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To: techdiver@opal.com
Subject: some CO2 and hemo info
From: jolieb@gr*.ci*.up*.ed* (Jolie Bookspan)
Date: Wed, 4 May 94 02:58:14 EDT
Regarding the several questions about CO2 and hemoglobin:

> Is CO2 removed only as dissloved molecules in the blood?
> Haemoglobin does not bind CO2, only O2 and CO. 
> CO2 is dissolved in the blood liquid as H2CO3 (Carbonic acid)

Hemoglobin removes CO2 to a small extent (15 to 25% of total CO2) in 
the form carbaminohemoglobin (CO2HHb). Most CO2 remains 
dissolved in blood, reacting with water to form first carbonic acid, 
but then rapidly dissociating into bicarbonate.

> you might just have a tendency to saturate hemoglobin with O2, 
> inhbiting (to a limited extent) its ability to carry CO2 out of the 
> tissues.

Hemoglobin contains an iron group called heme, and a protein called 
globulin. It has four iron atoms that each loosely bind one oxygen 
molecule, therefore each hemoglobin molecule has room for four  
atoms of oxygen. CO2 bonds with the protein subunit unlike oxygen  
so they do not ordinarily compete for sites and can be carried  
simultaneously. Note the qualifier  'ordinarily '. There are particular  
instances, but I do not believe they relate here.

> I've tried to get a handle on the effects of elevated inspired 
> PPO2 on satuaration of hemoglobin. 

At one atmosphere, about 97% of oxygen is carried in combined form 
with hemoglobin  called oxyhemoglobin (Hb-O2), the rest dissolved in 
blood. That means that at sea level  with no increased pressure 
exposure at all, your hemoglobin has almost all the O2 it can  hold 
(almost totally saturated already).

> is it possible that the O2 is causing and acidic "rush" in our 
> system...?

I'm not acquainted with your term 'acidic rush'. O2 is a main 
remover of hydrogen ions (H-) that build up 'acidity'. This occurs in 
the electron transport chain of respiration. That's why, without 
enough 'aerobic' metabolism during intense exercise lactic acid builds 
up, but that is another story...


Regarding conjecture that pCO2 increases merely with depth:

There are several parts to understanding this. First, it is not true that  
diving deeper, by itself, increases pCO2 in a diver's  body. You do not  
produce any more CO2 merely for being  underwater. It's not like  
nitrogen that you are breathing in increased density with increased   
depth. You ordinarily, and again - note the qualifier 'ordinarily',  
produce the  same amount of CO2, so pCO2 does not change  with  
change in ambient pressure as does pN2  and pO2. It is also not true 
that the exercise of ordinary diving causes CO2 to  build up in a 
diver's  body in ordinary conditions. Your breathing speeds up 
during exercise to breathe off the excess and your blood  has 
powerful buffers to control CO2 level. Increased  CO2 with skip 
breathing and equipment dead space in helmets, full  face  masks, 
and rebreathers is another story, as is increased work of breathing at 
depth and increased gas density. These things may increase CO2 
retention - another story for another time.          

> It would be ethically "difficult" to expose people to a possibly 
> harmful dose of whatever this phenonemon is.

Been done. Read Kenneth Donald's 'Oxygen and the Diver'. Plus, with 
tek divers doing such marvelous things, we have a built-in ongoing 
and growing database. Keep up all your good work.

Jolie Bookspan, Ph.D.
Research physiologist in environmental physiology (exercise in heat, 
cold, altitude, and at depth). 

--------
It ain't so much what we don't know that gets us into trouble, it's 
what we know that ain't so.  
        -Will Rogers

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