A couple of years ago I sent an email about the nitrox placebo effect that some continue to quote to IBUM. I posted this in a previous thread. Here it is...
I sent an inquiry on this subject to The International Board of Undersea Medicine (IBUM).
International Board of Undersea Medicine | Hyperbaric Medicine | Undersea Medicine Training & Education | Diving Medicine
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Jeffrey Bertsch jeffbertsch@earthlink.net via christophermulvaney.com
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[TD="class: gH, align: right"]8:40 AM (5 hours ago)
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Christopher, there is a lot of empirical information about how a diver feels using enriched air nitrox (EANx). Feelings are difficult to quantify in scientific studies and that is probably why there is so little literature on the subject. It would stand to reason that when there is less of a narcotic gas (nitrogen) in a breathing mix that one would feel less "fatigued" after a dive. I have not performed a recent literature search but when I worked at Duke we did a lot of studies involving EANx and the use of O2 for decompression. Among the test subjects, there were a lot of reports that divers felt less fatigued after these types of dives. By using key words for authors in a search like Richard Moon, Richard Vann, Caroline Fife or Claude Piantadosi you may have better luck in finding some pertinent literature. I personally do not agree with the study you cited and am a little skeptical of its conclusions if it was truly a double-blind, peer reviewed study. The sampling of only 11 divers is certainly not enough to support the author's conclusion. In the early days (1980's) there was some misinformation published about the use of EANx--mostly based on the fear of the unknown.
Dick Rutkowski and Dr. Morgan Wells pioneered the use of EANx while still at NOAA. You may find some of their published papers on line or at Dick's website
www.hyperbaricsinternational.com
I have worked with Dick and Morgan for many years and was in the soup with them early on by advocating the use of EANx for it's many benefits to divers along with the safe use of oxygen for decompression and the first aid for decompression illnesses. I still advocate its use and still dive using EANx to this day.
Hope this helps in your quest for accurate information. ~jeff
-----Original Message-----
>From:
cm@christophermulvaney.com
>Sent: Jul 9, 2014 9:52 PM
>To:
jeffbertsch@earthlink.net
>Subject: Web Form Submission
>
>The following information was submitted on July 9, 2014 @ 8:52 pm:
>
>-------------------------------------------------------
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>Name: Christopher Mulvaney
>
>Email:
cm@christophermulvaney.com
>
>Subject: O2 Question
>
>Comments: Hello, I have a question I hope you can answer. I have been scuba diving for almost 35 years. I am looking for research on Nitrox diving. Specifically on whether feeling better after a nitrox dive vs an air dive and the physiological responses differentiating the two different kinds of diving. I did find a study that only included 11 divers and said it was a placebo effect and did nothing but waste money. I dive nitrox 90% of the time and do feel better. Any help would be greatly appreciated.
>
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[TD="class: gH, align: right"]11:59 AM (2 hours ago)
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Thank you very much for your time and help.
Chris