CO2 -

CO2 -

Prebreathe Test


You have freshly packed the scrubber.

Everything tight. Everything tested.


Und trotzdem bleibt die Frage: 

Is my circuit really CO₂-safe?


Many experienced rebreather divers are familiar with this uneasy feeling. This is precisely why a concept was discussed to ensure greater safety:


The CO₂ prebreathe test

But what is the practical benefit of this test? And why can it give a false sense of security?


What is a CO₂ prebreathe test?

The idea behind the test is simple:


You breathe for about five minutes at the surface on the rebreather - before descending.


The aim: to determine at an early stage whether the CO₂ scrubber is working or whether there is a critical fault.


Ideally, you will notice symptoms such as shortness of breath or discomfort if CO₂ is not absorbed correctly - and abort the dive before it becomes dangerous.

The big study: What does the research say?

The most comprehensive study on this topic to date was conducted by Deng et al. (2015).

A controlled laboratory experiment was carried out to test how reliable the Prebreathe test actually is.


The study design:


• 20 erfahrene Taucher

• Drei Testbedingungen:


  - Normaler Scrubber

  - Teilweise defekter Scrubber (absichtlich falsch montiert)

  - Scrubber komplett entfernt


• Die Probanden wussten nicht, in welchem Zustand sie sich befanden (Blindtest).


 Find out if they recognize CO₂ problems within five minutes.



The result: Only gross errors recognizable



The results were sobering:


Scrubber state
Abortions due to symptoms
Normal
0 from 20
Partially defective
2 from 20
Without scrubber
15 from 20




Why the body (almost) doesn't notice anything



Deng et al. not only recorded the subjective symptoms, but also physiological data:


• EtCO₂ (endtidales CO₂)

• Atemfrequenz und Volumen

• Minutenventilation



Striking:



Beim teilweise defekten Scrubber stieg der PI CO₂ (CO₂ in der Einatemluft) leicht an. Doch die Taucher kompensierten dies unbewusst durch tieferes Atmen der EtCO₂ blieb stabil.


The problem:


Without rising EtCO₂ there is no alarm pain, no discomfort, no warning.


The body does not respond - even though the system is not functioning safely.



CO₂ poisoning is insidious and often silent



In the "scrubber missing completely" variant, the CO₂ value in the body rose rapidly.


Most of the test subjects noticed this through symptoms such as:


• Atemnot

• Schwindel

• Druckgefühl im Kopf

• Benommenheit oder Angst


But not all of them. Here, too, five out of twenty felt "normal" - despite having very high values.


The researchers found that


Some divers barely reacted physiologically - even though their CO₂ levels rose well above the safe limit.




The real danger lies under water



The study was carried out on the surface - under the best conditions.


But the problems get worse underwater:


• Erhöhte Atemwiderstände

• Steigende Gasdichte

• Physische Belastung

• Ablenkung


A partially defective scrubber that still "works" on the surface can become a deadly trap under water.




Why some divers still don't notice



Interestingly, the study showed that


An increase in CO₂ alone does not automatically trigger warning symptoms in all people.


Some test subjects did not react at all or even reacted paradoxically:


→ Rising CO₂ values, but falling respiratory rate.

→ No noticeable discomfort - despite measurable hypercapnia.


This may be due to individual tolerances, habituation, training level or psychological factors.




What does this mean for your everyday diving life?



What does this mean for your everyday diving life?


✅ The prebreathe test can reveal gross errors, for example if you have forgotten the scrubber.


❌ But: It gives you no guarantee of CO₂ safety during the dive - especially in the case of insidious errors such as


• Falsch gepacktes Absorbermaterial

• Kanalbildung

• Leichte Undichtigkeiten im Kreislauf


Das sind deine wirklichen Schutzmaßnahmen um CO₂-Vergiftungen zuverlässig zu vermeiden, hilft kein kurzer Atemtest sondern nur Sorgfalt und Wissen:


• Sorgfältiges, standardisiertes Packen

• Regelmäßige Wartung und Checks

• Training zur Erkennung von Hyperkapnie

• Verständnis der eigenen physiologischen Reaktionen

• Kritische Einschätzung der eigenen CO₂-Toleranz




Fazit: Der Prebreathe-Test – 

Better than nothing, but dangerously overrated



The CO₂ prebreathe test is no substitute for real safety measures.

It is a supplementary check - nothing more.

Don't rely on a ritual that gives you a false sense of security.

The best CO₂ avoidance doesn't start in the rebreather, but in your head - with knowledge, respect and discipline.


Source:

📚 Deng et al. (2015): “Effectiveness of a 5-min CO₂ pre-breathe to detect defective CO₂ scrubber packing”, Diving and Hyperbaric Medicine, Vol. 45(1), S. 16–24.


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