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From: CHK BOONE <CHKBOONE@ao*.co*>
Date: Wed, 14 Jan 1998 12:29:52 EST
To: techdiver@aquanaut.com
Subject: Oxygen / some thoughts
Organization: AOL (http://www.aol.com)

William,

This is the kind of stuff I like and you seem to be interested in it 
as well so let me throw in some related thoughts and questions 
if I may :

Pyle :
However, there are other factors associated with O2 that can 
(theoretically) work against you.   For example, high PO2 leads to 
vasoconstriction, which means reduced perfusion.    This can 
theoretically lead to reduced N2/He elimination efficiency from 
the tissues. 

Chuck :    
Could this not also lead to reduced �delivery� of N2/He to the 
tissues ?     Perhaps a benefit of high O2 mixes within safe tox 
limits such as 100� dives on nitrox 32.   Maybe not enough O2 !

Pyle :
My hunch is that the main advantage of doing the 10-foot stop time at 20 
feet is that, because of the increased ambient pressure, bubble diameters 
are smaller.    Smaller bubble diamters lead to proportionally greater 
internal bubble pressures (due to surface tension effects on the bubble). 
This leads to steeper gradients across bubble membranes, which means 
faster gas elimination from bubbles. 

Chuck :
I've wondered if the rate of diffusion of gas across bubble membranes effected
by high surface tensions (slowed).    

Is the surface tension at these interfaces caused by attraction between 
molecules of the blood or of the inert gas, or both?    Most likely it is a 
case of the properties of adjacent surfaces interacting to create a 
surface or interface with qualities specific to the combination rather than
either 
substrate alone.   This would mean that as the gases within the bubble 
or the chemistry and physics of the blood changed so would the nature of the
interface through which these gases must pass by diffusion.   

Would the surface tension of a light gas bubble such as helium be 
higher or lower than that of a nitrogen bubble in the same medium ?

If oxygen is able to diffuse through tissues to parts of tissues deprived by
reduced perfusion then so should nitrogen and helium be.   There are so many
avenues by which gases are being transported and redistributed and so many
variable phenomena involved that there will never be a 100% reliable or
accurate mathematical model of decompression dynamics.   We will always be
stuck with "what works" with a little bit of fudge factor thrown in.


-------------------------------------------------------------------
Pyle :
I'm not sure if the unbound dissolved O2 is consumed directly, or if 
metabolic use of Hb-bound O2 frees up more Hb binding sites, to which the 
unbound O2 may bind. There are complicating factors (e.g., Bohr effect), 
but the point is that O2 is being removed (in one way or another) by 
metabolism; whereas He and N2 are not.

Chuck :
In discussions of O2 and it�s ability to cause DCS Hans Roverud
assures me that the dissolved O2 is used before the Hb bound O2 is used 
as follows;

From:	proverud@on*.no* (Hans Petter Roverud)
To:	techdiver@aquanaut.com

In practice you do metabolize any excess of
oxygen since the body draws from dissolved
oxygen before calling upon that bonded to 
hemoglobin. Oxygen becomes a deco liability
at PO2s far into the tox zone only.

Chuck :
Further input on this subject from George and others indicates that Oxygen 
can and does cause mild cases of DCS that tend to resolve quickly.


------------------------------------------------------------------
It seems to me that :

   Every breath you take is mixed with what tidal volume of gas you 
could or did not exhale.   This would keep the effective inspired mix 
from ever being a result of only the gas you are breathing, rather a 
resultant combination of what you inspired diluted by or mixed with 
some of what you had just exhaled.
   The more N2 or He you are removing from the blood at the lungs 
or the faster you are removing it the higher the fraction of that gas 
in the tidal volume remaining and mixing with the newly inspired mix.    
So the faster you remove inert gas the greater the fraction of that 
inert gas will be in your actual inspired mix.

   Since the alveoli hopefully do not collapse, as long as you are 
offgasing an inert gas it should be diffusing into them at all times 
during the breathing cycle as the blood passes by so that in that 
spanse of time between breaths they are still loading up with inert 
gas to mix with the next inhalation.   If this is right then it is impossible 
to achieve 100% O2 in the alveoli since you are always off gassing 
at least CO2 (unless, of course, you're dead and someone has you 
on a DAN O2 kit).

Water vapor also exerts a partial pressure and comes into play when 
considering the actual situation within the lungs during respiration. 


-----------------------------------------------------
Oxidation & radicals 

   During normal breathing on the surface there is far far more than 
enough O2 available to the body chemistry to complete any 
reactions that are going to take place.    O2 does not dissolve easily 
in plasma and once the blood PPO2 is equalized with the ambient 
PPO2 no more actually enters �into solution� at the alveoli beyond 
what is needed to maintain equilibrium as some minute quantity is 
used in various other reactions including those that produce 
radicals.   Most of the O2 and virtually all the N2 you breath simply 
passes into and out of the respiratory tree having only gotten a little 
wet.    
    So! Though more O2 is dissolved as ambient PPO2 rises, no 
matter how much more O2 you breath at any time during a dive 
your chemistry will not make any more radicals than it would 
while watching Bevis & Butthead in your livingroom.

Every time an O2 molecule is released from the Hb it must diffuse 
through the local anatomy to get to the cells and during this travel 
time it is available for other reactions that might result in free O2 
radicals (singlet oxygen).   


Chuck Boone

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