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To: techdiver@opal.com
Subject: Re: nitrox QandA
From: awright@gs*.bt*.co*.uk* (Alan Wright)
Date: Mon, 17 Jan 94 16:44:12 GMT
Some additional stuff for the nitrox FAQ. Thanks for all the feedback.
I am hoping to post an updated version at the end of the week.

Alan


[20] How are nitrox cylinders identified?
[21] What's in the cylinder?
[22] Should I use nitrox for decompression?
[23] Is it possible to get an oxygen bend?
[24] What effect does the CO2 content have?

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Subject: [20] How are nitrox cylinders identified?

It is important to mark nitrox cylinders in a distinctive way due to
the risks of diving without being sure of the contents of the
cylinder.

The standard colour markings are: a yellow body with a 4" wide green
band near the top, the green band may include the neck portion of the
cylinder. The cylinder should also be tagged with the nitrogen and
oxygen percentages. As an added safety assurance you may also want to
mark it with the MOD, the fill pressure and the fill date. Appropriate
labels, tags and stickers are available from ANDI. Any shop which
supplies nitrox fills should also have these markers and should insist
on adequate markings on the cylinder.

		_
	       | |___
	      /XXX\ /\ <- Contents tag
 4" green -> |XXXXX|\/
 band	     |     |
	     |  N  |
	     |  I <---- Nitrox label
	     |  T  |
	     |  R  | <- Yellow body
	     |  O  |
	     |  X  |
	     |_____|

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Subject: [21] What's in the cylinder?

Due to the danger of exceeding the maximum operating depth, nitrox
fills should always be checked after filling and again before
diving with the cylinder. You should never dive without being
absolutely sure what is in your cylinder.

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Subject: [22] Should I use nitrox for decompression?

Use of nitrox in preference to air is advantageous. It may be used to
reduce the length of the decompression penalty by following a nitrox
decompression schedule, or it may be used as padding to increase the
safety of the decompression by following an air schedule. This is
similar to the use of pure oxygen during decompression.

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Subject: [23] Is it possible to get an oxygen bend?

Yes, but in practical terms it can be ignored. To get an oxygen bend
you'd have to go well beyond all of the guidelines, omit a
substantial amount of decompression obligation and be lucky enough
not to have had an acute oxygen toxicity attack during the dive.

Experiments carried out on goats at the Admiralty Experimental Diving
Unit (AEDU) in 1945 demonstrated that oxygen bends are possible. The
tests were based on immediate decompression (at 75 feet/min) to
atmospheric pressure after one hour at the maximum depths (PO2 > 2.0
ATA). Severe bends resulted including pulmonary oedema and bubble
embolism - identical to those caused by nitrogen. The symptoms
disappeared within 10 to 15 minutes demonstrating that these were
indeed oxygen bends. The oxygen was metabolised by the body. One out of
seven occurences did not clear up naturally and required recompression
for a full cure. Note that this procedure included substantial amounts
of missed decompression and was at partial pressures well above the
maximum recommendations for nitrox diving.

It was concluded that the maximum PO2 that can be added safely to the
tolerable PN2 lies between 2.0 and 3.5 ATA for immediate
decompression. Since this is well above the maximum recommended PO2,
due to the risk of acute oxygen toxicity, there is effectively no risk
of an O2 bend in nitrox diving. Even in therapeutic recompression
where the PO2 may be as high as 3.0 ATA there is no risk as the
decompression rate is carefully controlled according to a well defined
schedule.

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Subject: [24] What effect does the CO2 content have?

As yet there is no conclusive evidence that the CO2 level contributes
to hyperbaric acute O2 toxicity in hyperoxic nitrox mixes. Extensive
tests were carried out in the 1940's and 1950's and compared divers,
non-divers and ex-divers in the same test scenarios. The researchers
tried to find a means of identifying CO2 retainers and to find out if
divers build up a tolerance to CO2. Nothing conclusive was found and
this area requires further study, but it is highly unlikely to affect
recreational SCUBA nitrox diving. Nitrox closed circuit rebreather
designers will have to address this issue in order ensure sufficient
expired CO2 absorption.

There are some individuals whose breathing is regulated by oxygen
levels rather than CO2, although most of these individuals probably
shouldn't be diving anyway. This is known as "hypoxic drive", and often
occurs in COPD (chronic obstructive pulmonary disease, ie emphysema)
patients. The body adjusts to chronic elevated CO2 levels by ignoring
that as a breathing stimulus, at which point the body's normal "backup"
stimulus - lowered O2 levels - takes over as the primary means of
regulating respiration. This, in itself, is not really a problem,
although some of these people may stop breathing if exposed to high
concentrations of oxygen.

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