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Date: Thu, 23 Dec 1999 18:04:23 -0800 (PST)
From: "Michael J. Black" <mjblackmd@ya*.co*>
Subject: Re: N2 Tolerance - was sorry for being an asshole
To: Aquanaut Mail <techdiver@aquanaut.com>
The alcohol comparison is not valid.  Alcohol is a sedative, nitrogen
(or inert gas) under pressure is a narcotic.  Different drugs, different
mechanisms of action.

I'll try to find what Peter Bennett says about adaptation, as he spoke
at the DAN Diving Medicine course I attended.  He doesn't mention it
in Bove & Davis' Diving Medicine text, 2nd edition.  By the way folks,
this course is open to diving instructors, and is offered yearly at
someplace warm (call DAN).

John Lippmann says in The Essentials of Deeper Sport Diving, "Factors
that reduce the effects of narcosis include:  Strong motivation to
perform a task; Concentration on the task at hand; A positive attitude
to the dive and confidence in the ability to conduct the dive safely;
Acclimatization - prolonged and frequent exposure gives some degree of
adaptation.  If a deeper dive is planned, it is a good idea to build
up to the dive by performing progressively deeper dives during the days
prior to the deep dive.  These 'work-up' dives help a diver get used
to the effects of narcosis.  However, the risk of bends must be carefully
monitored and decompression requirements must be calculated very
conservatively."

Bruce Bassett has personally told me that repeated exposure to nitrogen
under pressure can give some adaptation to narcosis.

So the deep air divers have a feeble argument (very feeble), but there is
no question in my mind that you trimix and heliox divers are doing the
right thing.

Happy Holidays,
Mike Black




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