Dear MarMamers
My coauthors and I would like to share our new open access review on “How Do 
Marine Mammals Manage and Usually Avoid Gas Emboli Formation and Gas Embolic 
Pathology? Critical Clues From Studies of Wild Dolphins” 
(https://www.frontiersin.org/article/10.3389/fmars.2021.598633 
<https://www.frontiersin.org/articles/10.3389/fphys.2020.604018/abstract>), 
which is a part of a collection of papers that celebrates "The Dolphins of 
Sarasota Bay: Lessons from 50 years of Research and Conservation" 
(https://www.frontiersin.org/research-topics/12832).

In this review, we have tried to summarize decompression theory based on 
studies on humans and land mammals that have allowed us to understand the 
physiological processes that may result in Gas Embolic Pathology (GEP) in 
marine mammals (and sea turtles). We then review the studies over the last 15 
years that have investigated the the potential mechanism that result in GEP in 
during unusual events such as sonar exposure, and how this research has 
resulted in the Selective gas Exchange which explains how marine mammals can 
selective exchange oxygen and carbon dioxide without exchange of nitrogen and 
thereby maximize aerobic dive duration and also minimize the risk of the bends 
(see below for short video explaining this hypothesis).
 
If you have any questions, please do not hesitate to get in contact: 
afahl...@whoi.edu <mailto:afahl...@whoi.edu>

Title: How Do Marine Mammals Manage and Usually Avoid Gas Emboli Formation and 
Gas Embolic Pathology? Critical Clues From Studies of Wild Dolphins

Authors: Fahlman,A., Moore, M.J., Wells, R.S.

DOI: 10.3389/fmars.2021.598633 
<https://www.frontiersin.org/articles/10.3389/fphys.2020.604018/abstract>

URL: https://www.frontiersin.org/article/10.3389/fmars.2021.598633 
<https://www.frontiersin.org/articles/10.3389/fphys.2020.604018/abstract>

Abstract: Decompression theory has been mainly based on studies on terrestrial 
mammals, and may not translate well to marine mammals. However, evidence that 
marine mammals experience gas bubbles during diving is growing, causing concern 
that these bubbles may cause gas emboli pathology (GEP) under unusual 
circumstances. Marine mammal management, and usual avoidance, of gas emboli and 
GEP, or the bends, became a topic of intense scientific interest after 
sonar-exposed, mass-stranded deep-diving whales were observed with gas bubbles. 
Theoretical models, based on our current understanding of diving physiology in 
cetaceans, predict that the tissue and blood N2 levels in the bottlenose 
dolphin (Tursiops truncatus) are at levels that would result in severe DCS 
symptoms in similar sized terrestrial mammals. However, the dolphins appear to 
have physiological or behavioral mechanisms to avoid excessive blood N2 levels, 
or may be more resistant to circulating bubbles through 
immunological/biochemical adaptations. Studies on behavior, anatomy and 
physiology of marine mammals have enhanced our understanding of the mechanisms 
that are thought to prevent excessive uptake of N2. This has led to generation 
of a new hypothesis, the selective gas exchange hypothesis, as to how 
stress-induced behavioral change may cause failure of the normal physiology, 
which results in excessive uptake of N2, and in extreme cases may cause 
formation of symptomatic gas emboli. Studies on cardiorespiratory function have 
been integral to the development of this hypothesis, with work initially being 
conducted on excised tissues and cadavers, followed by studies on anesthetized 
animals or trained animals under human care, participating voluntarily. These 
studies then enabled research on free-ranging common bottlenose dolphins in 
Sarasota Bay, FL, and off Bermuda, and have included work on the metabolic and 
cardiorespiratory physiology of both shallow- and deep-diving dolphins and have 
been integral to better understand how cetaceans can dive to extreme depths, 
for long durations.
Explanation of the Selective Gas Exchange hypothesis:  
https://www.youtube.com/watch?v=sfBOpUuJv1c 
<https://www.youtube.com/watch?v=sfBOpUuJv1c>

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