As early as 1826, divers diving to great depths noted that descent often resulted in a phenomenon of intoxication and euphoria. In 1935, Albert Behnke discovered nitrogen as the cause of this clinical syndrome, a condition now known as nitrogen narcosis. Nitrogen narcosis consists of the development of euphoria, a false sense of security, and impaired judgment upon underwater descent using compressed air below 3-4 atmospheres (99 to 132 feet). At greater depths, symptoms can progress to loss of consciousness. The syndrome remains relatively unchanged in modern diving when compressed air is used. Behnke's use of non-nitrogen-containing gas mixtures subsequent to his discovery during the 1939 rescue of the wrecked submarine USS Squalus pioneered the use of non-nitrogen-containing gas mixtures, which are used by modern divers when working at great depth to avoid the effects of nitrogen narcosis.
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http://dx.doi.org/10.1016/j.jemermed.2013.08.080 | DOI Listing |
Sensors (Basel)
December 2024
Department of Anesthesiology, Duke University, Durham, NC 27708, USA.
We examined data from Naval Sea Systems Command grant project N0463A-12-C-001, "Hypercapnia: cognitive effects and monitoring", with the objective of validating or repudiating heart rate variability (HRV) as a warning sign of cognitive impairment from diving gas narcosis or oxygen toxicity. We compared HRV feature scores to their temporally corresponding cognitive outcomes under normal and narcotizing conditions to identify specific HRV features associated with cognitive changes. N0463A-12-C-001 was conducted between 17 September 2013 and 29 January 2016 and employed NASA's multi-attribute task battery (MATB-II) flight simulator to examine the independent effects of CO, N, and O partial pressure on diver performance at simulated depths up to 61 msw (200 fsw).
View Article and Find Full Text PDFNeurosci Bull
August 2024
Medical School, Institute of Special Environmental Medicine, Co-innovation Center of Neuroregeneration, Nantong University, Jiangsu, 226019, China.
Nitrogen narcosis is a neurological syndrome that manifests when humans or animals encounter hyperbaric nitrogen, resulting in a range of motor, emotional, and cognitive abnormalities. The anterior cingulate cortex (ACC) is known for its significant involvement in regulating motivation, cognition, and action. However, its specific contribution to nitrogen narcosis-induced hyperlocomotion and the underlying mechanisms remain poorly understood.
View Article and Find Full Text PDFMedicina (Kaunas)
July 2024
Research Group Experimental Surgery, University Hospital Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf, Germany.
: Scuba divers often experience persistent inert gas narcosis (IGN) even after surfacing. This study aimed to test the hypothesis that breathing oxygen (O) before surfacing can reduce postdive IGN. : A group of 58 experienced divers underwent a 5 min dive at a depth of 50 m in a multi-place hyperbaric chamber.
View Article and Find Full Text PDFEmerg Med Clin North Am
August 2024
Division of Undersea and Hyperbaric Medicine, University of Pennsylvania, 3610 Hamilton Walk, 1 John Morgan Building, Philadelphia, PA 19104, USA.
The evaluation and care of an injured scuba diver requires an understanding of the different types of underwater activities that may be deemed scuba diving. Such activities may range from the complex (eg, commercial or technical diving) all the way up to basic recreational scuba or snorkeling. A thorough physical examination should be completed as early as possible with a focus on specific areas at risk for injury and etiology, such as a detailed cardiopulmonary, skin, and neurologic examination.
View Article and Find Full Text PDFDiving Hyperb Med
June 2024
Clinical Hyperbaric Facility, Hull and East Riding Hospital, Anlaby, UK.
Blood alcohol concentrations above defined levels are detrimental to cognitive performance. Empirical and published evidence suggest that nitrogen narcosis is analogous to alcohol intoxication with both impairing prefrontal cortex function. Nitrogen narcosis is also known to have been a factor in fatal accidents.
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