This subject has been put foward a number of times recently and appears to have been lost due to the recent poor signal to noise ratio. I would be interested in hearing about the occurance of CNS O2 toxicity in divers at PO2 less than 1.8 bar. Allow me to introduce the subject, and I am working from memory so my figures may not be entirely accurate. There seems to be too little data on CNS O2 toxicity for exposures below 1.8 bar to accurately ascribe a risk to such exposures. Human data suggests that there is a PO2 threshold for convulsions, and the current hypothesized mechanism involving reactive oxygen species implies a PO2 threshold at which cellular defense mechanisms are overwhelmed. It would seem prudent to limit PO2 exposure to below this threshold, but how much below? The data I have seen suggests that convulsions occuring at PO2 less than 2 bar are out-liers, and therefore, for instance, a 1.4 bar and a 1.5 bar PO2 exposure may carry an identical risk of convulsion. In published work, the time to onset of convulsions is often used as an index of CNS O2 toxicity, and the curve which describes the 10% probability of convulsions, relating time to onset with PO2 asymptotes at 2 bar. In Kenneth Donald's work with the RN during WWII, no convulsions were experienced with a maximum PO2 exposure of 1.8 bar, I cannot remember the number of exposures. Apparently, in earlier studies, the USN had two convulsions at lower PO2, one I think at 1.12 bar, although I haven't seen these studies, Donald was skeptical of the accuracy of PO2 measurement for the lower exposure. Butler and Thalmann showed in 1986 showed 12 occurances of "probable" symptoms, but no definate symptoms, out of 153 exposures to 1.61 bar (20fsw). I am not aware of any published studies conducted at PO2 < 1.6 bar, although talk of convulsions occuring at low PO2's circulate. I am interested in two things. Citations of any scientific studies on humans that have shown convulsions due to trivial PO2 exposures, and first hand (or reliable second hand, let's protect the innocent) experience of people on these lists. For the first hand accounts, for want of consistency, perhaps we should use the classification of Butler and Thalmann as I remember it (accurately or not): 1. convulsions 2. definate symptoms = nausea, dizziness, muscle twitching (indicate which) 3. probably symptoms = anything else (indicate what symptoms) also indicate the PO2 (depth and gas mixture), level of exertion, possibility of CO2 buildup and anything else I have forgotten. regards, David Doolette ddoolett@me*.ad*.ed*.au*
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