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Israel Naval Medical Institute, IDF Medical Corps, Haifa 31080, Israel
Central nervous system (CNS) oxygen toxicity, as manifested by
the first electrical discharge (FED) in the electroencephalogram, can
occur as convulsions and loss of consciousness. CO2
potentiates this risk by vasodilation and pH reduction. We suggest that
CO2 can produce CNS oxygen toxicity at a
PO2 that does not on its own ultimately cause
FED. We searched for the CO2 threshold that will result in
the appearance of FED at a PO2 between 507 and 253 kPa. Rats were exposed to a PO2 and an
inspired PCO2 in 1-kPa steps to define the
threshold for FED. The results confirmed our assumption that each rat
has its own PCO2 threshold, any
PCO2 above which will cause FED but below which
no FED will occur. As PO2 decreased from 507 to
456, 405, and 355 kPa, the percentage of rats that exhibited FED
without the addition of CO2 (F0) dropped from
91 to 62, to 8 and 0%, respectively. The percentage of rats (F) having
FED as a function of PCO2 was sigmoid in shape
and displaced toward high PCO2 with the
reduction in PO2. The following formula is
suggested to express risk as a function of PCO2
and PO2
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hyperbaric oxygen; electroencephalogram; convulsions; diving; central nervous system
This article has been cited by other articles:
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M. Eynan, R. Arieli, and Y. Adir Response to CO2 in novice closed-circuit apparatus divers and after 1 year of active oxygen diving at shallow depths J Appl Physiol, May 1, 2005; 98(5): 1653 - 1659. [Abstract] [Full Text] [PDF] |
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