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To: techdiver@opal.com
Subject: Re: CO in breathing gas
From: Frank Deutschmann <fhd@pa*.co*>
Date: Tue, 26 Jul 1994 22:28:01 -0400 (EDT)
I'm coming to this thread a little late (thanks  to Panix sys admin
games), so please excuse me if I have missed a  reply that makes mine
redundant...

In reply to John Crea's  statement "Any breathing gas  with a CO
content safe to breathe at the surface is safe at depth" (paraphrased
-- he said  it more eloquently -- as I have misplaced the original), I
would say that the statement is true, but in a deceptive way.  The
deception has  to do withthe missing parameter: time.

As others have posted, the statement is  true from the perspective
that O2 delivery at depth will be no more compromised than at the
surface, irrespective of CO content.  This is true  for 2 reasons: 1)
the CO-O2 partial pressures will maintain the same relationship as
depth increases, causing the CO impact on O2 transport to be no worse
than at the surface; and 2) the O2 transport via plasma will increase
with depth, causing a net improvement in O2 transport with depth,
again irrespective of CO fraction.

The problem is ,  however, time.  The statement does  not mention the
time factor, and  that  is  a major ommission: a breathing gas which
may  not cause blackout for quite a while at the surface, may indeed
cause blackout upon returning to the surface following a dive.  This
can be  understood from the perspective that CO impairment of HbO2 (by
way  of HbCO) is a cumulative effect, and will  not be undone by the
dive (assuming no gas switching -- particularly to  high PP O2
breathing mixes with reduced CO).

In  fact, the time to blackout from breathing a particular mix of
CO/O2/etc at the surface will always be the lower limit of the time
to blackout from breathing the same mix at any depth (higher ATA
pressure) -- as a result of the O2 transport via plasma.  However,
once the surface time to blackout is  exceeded, the diver will become
eligable for blackout upon return to the surfac -- this being a result
of the cumulative effect of the CO exposure.  Another way  to explain
this is that the surface blackout is  controlled more by the net molar
quantity of CO inhaled, while depth blackout iscontrolled more by PP
O2; the CO molar "clock" is always running, and the diver will be
eligable to take a "hit" from it as soon as the PP O2 has receeded to
a point where the molar clock is exposed.  (I visualize this as the PP
O2 slows the CO molar clock  when  PP O2 is greater than surface
(hyperoxic), but the CO molar clock is  accelerated  an exactly
corresponding ammount as  PP O2 is decreased, so  that the net effect
of an excursion to depth on the CO molar clock is zilch.)

So I would state Crea's little challenge more along the line of "For
any given CO/O2/etc gas mix, it is safer (gives a longer time to
blackout) to breathe it at depth than at the surface  (ignoring O2
tox, etc)."  Which is, of course, totally obvious, as we all know that
hyperbaric treatments are theprimary treatment for CO inhalation.
(The point I'm trying to  make above  whathas  already been presented
is that breathing a CO mix at depth is not "safe", but rather just
buys some more time.)

I haven't run any numbers, but I don't think accounting for CO2 in
this  equation would change  any  of this.

-frank
-- 
fhd@pa*.co*  | Hydrogen is a light weight, colorless, ordorless,
1 212 559 5534 | tasteless gas, which, given enough time, turns into
1 917 992 2248 | people.
1 718 746 7061 | 	-- Unknown Astronomer-type dude

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