skydiving or hang gliding, but one eighth the risk of base jumping. No significant difference was found when comparing mCCRs with eCCRs or between brands of rebreather since 2005, but accurate information on numbers of active rebreather divers and number of units sold by each manufacturer are not available. The survey also concluded that much of the increased mortality associated with CCR use may be related to use at greater than average depth for recreational diving, and to high-risk behaviour by the users, and that the greater complexity of CCRs makes them more prone to equipment failure than OC equipment.

EN 14143 (2009) (Respiratory equipment – Self-contained re-breathing diving apparatus [Authority: The European Union Per Directive 89/686/EEC]) requires that manufacturers perform a Failure mode, effects, and criticality analysis (FMECA), but there is no requirement to publish the results, consequently most manufacturers keep their FMECA report confidential. EN 14143 also requires compliance with EN 61508. According to the Deep Life report[20] this is not implemented by most rebreather manufacturers, with the following implications:

• no existing rebreather has been shown to be able to tolerate any one worst case failure.
• users have no information on the safety of the equipment they use.
• the public can not examine the conclusions of FMECA and challenge dubious conclusions.
• there is no public FMECA data which can be used to develop better systems.

Analysis of probability failure trees for open circuit scuba shows that use of a parallel or redundant system reduces risk considerably more than improving the reliability of components in a single critical system.[22] These risk modelling techniques were applied to CCRs, and indicated a risk of equipment failure some 23 times that for a manifolded twin cylinder open circuit set.[21] When sufficient redundant breathing gas supply in the form of open circuit scuba is available, the mechanical failure risk of the combination becomes comparable to that for open circuit. This does not compensate for poor maintenance and inadequate pre-dive checks, high risk behavior, or for incorrect response to failures. Human error appears to be a major contributor to accidents.[21]

## Procedures

The procedures needed to use a given model of rebreather are usually detailed in the operating manual and training program for that rebreather, but there are several generic procedures which are common to all or most types.

### Assembly and predive function tests

Before use, the scrubber canister must be filled with the correct amount of absorbent material, and the unit tested for leaks. Two leak tests are usually conducted. These are generally known as the positive and negative pressure tests, and test that the breathing loop is airtight for internal pressure lower and higher than the outside. The positive pressure test ensures that the unit will not lose gas while in use, and the negative pressure test ensures that water will not leak into the breathing loop where it can degrade the scrubber medium or the oxygen sensors.

Prebreathing the unit (usually for about 3 minutes) shortly before entering the water is a standard procedure. This ensures that the scrubber material gets a chance to warm up to operating temperature, and works correctly, and that the partial pressure of oxygen in a closed-circuit rebreather is controlled correctly.[23]

### Standard operating procedures during the dive

Partial pressure of oxygen is of critical importance on CCR's and is monitored at frequent intervals, particularly at the start of the dive, during descent, and during ascent, where the risk of hypoxia is highest.

Carbon dioxide buildup is also a severe hazard, and most rebreathers do not have electronic CO2 monitoring. The diver must look out for indications of this problem at all times.[23]

The buddy diver should stay with a rebreather diver who is required to take emergency action until the diver has safely surfaced, as this is the time when the buddy is most likely to be needed.

#### Restoring the oxygen content of the loop

Many diver training organizations teach the "diluent flush" technique as a safe way to restore the mix in the loop to a level of oxygen that is neither too high nor too low. It only works when partial pressure of oxygen in the diluent alone would not cause hypoxia or hyperoxia, such as when using a normoxic diluent and observing the diluent's maximum operating depth. The technique involves simultaneously venting the loop and injecting diluent. This flushes out the old mix and replaces it with a known proportion of oxygen.

#### Draining the loop

Regardless of whether the rebreather in question has the facility to trap any ingress of water, training on a rebreather will feature procedures for removing excess water.

### Emergency procedures

#### Bailout to open circuit

Bailout to open circuit is generally considered a good option when there is any uncertainty as to what the problem is or whether it can be solved.

