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Date: Mon, 2 Oct 95 16:11:54 -0400
From: Carl Heinzl <cgh@ma*.ai*.mi*.ed*>
To: fdc02@ix*.ne*.co*
Cc: techdiver@terra.net
Subject: Nitrox and Altitude Diving

Doug,

>                            0 to 150meters  3500meters  7500meters
>Ambient Pressure                1.0 Bar       .68 Bar     .38 Bar
>Pressure of Inspired Oxygen     .196 Bar      .129 Bar    .066 Bar
>Pressure of Inspired Nitrogen   .74 Bar       .487 Bar    .250 Bar
>1 Bar = 1.01325 ATA 

>The fraction of O2 can be calculated from the data provided.
>                            0 to 150meters  3500meters  7500meters
>Fraction of Oxygen              .196          .189        .173

Ok, I'll accept this fact, however, the difference between .189 and
.196 is for all practical purses non existant, it just won't make that
big a difference.  Personal physiological differences will greatly
overshadow this.  The 7500 m data, while interesting is largely
irrelevant for this discussions since no one is diving at 25000'
(other than the mile high club - and that's only muff).

Joan later said...

>If this is all true, then I feel that I need clarification in the use
>of EANx mixtures for high altitude diving, because EANx mixtures have
>a higher partial pressure of O2 relative to air.  Would the use of
>nitrox exacerbate (do to higher ppO2) the hypoxia phenomenon?  If so,
>because of the insidious nature of hypoxia, this could prove to be
>fatal.

I think that people need to *think* a little here.  Let's compare two
dives from an O2 aspect...  Let's assume .75ATA pressure (remember,
3500m was .68bar).

#1) - Air to 33' is now approximately .55 PPO2 which came from	
(.20 * (2 for the 66' +.75 from ambient))
#2) - EAN 40 to 20' is now approximately .55 PPO2  which came from
(.40 * (.625 for the 20' dive + .75 from ambient)

From an Oxygen perspective these dives are identical (not considering
nitrogen or other inert gas loading issues for not).

>Or has this altitude/hypoxia relationship been an assumption and
>simply has been repeatedly stated without any real basis in fact.
>That is a little far fetched, but it occurs to me that it could be
>possible.

I have not seen ANY real physiological studies cited in any
literature.  Unless someone can point me to such I think it's time for
someone to get out the kneepads :^)

>If this is all true, then I feel that I need clarification in the
>use of EANx mixtures for high altitude diving,  because
>EANx mixtures have a higher partial pressure of O2
>relative to air.  Would the use of nitrox exacerbate (do to
>higher ppO2) the hypoxia phenomenon?  If so, because
>of the insidious nature of hypoxia, this could prove to be
>fatal.

One would normally conclude that *IF* we assume a potential for
hypoxia then continuing breathing EAN for some period AFTER the dive
could only help the "transition" (whatever the hell that means) to
normal post dive activity.  YES, you're right, I DON'T KNOW, but you
know what - I doubt ANYONE DOES!!!

As for the NOAA diving manual I think that 10.12.6 is USELESS, it
doesn't define what altitude they're talking about and does NOT define
the ranges of PPO2 of concern.  I wouldn't bother buying a diving
manual from these guys if it's all written like this.  At least the
NAVY manual gives specific PPO2 for the onset of various symptoms.

>Cooling affects blood perfusion and slows down the transport of oxygen
>to tissues.  This could also contribute to the onset of hypoxia on
>ascent to low ppO2 at the surface.  What effect does breathing EANx at
>depth, which means breathing higher than normal ppO2, and then
>surfacing into very low ppO2s have on this process?

>What also caught my attention is that in the very first paragraph it
>appears that the brain is incredibly more sensitive and therefore more
>susceptible to being damaged by the onset of hypoxia before other
>tissues confirm the event.

Circulation to the heart, brain, kidneys, and liver are generally NOT
affected by moderate amounts of cooling (reducing blood flow to these
organs are the "last ditch" efforts and won't be done unless you're
near death) so I would believe that the effects of hypoxia really are
due to the low PPO2 (remember, PPO2 in the lungs is less than the
inspired air, but arterial O2 is basically in equilibrium with this
value).

>There has to be some one, some where, who completely understands and
>has this information.  Where are you?

This is where you're wrong - tables and procedures have all been set
up quite frequently by observation and experiment with what works and
what doesn't.  There are MANY things about the human body that we
don't understand completely and since this is one of the less well
studied areas I'd be willing to be that no one understands it
completely - hell - they don't even understand DCS fully and that HAS
been studied!!!

-Carl-

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