>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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