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Date: Sat, 21 Apr 2001 01:35:57 +0200
To: Alain Tésio <alain@on*.or*>
From: Hans Petter Roverud <proverud@on*.no*>
Subject: Re: RE: Counter diffusion
Cc: <techdiver@aquanaut.com>
At 05:12 AM 4/20/01 -0500, you wrote:
>Is there a real hyperbaric specialist who can back me up ?
>I'm bored to read always the same replies for wkpp
>guys who are full of themselves and shout louder.

I can't back you up but I think I can provide a better understanding of the 
subject with an explanation:

Counter-diffusion problems are very rare unless you're in a steady state 
situation -- breathing one inert gas while you're being surrounded by 
another inert gas for a prolonged time. As gas shifts are concerned it's 
safe to switch to a "slower" gas at any time but not to a "faster" one 
without increasing the ambient pressure. Thus, breathing air / nitrox after 
a helium exposure is fine while changing to helium from air at a given 
ambient pressure may create problems. The key phrase is "at a given ambient 
pressure". If you're treated on a heliox table the chamber is "moving down" 
the moment you start breathing helium and all transient supersaturation 
problems are being cancelled by the higher gas tension allowed at a higher 
ambient pressure.

You can always breathe nitrox on the surface after a helium exposure. If 
this was a problem you couldn't breathe air on the surface either. The 
potential for problems arise if you're saturated with a "slow" gas 
(nitrogen) and start breathing a "fast" gas without increasing the ambient 
pressure. Why? For some time your body will pick up more "fast" gas than 
it's eliminating the "slow" gas and the total gas tension will increase. If 
you're on the verge of bubbling already that surge of "fast" gas moving in 
may tip the scales.

Don't switch to a "faster" gas while you're ascending
Always descend while switching / immediately after a switch to a "faster" gas

Fast to slow = safe
Slow to fast = unsafe unless you're descending
Oxygen (or, a higher FO2) is safe and beneficial no matter what you have 
been breathing -- inert gases only contribute to DCS.
Whatever gas you've been breathing you can ALWAYS breathe oxygen and you 
can ALWAYS be treated in a recompression chamber.

 From a practical point of view the only problem scenario would be to 
breathe heliox on the surface just after a "heavy" air dive. That would be 
a strange use of helium indeed.

Hans



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