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From: <billy@bd*.co*.au*>
Date: Thu, 23 Dec 1999 22:04:52 +1100
To: Aquanaut Mail <techdiver@aquanaut.com>
Subject: Re: N2 Tolerance - was sorry for having an asshole
At 04:19  23/12/99 , Michael J. Black wrote:
>Just stating the facts about nitrogen narcosis.  I am not defending
>deep diving on air, and have said before that I think it is great that
>most of you are taking a clear stand against it.  You don't have to
>convince me about the dangers of nitrogen narcosis.  However, some
>adaptation to its effects is the current belief (my references are
>Bruce Bassett, John Lippmann, and others but not Timothy Leary).
>It appears to be physiologic and not just overlearning of mechanical
>skills.

Michael, I think I see what's happening here. Allow me to clarify.
In your original post you wrote "Prolonged and frequent exposures 
give some degree of adaptation."

This is a straight 'borrow' from Lippmann who, in 'Deeper into Diving'
wrote "Acclimatization - prolonged and frequent exposure gives some
degree of adaptation."

The key here is to understand what is meant by "prolonged and frequent
exposure" and to determine whether Lippmann (a mathematician, not a 
physiologist) and other commentators are using it in the way it was 
intended.

So let's go to one of the sources which Lippmann quotes - Edmonds, 
Lowry and Pennefather's book 'Diving and Subaquatic Medicine' second 
edition, where we find:

"Frequent or prolonged exposure produces tolerance. Air saturation
diving allows for safer excursions to greater depths than is possible 
from surface orientated diving."

And

"The narcosis is evident within a few minutes of reaching a given
depth (partial pressure) and is not progressive with time.... After 
some time at depth, tolerance appears to develop slowly."

And

"A card-sorting test using caisson workers showed some impairment
at 2 to 3 ATA, especially in those who had relatively little exposure 
to pressure. However, with repeated testing i.e. practice, this 
difference disappeared and no loss of performance was noted even 
deeper than 3 ATA."

And

"Visual evoked responses as a measure of nitrogen narcosis were
employed in US Navy divers. The investigators concluded that there
were reliable and significant differences in visual evoked responses 
while breathing compressed air at depths which were not apparent on 
breathing helium-oxygen. A further study using visual evoked 
responses during a shallow 2 week saturation exposure with excursion 
dives suggested that some adaptation to narcosis occurs, but was not 
complete."

This is not selective quoting. I merely exerpted the book's every 
reference to adaptation to narcosis.

What this indicates is that when Edmonds, Lowry and Pennefather
wrote "prolonged and frequent exposures" in relation to adaptation 
to narcosis they were referring to SATURATION diving and CAISSON 
WORKER experiments. 

Lippmann borrowed the phrase "Prolonged and frequent exposures" but
changed the meaning to refer to what he calls "work-up dives".

Other commentators then believe a few bounce dives in a row, over
a few days or over a number of weekends count as "work up dives" 
insofar as acclimatisation to narcosis is concerned.

And then we get the HESSIANS types who make the assumption that 
'experience' is the same as "multiple bounce dives" which are the 
same as "work up dives" which count as "prolonged and frequent 
exposures" which are the same as "saturation and working caisson 
dives" for the purposes of claiming acclimatisation to narcosis.

They're not only buying a myth. They're perpetuating it.

I would suggest there is actually NO IMPROVEMENT IN PERFORMANCE 
WHILE NARCOSED DURING REPEATED SPORT TECHNICAL DIVING EXPOSURES 
OTHER THAN THAT WHICH WOULD BE EXPECTED DUE TO THE REPETITION OF 
THE ACTIVITIES INVOLVED.

Or to put it more usefully, deep air divers are as out of it on 
the last dive as they are on the first, even if they don't feel
that way. And they've got to stop kidding themselves that it's
otherwise.

regards  billyw

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