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To: techdiver@opal.com
Subject: Re: Risks of CO2 PP when air diving?
From: ddoolette@me*.ad*.ed*.au* (David Doolette)
Date: Mon, 25 Jul 1994 09:39:22 +0930
>And the saga continues... (g)
>
>>Scott,
>>
>>Let me check, but I do not think that the statement:
>>
>>>4) CO binding is so thermodynamically favorable that binding is, 
>>>practically speaking, permanent, essentially removing the bound 
>>>hemo site from the pool of available transport.
>>
>>is quite accurate.  At sealevel, with only 0.21 ATA of oxygen partial
>>pressure, this statement is essentially true, but in the presence of
>>high enough partial pressures of oxygen, monoxide will unbind from
>>hemoglobin.  "Further more, it bind with about 230 times as much tenacity
>>as oxygen, which is illustrated by the carbon monoxide-hemoglobin
>>dissociation curve in Figure 41-12 (this is take from Guyton's "Textbook
>>of Medical Physiology", page 511 and 512).  This curve is almost identical
>>with the oxygen-hemoglobin dissociation curve, except that the pressures
>>of the carbon monoxide shown on the abscissa are at a level 1/230 of those 
>>on the oxygen dissociation curve.  Therefore, a carbon monoxide pressure
>>of only 0.4 torr in the alveoli, 1/230 that of the alveolar oxygen, allows
>>the carbon moxide to COMPETE equally wit# the hemoglobin and causes half to
>>the hemoglobin in the blood to become bound with monoxide instead of 
>oxgyen."
>
>Aren't we really saying the same thing?  That ratio adds up to an
>overwhelming thermodynamic favorability for the CO binding over O2 
>in my book.  And, barring administration of unusual and artificial 
>driving forces to that reaction, the hemoglobin would certainly 
>remain bound for the servicable lifetime of the molecule.  
>Unusual and artificial driving forces such as high-pressure
>O2, aka one treatment for CO posioning.
>

carboxyhaemoglobin half-life in air is about 5.5 hours

regards,

David Doolette
ddoolett@me*.ad*.ed*.au*

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