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From: "Rich Lesperance" <richl@ma*.co*>
To: <techdiver@aquanaut.com>
Subject: Controling tissue O2
Date: Thu, 25 Feb 1999 21:13:10 -0500
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>>Guys,    Can anyone tell me how you can get O2 into a controlling =
tissue during deco when the total gas tension of that tissue is greater =
than ambient - above blood total gas tension?   Chuck Boone<<

Chuck,

Allow me to take a stab at this one, as a humble student of Diving =
Medicine and Physiology. I think you're asking how higher fractions of =
oxygen will speed off-gassing of N2 during deco. (If I misunderstood, =
IGNORE the rest <g>).

Even if you are saturated at depth, and breathing the same gas mix you =
were previously, and your tissues have reached 'equilibrium', that does =
not mean there is no gas movement. It simply means the _net_ movement is =
zero, ie, for every three nitrogen molecules that goes into solution in =
your tissues, three migrate out by diffusion.

 One of the 'gas laws' that applies to this concept is Henry's Law - =
that is, the solubility of a gas is directly proportional to its partial =
pressure (PP).

So, if we can increase the percentage of oxygen in the gas we are =
breathing (and therefore, its partial pressure), oxygen will tend to =
diffuse into the tissues, and the nitrogen will diffuse out _faster_ =
(because those 'three' molecules in the above example will still diffuse =
out, but there are only, say two, or zero, molecules of nitrogen to =
replace them). We use terms like oxygen "chasing the nitrogen out of =
solution", but this is only a visual analogy, and not strictly true. If =
I gave you pure argon to breathe, instead of pure oxygen, you would =
off-gas the nitrogen just as quickly, because you have reduced the PP of =
the inspired N2 to zero.

(Natch, breathing pure argon would lead to other. . . problems <g>)

And the nice thing about the oxygen, is that even though _it_ will go =
into solution in your tissues, you tissues consume it, anyway, and even =
if the pressure gradiant was so sudden that the oxygen would want to =
bubble up, I'm not sure it would cause any real damage - it would be =
metabolized before all the bad things that happen with bubbles could =
occur.

(That last statement is pure conjecture on my part, I've never heard of =
research in that area.)

This is one of the reasons why oxygen (as high a % as possible) is the =
gold standard of treatment for DCS - even on the surface, if you stop =
intaking N2, the gas in the bubbles will be replaced by O2, which will =
in turn be absorbed or metabolized by the tissues.

Hope that helps,

Rich L

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<HTML><HEAD>
<META content=3Dtext/html;charset=3Diso-8859-1 =
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<STYLE></STYLE>

<META content=3D'"MSHTML 5.00.0910.1309"' name=3DGENERATOR></HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT size=3D2></FONT> </DIV>
<DIV><FONT size=3D2>>>Guys,    Can anyone tell me how you can get =
O2 into a=20
controlling tissue during deco when the total gas tension of that tissue =
is=20
greater than ambient - above blood total gas tension?   Chuck=20
Boone<<</FONT></DIV>
<DIV><FONT size=3D2></FONT> </DIV>
<DIV><FONT size=3D2>Chuck,</FONT></DIV>
<DIV> </DIV>
<DIV><FONT size=3D2>Allow me to take a stab at this one, as a humble =
student of=20
Diving Medicine and Physiology. I think you're asking how higher =
fractions of=20
oxygen will speed off-gassing of N2 during deco. (If I misunderstood, =
IGNORE the=20
rest <g>).</FONT></DIV>
<DIV> </DIV>
<DIV><FONT size=3D2>Even if you are saturated at depth, and breathing =
the same gas=20
mix you were previously, and your tissues have reached 'equilibrium', =
that does=20
not mean there is no gas movement. It simply means the _net_ movement is =
zero,=20
ie, for every three nitrogen molecules that goes into solution in your =
tissues,=20
three migrate out by diffusion.</FONT></DIV>
<DIV> </DIV>
<DIV><FONT size=3D2><FONT size=3D2> One of the 'gas laws' that applies
=
to this=20
concept is Henry's Law - that is, the solubility of a gas is directly=20
proportional to its partial pressure (PP).</FONT></FONT></DIV>
<DIV> </DIV>
<DIV><FONT size=3D2>So, if we can increase the percentage of oxygen in =
the gas we=20
are breathing (and therefore, its partial pressure), oxygen will tend to =
diffuse=20
into the tissues, and the nitrogen will diffuse out _faster_ (because =
those=20
'three' molecules in the above example will still diffuse out, but there =
are=20
only, say two, or zero, molecules of nitrogen to replace them). We use =
terms=20
like oxygen "chasing the nitrogen out of solution", but this =
is only a=20
visual analogy, and not strictly true. If I gave you pure argon to =
breathe,=20
instead of pure oxygen, you would off-gas the nitrogen just as quickly, =
because=20
you have reduced the PP of the inspired N2 to zero.</FONT></DIV>
<DIV> </DIV>
<DIV><FONT size=3D2>(Natch, breathing pure argon would lead to other. . =
.. problems=20
<g>)</FONT></DIV>
<DIV><FONT size=3D2></FONT> </DIV>
<DIV><FONT size=3D2>And the nice thing about the oxygen, is that even =
though _it_=20
will go into solution in your tissues, you tissues consume it, anyway, =
and even=20
if the pressure gradiant was so sudden that the oxygen would want to =
bubble up,=20
I'm not sure it would cause any real damage - it would be metabolized =
before all=20
the bad things that happen with bubbles could occur.</FONT></DIV>
<DIV> </DIV>
<DIV><FONT size=3D2>(That last statement is pure conjecture on my part, =
I've never=20
heard of research in that area.)</FONT></DIV>
<DIV> </DIV>
<DIV><FONT size=3D2>This is one of the reasons why oxygen (as high a % =
as=20
possible) is the gold standard of treatment for DCS - even on the =
surface, if=20
you stop intaking N2, the gas in the bubbles will be replaced by O2, =
which will=20
in turn be absorbed or metabolized by the tissues.</FONT></DIV>
<DIV> </DIV>
<DIV><FONT size=3D2>Hope that helps,</FONT></DIV>
<DIV> </DIV>
<DIV><FONT size=3D2>Rich L</FONT></DIV></BODY></HTML>

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