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Date: Mon, 15 Apr 96 14:16:20 GMT
From: "John Gibbons" <jgibbo@ph*.lo*.ac*.uk*>
To: techdiver@terra.net
Cc: quietfrogmen@bt*.co*
Subject: Perflourocarbons and DCS
With yet another person having seen the scene in the ABYSS with the rat 
breathing liquid and asked the question - is this real and why cant we use 
it, I thought I would bring up the subject of a more practical use for 
perflourocarbons in the treatment of DCS. More than eight years ago I went 
to a meeting of the Underwater Association in the UK and heard a talk on 
the use of perflourocarbons as DCS treatment. (I think it was by a D 
Atkinson but I cant remember). The UK navy was interested in the treatment 
of submariners who end up on the surface after submarine escape from 100 M 
+ and what the likelyhood of having  one hundred men on the surface with 
some degree of bends. With no rescue vessel capabil of accomodating this 
number of victims they wanted an easy way to treat them. 

Since perflourocarbons have such a high solubility for oxygen and other 
gases it would act as a sponge and soak up any excess gas coming out of a 
supersaturated solution (ie blood). It would not act prophylactically if 
taken before a dive but could be used as soon as a diver reached the 
surface and started displaying symptoms of DCS or embolism. 

I tried looking aroung the literature and only found a couple of references 
to its use on hamsters. What they did was stick a few of the hamsters down 
at 6 ats (or more I'm not sure) keep them there for a while and then 
explosively decompress them. Quick as they could they then injected then 
with some PFC. Now not all of the furry little guys lived but those that 
did had no ill effects as compared to the controls who all died.
 
So here is what we have: a none toxic blood expander in clinical trials in 
the US that could be carried in a first aid kit and given to a diver in an 
emergency to reduce the supersaturation of their blood and hence reducing 
the damage caused by DCS. 
Is someone working on this somewhere, does anyone else know anything about 
it, is there some reason why it would not work?

Gibbo

John M. Gibbons                       0171-793-1101 Home
Univ. London School of Pharmacy       0171-582-6561 Fax
Dept. of Pharmaceutical Chemistry     0171-753-5800 Wk ex 4882
jgibbo@cl*.ul*.ac*.uk*            or
jgibbo@ul*.ac*.uk*

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