Journal of Istanbul Faculty of Medicine

SUBMITINFORMATION
EnglishTürkçe

Research Article


DOI :10.26650/IUITFD.2019.0045   IUP :10.26650/IUITFD.2019.0045    Full Text (PDF)

MEDICAL ANALYSIS OF THE DEEP DIVES PERFORMED DURING TURKEY - GREECE NATURAL GAS PIPELINE MAINTENANCE

Bengüsu Mirasoğlu, Şamil Aktaş

Objective: The Turkey - Greece Natural Gas Pipeline which is a part of the Southern Europe Gas Corridor is 297 km long - 17 kilometers of which is under the Marmara Sea. Maintenance of and repairs to the pipeline are carried out regularly. Underwater maintenance and repair necessitate deep diving operations. The object of this study is to analyze this remarkable diving operation from a medical perspective.

Material and Method: The diving operation was performed by the company Deep Offshore using the RV DERINSU boat. Six professional divers worked in the Project. Air and helium/oxygen mixtures appropriate to diving depth were used for breathing gas and a multiplace chamber was kept on the boat. Medical support was provided by the Istanbul Faculty of Medicine.

Results: A total of 80 dives of depths up to 58.7 meters were performed. Forty-five were air dives and the rest were performed with helium/oxygen mixtures. There were two cases of middle ear barotrauma, one case of frontal sinus barotrauma and one case of nitrogen narcosis. No other diving related injury or disease was reported.

Conclusion: The risk and prevalence of diving related injuries can be minimized by well-planned operations carried out in compliance with safe diving procedures using appropriate equipment. Deep diving operations are rare in our country so the present study may stand as a medical reference for the topic. 

Keywords: Deep diving, mixed gas diving, pipeline, medical consultancy
DOI :10.26650/IUITFD.2019.0045   IUP :10.26650/IUITFD.2019.0045    Full Text (PDF)

TÜRKİYE - YUNANİSTAN DOĞALGAZ HATTI BAKIM ÇALIŞMALARI İÇİN YAPILAN DERİN DALIŞLARIN MEDİKAL ANALİZİ

Bengüsu Mirasoğlu, Şamil Aktaş

Amaç: Güney Avrupa Gaz ringinin bir parçasını oluşturan Türkiye - Yunanistan Doğalgaz Boru Hattı 297 km uzunluğunda olup, 17 kilometrelik bölümü sualtındadır. Boru hattının periyodik bakımları yapılmakta olup sualtındaki bakım derin dalış operasyonları içermektedir. Çalışmamızda, bu özellikli operasyonun medikal açıdan değerlendirmesi amaçlanmıştır. Gereç ve Yöntem: Dalışlar RV DERİNSU gemisinde Deep Offshore firmasınca yapılmıştır. Dalışlarda altı profesyonel dalgıç görev almıştır. Dalışlar sırasında hava ve helyum/oksijen gaz karışımları kullanılmıştır. Bir basınç odasının hazır bekletildiği dalış operasyonlarına fakültemiz tarafından tıbbi danışmanlık hizmeti verilmiştir.

Bulgular: 45’i hava, 35’i helyum/oksijen karışımı ile 58,7 metreye kadar varan toplam 80 dalış yapılmış; 2 orta kulak sıkışması, bir frontal sinüs sıkışması ve bir nitrojen narkozu olgusu dışında dalışa bağlı herhangi bir kaza veya hastalık gelişmemiştir.

Sonuç: İyi planlanmış, uygun donanım kullanarak ve güvenli dalış kurallarına uygun olarak yapılan dalışlarda olası kaza ve hastalık riskleri ortadan kaldırılabilir. Benzer operasyonlar ülkemizde nadir yapılmakta olup, konuyla ilgili tıbbi referans oluşturması açısından çalışma önem taşımaktadır. 

Keywords: Derin dalış, karışım gaz dalışı, boru hattı, tıbbi danışmanlık

PDF View

References

  • 1. US Navy Diving Manual, Rev 7. (1 Aralık 2016). google scholar
  • 2. Profesyonel Sualtı Adamları Yönetmeliği. Resmi Gazete No: 23098 Tarih: 2/9/1997. google scholar
  • 3. Rocco M, Pelaia P, Di Benedetto P, Conte G, Maggi L, Fiorelli S et al. Inert gas narcosis in scuba diving, different gases different reactions. Eur J Appl Physiol 2019;119(1):247-55. google scholar
  • 4. Lafère P, Balestra C, Hemelryck W, Guerrero F, Germonpré P. Do Environmental Conditions Contribute to Narcosis Onset and Symptom Severity? Int J Sports Med. 2016;37(14):11248. google scholar
  • 5. Steinberg F, Doppelmayr M. Executive Functions of Divers Are Selectively Impaired at 20-Meter Water Depth. Front Psychol 2017;8:1000. [CrossRef] google scholar
  • 6. Brubakk AO, Arntzen AJ, Wienke BR, Koteng S. Decompression profile and bubble formation after dives with surface decompression: experimental support for a dual phase model of decompression. Undersea Hyperb Med 2003;30(3):181-93. google scholar
  • 7. Covington D, Pitkin A. Underwater nasal decongestant use: a novel approach to middle ear equalization. Undersea Hyperb Med. 2018;45(6):679-82. google scholar
  • 8. Strauss MB. Problems associated with descent. In: Strauss MB, Aksenov IV (eds) Diving Science. Human Kinetics publ, Illinois, ABD, 1st ed. 2004.p: 249-264. google scholar
  • 9. Molvaer O. Otorhinolaryngological aspect of diving. In: Brubakk A, Neuman T (eds) Bennett and Elliott’s Physiology and Medicine of Diving. Saunders Ltd, 5th ed, 2002. p:22764. google scholar
  • 10. Edmonds C. Sinus barotrauma. In: Edmonds C, Bennett M, Lippmann J, Mitchell SJ (eds) Diving and Subaquatic Medicine. Fifth ed, CRC Press, Boca Raton, Florida. 2016.P: 103-14. google scholar
  • 11. Doolette DJ, Mitchell SJ. Recreational technical diving part 2: decompression from deep technical dives. Diving Hyperb Med 2013;43(2):96-104. google scholar

