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To: techdiver@opal.com
Subject: Re: CO2 transport in blood
From: ddoolett@me*.ad*.ed*.au*
Date: Wed May 04 10:40:47 1994
>
>
>	The discussion of cold vs hot narcosis has been interesting to
>watch.  One comment on the following;
>
>>
>> The "Cold Narc" effects do seem to be related to higher than normal CO2.
>> This could be related to the inability of the blood to xfer O2 and CO2
to/from
>> the lungs and tissues properly due to raised levels of gases in all three.
>> When the pressure in the lungs increases it is xfered to the blood and from
>> the blood to the tissues.  Reversing this action with CO2 on the return trip.
>>  As the level in the tissues increases eventually the level in the blood
>> reaches the point at which it can no longer effectively absorb/bond with
>> more gases.  Therefore on the return trip it fails to bond with enough CO2.
>>
>> (Please be kind, this is not based on anything other than the first thing
>> that came to my wandering mind)
>>
>> Have Fun,
>>
>> Scooter
>
>	CO2 is a 'special' gas in my book because its transport in the
>body is unusual and not what was stated above.  Haemoglobin does not
>bind CO2, only O2 and CO.  If it binds CO, it does not readily release
>it, which is why one dies from CO inhalation.

Wrong, a significant portion of CO2 in the blood is carried by haemoglobin, 
off the top of my head I think it is 5% in venous blood, and this binding 
of CO2 causes a left shift in the Hb-O2 dissociation curve.


>	O2 as we all know is primarily transported by hemoglobin in
>the red blood cells (at one atmospere!  At pressure, I don't know what
>the loading levels are, but this is known.).  In the tissues, CO2 is
>produced by the metabolism of O2.  Unlike N2 or Ar, or most other
>gases, CO2 is NOT transported in the blood as a neutrally dissolved
>gas.  

some must be in solution by definition of an equilibrium, and CO2 is 
highly soluble in blood.

>CO2 is dissolved in the blood liquid as H2CO3 (Carbonic acid),
>which changes the pH and helps release the O2 from the haemaglobin,
>along with Di-Phospho-Glycrerol(DPG) in the tissues.  During the
>transport of the blood from the tissue to the lungs and back, only a
>small percentage of the total CO2 present in the blood (at 1 atm!) is
>released in the lungs.  When the H2CO3 passes through your lungs, the
>carbonic acid is converted to CO2 by an enzyme (carbonic anhydrase) at
>rapid speeds in your lungs, thus causing the CO2 to outgas in a 'safe'
>area.  I know that model calculations have been done to model the
>effect of higher CO2 levels on the action of the enzyme, but since the
>enzyme is limited by the rate of diffusion of CO2 INTO the enzyme, it
>should (that's an opinion folks) work at at least the same RATE as on
>the surface.  However, because the partial pressures in the lungs are
>higher at depth, plasma loading of carbonic acid will increase.  The
>(probable) shift in pH and the presence of more CO2 may well cause the
>effects mentioned by Rich Pyle and others.
>
David Doolette
ddoolett@me*.ad*.ed*.au*

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