I couldn't agree more!
AN should be a stand-alone course that covers what it claims to be:
All the consequences of breathing rich mixes
under water up to pure O2. You need to know the consequences, and nobody in any agency ever mentions this:
Pulmonary atelectasis in anesthesia and critical care
Long story short, pure O2 in an alveoli will be consumed by the body and the alveoli will collapse. A bit of nitrogen will prevent this from happening.
https://bjanaesthesia.org/article/S0007-0912(17)44801-X/pdf
“
These results confirm both the reduction in lung volumes shown in our previous studies [19, 24] and the results from other studies in which subjects breathed 100% oxygen. This study confirms the work by Green [13], who showed that addition of 20% and 40% nitrogen to oxygen reduced the tendency for alveolar collapse to occur. The present study was more detailed, and showed that there is a log linear effect produced by adding nitrogen to an oxygen mixture up to a concentration of 75 % nitrogen. With the addition of increasing nitrogen to the gas mixture, the reduction in lung volumes caused by breathing oxygen at a reduced lung volume was lessened, and finally neutralized. When lung expansion with deep breaths was encouraged towards the end of each study, several volunteers noticed sharp chest pain which limited their deep breaths. This confirms other experiences [6-10].”
(Is this why 'air breaks' are indicated in O2 treatment?)
On the other hand, DP should (and does) tell you how to properly manipulate said mixes. AP stand-alone is totally valid, but it REALLY, REALLY needs a serious re-work...