Exchanging gases with water causes substantial heat loss. Tracheal systems for gas exchange are found in crustaceans earthworms insects jellyfish vertebrates 27. Water can support the delicate gill features. Most fish actively pump water over their gills. Keeping membranes moist is no problem.
Water carries more oxygen than air and therefore makes gills more efficient than lungs.
Gills have evolved many times in aquatic animals. The systolic pressure is 80. The diastolic pressure is 80. The pulse rate is 80 beats per minute. The blood pressure during contraction of the heart is 80.