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To: Richard
To: Pyle <deepreef@bi*.bi*.ha*.or*>
Subject: Re: Oxygen Narcosis
From: shelps@ac*.ma*.ad*.ed*.au* (Prime Rat)
Cc: techdiver@opal.com
Date: Tue, 3 May 1994 17:03:46 +0930
>The topic of "oxygen narcosis" has come up, and I thought I'd share an

Not to be confused with inert gas narcosis, but what is "oxygen narcosis".  
Oxygen is metabolised and is not good for you at high partial pressures.  I 
don't see how it can induce narcosis.  I think I'd rather call this 
smoething other than oxygen narcosis.  

>change to what I call "cold" narcosis.  The symptoms (for me) included
>tingling in the extremities, strong paranoia, tunnel vission, etc.; but

Sounds like hypoxia

>I have NEVER experienced those "cold" narcosis symptoms at a depth that
>shallow while breathing air.  I am now convinced that the "cold" narcosis
>is related in some way to oxygen.

>One explanation, therefore, is that the "cold" narcosis symptoms are not
>narcosis at all - but have something to do with oxygen toxicity.  However,

Good working hypothesis

>I have been much deeper than 275' on air many times, and although the
>"cold" narcosis symptoms increase in intensity with increase depths, I
>have never experienced any of the classic oxygen toxicity symptoms on any
>of these dives (e.g. twitching of facial muscles, etc.).

Becasue it's hypoxia, not hyperoxia?

>Another complication is that I've never experience "cold" narcosis when
>breathing pure oxygen at high partial pressures.  I've breathed 100%
>oxygen at a simulated 60fsw in a chamber for many hours without any sign
>of "cold" narcosis. I've even breathed O2 at 220' in a chamber (as a
>result of a mistake), again with no "cold" narcosis symptoms.

We can still invoke hypoxia.

>Thus, it seems there is some sort of a synergistic effect with high PPO2's
>& PPN2's that causes intense (i.e., "cold") narcosis symptoms.

I'm thinking about it....

>Of course, there are other explanations for my "cold" narcosis other than
>actual "narcosis" (as it is with nitrogen) - things like constriction of
>perhipheral circulatory system, etc.  But my main point is that nitrox is

What about constriction of blood vessels in the central nervous system?  I 
am thinking of how it could be hypoxia.

>Who knows? But it's interesting to think about.  I'd love to get involved
>with controlled chamber experiments to probe the question more carefully.

What sort of model would you use?  It would be ethically "difficult" to 
expose people to a possibly harmful dose of whatever this phenonemon is.  
Since ethanol potentiates inert gas narcosis you could easily test whether 
"oxygen narcosis" has a similar mechanism to inert gas narcosis by downing a 
few beers befor you dive.

For myself I'd like to avoid calling this phenonemon "oxygen narcosis".  Can 
you think of another name?


/Rat

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
shelps@ac*.ma*.ad*.ed*.au*         Stephen Helps
FAX   (08)232-3283                      Anaesthesia & Intensive Care
Voice (08)224-5495                      University of Adelaide
                                        ADELAIDE, 5005, South Australia
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
If there is a 50-50 chance that something can go wrong, then 9
times out of ten it will. (Paul Harvey News, 1979) 
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

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