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Date: Wed, 18 Oct 2000 21:26:44 +0200 (CEST)
From: wendell grogan <docgrog@ya*.de*>
Subject: Nitrogen elimination and oxygen
To: techdiver@aquanaut.com
I found the abstract for the first article and the
reference in DiveMed.
I think this is a typical case of trying to apply
basic research on the healthy body to a similar, but
not identical situation during an illness.
Basically, he is talking about the effect of
hyperbaric oxygen (supplied as an argon/oxygen mix-
not 100% O2) on elimination of nitrogen through the
lungs of normal people in a chamber.  The second
article, I haven't found, but the title suggests that
it deals with a state we already know is bad for deco-
hypercarbia (too much CO2).
The point of hyperbaric treatment is to eliminate
nitrogen bubbles, and then secondarily to eliminate
excess nitrogen so that the bubbles don't re-form when
the pressure is dropped back to 1 atm.  The research
didn't show that nitrogen stops leaving the body,
rather, it doesn't leave as fast when the subject was
subjected to hyperbaric oxygen as it did when he was
kept slightly hypoxic.  Further, there was no
significant difference in nitrogen elimination between
hypoxic and normoxic inspired gas.
Relevance to Nitrox- 0
Relevance to emergency use of 100% O2 on the surface-
0
Relevance to use of 100% O2 in hyperbaric treatment- 0
The most I could conclude from this is that increasing
the speed at which excess nitrogen in eliminated from
the blood in may not be among the many known benefits
of oxygen treatment for DCS.  This doesn't alter the
fact that for deco, the 100% oxygen clearly speeds up
elimination of nitrogen when compared to air because
1) it doesn't have nitrogen in it, and 2) the oxygen
window.
Wendell Grogan

=====
"Experts built the Titanic, but volunteers built the Ark!"
Pat Croce, Owner NBA Philadelphia 76'ers

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