The procedure for bailout depends on details of the rebreather construction and the bailout equipment chosen by the diver. Several methods may be possible:

• Bailout to open circuit by switching the mouthpiece bailout valve to open circuit.
• Bailout to open circuit by opening a bailout demand valve already connected to the full face mask, or by nose-breathing in some cases.
• Bailout to open circuit by closing and exchanging the rebreather mouthpiece for a separate demand valve.
• Bailout to rebreather by closing the mouthpiece and switching to the mouthpiece of an independent rebreather set.

The bailout gas supply may be from the rebreather diluent cylinder, from independent cylinders, or in the case of depths less than about 6m, from the rebreather oxygen cylinder.

#### Alarms and malfunctions

Alarms may be provided for a few malfunctions. The alarms are electronically controlled and therefore rely on input from a sensor. These may include:[citation needed]

• Failure of the control system.
• Failure of one or more sensors.
• Low partial pressure of oxygen in the loop.
• High partial pressure of oxygen in the loop.
• Gas other than pure oxygen in the oxygen supply system. (unusual)
• High carbon dioxide levels in the loop. (unusual)
• Impending scrubber breakthrough (unusual)

Alarm displays:[citation needed]

• Visible (digital screen displays, flashing LEDs)
• Audible (buzzer or tone generator)
• Tactile (Vibrations)
• Control panel displays (usually with digital readout of the value and status of the measured parameter, often with blinking or flashing display)
• Head-up displays (usually a colour coded LED display, sometimes providing more information by the rate of flashing.)

If a rebreather alarm goes off there is a high probability that the gas mixture is deviating from the set mixture. There is a high risk that it will soon be unsuitable to support consciousness. A good general response is to add diluent gas to the loop as this is known to be breathable. This will also reduce CO2 concentration if that is high.

• Ascending without identifying the problem may increase risk of a hypoxia blackout.
• If the ppO2 is not known the rebreather can not be trusted to be breathable, and the diver should immediately bailout to open circuit to reduce the risk of losing consciousness without warning[23]

## Training

Training in the use of rebreathers has two components: Generic training for the class of rebreather, including the theory of operation and the general procedures, and specific training for the model of rebreather, which covers the details of preparation, testing, user maintenance and troubleshooting, and those details of normal operating and emergency procedures which are specific to the model of rebreather. Crossover training from one model to another generally only requires the second aspect if the equipment is similar in design and operation.[citation needed]

Military organisations usually only use a small number of models. Typically an oxygen rebreather for attack swimmers, and a mixed gas rebreather for clearance diving work, and this simplifies the training and logistical requirements.[citation needed]

Rebreather diving for recreational purposes is generally classed as technical diving, and the training is provided by the technical diver certification agencies. Training of scientific divers on rebreathers is usually done by these same technical diver training agencies as the use of rebreathers by the scientific diving community is usually insufficient to justify separate in-house training.[citation needed]

Recreational and scientific diving applications draw on a far wider range of models, and any given technical diving training agency may issue certification for an arbitrary number of rebreathers depending on the skills of their registered instructors. Most recreational rebreather manufacturers require that training on their equipment is based on training originating from the manufacturer, ie, the instructor trainers are typically certified by the manufacturer.[citation needed]

## Sport diving rebreather technology innovations

Over the past ten or fifteen years[when?] rebreather technology has advanced considerably, often driven by the growing market in recreational diving equipment. Innovations include:

• The electronic, fully closed circuit rebreather itself – use of electronics and electro-galvanic fuel cells to monitor oxygen concentration within the loop and maintain a certain partial pressure of oxygen
• Automatic diluent valves – these inject diluent gas into the loop when the loop pressure falls below the limit at which the diver can comfortably breathe.
• Dive/surface valves or bailout valves – a device in the mouthpiece on the loop which connects to a bailout demand valve and can be switched to provide gas from either the loop or the demand valve without the diver taking the mouthpiece from his or her mouth. An important safety device when carbon dioxide poisoning occurs.[24]
• Gas integrated decompression computers – these allow divers to take advantage of the actual gas mixture to generate a schedule for decompression in real time.
• Carbon dioxide scrubber life monitoring systems – temperature sensors monitor the progress of the reaction of the soda lime and provide an indication of when the scrubber will be exhausted.[25]
• Carbon dioxide monitoring systems – Gas sensing cell and interpretive electronics which detect the presence of carbon dioxide in the unique environment of a rebreather loop.

## References

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