Citations

Copy and paste a formatted citation or use one of the options to export in your chosen format


EXPORT



APA

Mirasoğlu, B., & Aktaş, Ş. (2020). MEDICAL ANALYSIS OF THE DEEP DIVES PERFORMED DURING TURKEY - GREECE NATURAL GAS PIPELINE MAINTENANCE. Journal of Istanbul Faculty of Medicine, 83(2), 146-151. https://doi.org/10.26650/IUITFD.2019.0045


AMA

Mirasoğlu B, Aktaş Ş. MEDICAL ANALYSIS OF THE DEEP DIVES PERFORMED DURING TURKEY - GREECE NATURAL GAS PIPELINE MAINTENANCE. Journal of Istanbul Faculty of Medicine. 2020;83(2):146-151. https://doi.org/10.26650/IUITFD.2019.0045


ABNT

Mirasoğlu, B.; Aktaş, Ş. MEDICAL ANALYSIS OF THE DEEP DIVES PERFORMED DURING TURKEY - GREECE NATURAL GAS PIPELINE MAINTENANCE. Journal of Istanbul Faculty of Medicine, [Publisher Location], v. 83, n. 2, p. 146-151, 2020.


Chicago: Author-Date Style

Mirasoğlu, Bengüsu, and Şamil Aktaş. 2020. “MEDICAL ANALYSIS OF THE DEEP DIVES PERFORMED DURING TURKEY - GREECE NATURAL GAS PIPELINE MAINTENANCE.” Journal of Istanbul Faculty of Medicine 83, no. 2: 146-151. https://doi.org/10.26650/IUITFD.2019.0045


Chicago: Humanities Style

Mirasoğlu, Bengüsu, and Şamil Aktaş. “MEDICAL ANALYSIS OF THE DEEP DIVES PERFORMED DURING TURKEY - GREECE NATURAL GAS PIPELINE MAINTENANCE.” Journal of Istanbul Faculty of Medicine 83, no. 2 (May. 2024): 146-151. https://doi.org/10.26650/IUITFD.2019.0045


Harvard: Australian Style

Mirasoğlu, B & Aktaş, Ş 2020, 'MEDICAL ANALYSIS OF THE DEEP DIVES PERFORMED DURING TURKEY - GREECE NATURAL GAS PIPELINE MAINTENANCE', Journal of Istanbul Faculty of Medicine, vol. 83, no. 2, pp. 146-151, viewed 19 May. 2024, https://doi.org/10.26650/IUITFD.2019.0045


Harvard: Author-Date Style

Mirasoğlu, B. and Aktaş, Ş. (2020) ‘MEDICAL ANALYSIS OF THE DEEP DIVES PERFORMED DURING TURKEY - GREECE NATURAL GAS PIPELINE MAINTENANCE’, Journal of Istanbul Faculty of Medicine, 83(2), pp. 146-151. https://doi.org/10.26650/IUITFD.2019.0045 (19 May. 2024).


MLA

Mirasoğlu, Bengüsu, and Şamil Aktaş. “MEDICAL ANALYSIS OF THE DEEP DIVES PERFORMED DURING TURKEY - GREECE NATURAL GAS PIPELINE MAINTENANCE.” Journal of Istanbul Faculty of Medicine, vol. 83, no. 2, 2020, pp. 146-151. [Database Container], https://doi.org/10.26650/IUITFD.2019.0045


Vancouver

Mirasoğlu B, Aktaş Ş. MEDICAL ANALYSIS OF THE DEEP DIVES PERFORMED DURING TURKEY - GREECE NATURAL GAS PIPELINE MAINTENANCE. Journal of Istanbul Faculty of Medicine [Internet]. 19 May. 2024 [cited 19 May. 2024];83(2):146-151. Available from: https://doi.org/10.26650/IUITFD.2019.0045 doi: 10.26650/IUITFD.2019.0045


ISNAD

Mirasoğlu, Bengüsu - Aktaş, Şamil. “MEDICAL ANALYSIS OF THE DEEP DIVES PERFORMED DURING TURKEY - GREECE NATURAL GAS PIPELINE MAINTENANCE”. Journal of Istanbul Faculty of Medicine 83/2 (May. 2024): 146-151. https://doi.org/10.26650/IUITFD.2019.0045



TIMELINE


Submitted11.06.2019
Accepted12.07.2019
Published Online24.03.2020

LICENCE


Attribution-NonCommercial (CC BY-NC)

This license lets others remix, tweak, and build upon your work non-commercially, and although their new works must also acknowledge you and be non-commercial, they don’t have to license their derivative works on the same terms.


SHARE




Istanbul University Press aims to contribute to the dissemination of ever growing scientific knowledge through publication of high quality scientific journals and books in accordance with the international publishing standards and ethics. Istanbul University Press follows an open access, non-commercial, scholarly publishing.