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Date: Mon, 22 Dec 1997 12:16:48 -0500 (EST)
From: "William M. Smithers" <will@tr*.co*>
Subject: Rethinking Deco: Counterdiffusion
To: rebreather@nw*.co*, techdiver@aquanaut.com, cavers@ge*.co*

In the process of putting together ZPlan, I've
spent a lot of time tearing into the math 
behind Haldanean/Schreiner/Buhlmann decompression
models, and have discovered a couple
of points that raise questions.  

The first of these relates to what has
been clssically termed "inert gas counterdiffusion".
While this is a relatively obscure topic,
IGCD bend hits do happen in recreational
diving, and more importantly,  properly
thinking out this issue results in conclusions
that strongly support the WKPP's experience
that Helium based mixes are the best choice
for the mid-range of decompression stops (I
have nothing to do with the WKPP, except for having
fun taking the occasional poke at George :)

"Inert Gas Counterdiffusion", as the current
theory holds, is thought to be a cause of DCS incidence 
that occurs when switching from mixes high in Helium to
Nitrogen-based mixes.   The theory runs that
the sudden on-gassing of the Nitrogen somehow
magically interferes with the off-gassing
of the Helium, and bubbles form.  This is
typically in the fast and very-fast tissues - usually
the skin or inner-ear. Inner-ear bends are *very* bad
news, usually leading to permenant disability, including
vertigo, nausea, tinnitus (ringing), and hearing loss, if
not recognized and treated immediately.  Skin bends are
usually just uncomfortable, of course.

Most everyone agrees that there are really two major 
factors that determine bubble formation: gradient and
absolute pressure.  "Gradient" is the difference between
the pressure of a gas dissolved in the blood and the
partial pressure of that gas in the inspired mix.   When
the gradient gets too high, microbubbles form.  These
bubbles expand as the absolute pressure decreases, in
the same way your BC volume expands while ascending.

Haldanean-based models use a mixture of gradient and
pressure to determine a "safe" decompression curve, but
don't specifically make the point that BUBBLES ARE FORMED
BY HIGH GRADIENT, NOT ABSOLUTE PRESSURE CHANGES.

On the surface, this seems like a minor point, and for
non-mixed gas diving, it usually is.  When we do, say,
a deep air dive (for illustrative purposes only..poke,poke!)
the gradient of Nitrogen is naturally controlled into
a smooth, slow transition during decompression.

This is because high partial pressures of Oxygen are toxic,
so in order to avoid doing the O2 funky chicken, you must
*slowly* decrease the N2 content in the mix - you can't 
just slam the dissolved/inspired gradient to the max at 200fsw
by going on 100% O2 or you'd tox.

Not so with Helium mixtures.  When you do that deep switch
from heliox or trimix to a nitrogen-based mixture, you
are zapping the gradient to it's maximum in about five seconds,
and you are doing it at the worst possible time, when the
pressure of the dissolved helium is at its greatest.  Plus
you are usually ascending at the same time, which has got
the helium gradient already reversed into "off-gassing" mode.
Naturally, bubbles form.  

Makes alot more sense than some mumbo-jumbo about
gas interference, eh?

So obviously, the important point here is that deep
switches from mix to Nitrogen-mixtures are a bad idea.  You can
get the helium gradient lowered to a level where it's
safe to switch to nitrox by simply doing your first
few stops on the mix, and switching to Nitrox or
O2 for the "long haul" stops, where they're really
needed.

-Will

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