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Date: Wed, 12 Jan 2000 22:09:39 -0500
To: tgunther@co*.co*
From: Jarrod Jablonski <jjcave@ib*.ne*>
Subject: Re: [DECOPLAN 66] Re: SAMPLE DECO DIVE - 220 FOR 25
Cc: decoplan@gu*.co*, quest@gu*.co*, techdiver@aquanaut.com
These are not set up in the archives yet but I have included it below for
reference. As for the bubbles with higher %m yes personally from numerous
doppler scoring.
JJ



Art,

This question requires a far longer response than would be practical right
now. I will see what I can put together in the near future but lets start
with this general outline. Oxygen Exposure is problematic for several
reasons including:
1) High degree of variability in oxygen tolerance
2) Inconsistent measurements and difficulty assessing oxygen tolerance
3) Poor understanding of oxygen toxicity mechanisms

In general the biggest problem with oxygen relates to the significant
variability between individuals and within one individual over time. Plots
of PO2 and time look more like a wide bore shotgun blast than sensible
graph. Subjects would often manage huge tolerances (sometimes several
hours) one day and then tox in a matter of minutes the next day.
Unfortunately tolerances would vary so dramatically that there was not any
notable success in establishing a trend such as increased or decreased
tolerance. 

Most oxygen tolerance testing was done with pure oxygen commonly at 30,60,
and 90'. Many individuals managed amazing tolerances that make current
limits seem ridiculously conservative. However, other individuals
experienced problems very early in the tolerance time limits. Actually
measuring tolerance proved to be a significant problem with exposure
testing while early tests often used time limits based upon actual toxic
events (ie seizures) and later studies limited time to what has become the
commonly recognized "symptoms" known by the acronym VENTID. As a result
some individuals that managed significant times when pushed to seizure were
then limited by the occurrence of a symptom perhaps prematurely. The
occurrence of symptoms did seem to at least loosely relate to toxicity
incidence but unreliably and with many complications. This complication in
the measuring process further skews what one might refer to as the "actual"
toxicity time limits
Furthermore, our inability to get a handle on the mechanisms behind oxygen
toxicity confuse limiting its impact and/or measuring the time limits. For
example, consider immersion in water and its role in the development in
oxygen toxicity. Merely being immersed (as opposed to being in a dry
chamber) increases the risk of oxygen toxicity. Being immersed in hot or
cold water (either pole is similar in impact) decreases tolerance. Numerous
factors affect one's likelihood of succumbing to toxicity but our
understanding of these mechanisms and our ability to manipulate them is a
very inexact process and highly problematic
The preceding issues are important in considering oxygen toxicity
manifestations and in discussing the "oxygen clock". This clock "works" by
relating the chosen maximum time at a given PO2 (ie 45@1.6) to a percentage
of accumulated time at this PO2. Of course, the success or failure of this
clock relates to the accuracy of the time limit which is confused by
susceptibility. The 100% (ie 45min at 1.6) limit suggests that as you
exceed this parameter your risk of oxygen toxicity markedly increases.
Actually it is a bit more complicated than this but in general this is the
idea. However, on our dives we regularly exceed several thousand percent
and have pushed into the 10,000% range leaving these numbers to seem
meaningless. While they are not meaningless and are in fact a good but very
general rule of thumb it is important to see these "limits" for what they
are- a forced best guess based on highly variable and conflicting data.
Realistically it seems that these limits are probably overly conservative
for the vast majority, good for some, and not enough for a very few.
However, given the risk (ie seizure and likely drowning) it is prudent for
most people to stay near the limits. These "limits" are really more of a
range that should be used as a generally sensible guideline. 


The problem in technical diving is that an ardent belief in these numbers
leads people to assume that they must save the extra 5 or 10% off their
clock by using odd gas mixtures. It is very likely that divers are best
served by regular breaks from oxygen (for deco benefit and extended O2
tolerance) and the conservative use of PO2 (such as 1.4 or less for
diving). Oxygen tolerance limits are in many ways similar to Decompression
limits in that they are likely too conservative for many and highly
variable for most individuals. Furthermore, violating these "limits" may
increase the risk of an unpleasant outcome or more likely will produce no
noticeable impact. However, the risk of violation (which includes pain and
death) is likely not worthwhile for the vast majority of divers. These
ranges should be viewed with respect but also an understanding of their
history and an appreciation for the variation that leads some divers to
reevaluate their role in technical diving.

Safe diving,
JJ






At 06:56 AM 1/12/00 -0800, tgunther@co*.co* wrote:
><<  Did you read the longer discussion about deco stages that I posted to
Quest?
>This grabs each section of the deco profile for discussion. If not please
let me
>know.  >>
>
>Can you supply a link to this article, JJ?   I jumped on Quest last night and
>could not find it.
>
><<   Buhlman spent some good time cataloging M-values and consistently
found an
>increased risk in the upper 80% range. I personally have seen a great
increase
>in bubbling near and beyond the 100% range.  >>
>
>May I assume you've observed this increase by the personal use of a Dopppler?
>
>Regards,
>Tod
>
>
>
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