New CNS oxygen exposure limit for 1.3 atm

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Dr Simon Mitchell

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Hello,

Questions about the evidence base for the current NOAA limits for oxygen exposure to manage the risk of CNS oxygen toxicity have often been raised on scubaboard. It is widely understood (though perhaps still surprising to some) that there was essentially no testing / validation of these limits in the exposure range that technical and rebreather divers are interested in (notionally an inspired PO2 of 1.2 - 1.6 atmospheres). In April this year a panel of experts was convened for a workshop at the conclusion of the American Academy of Underwater Sciences Meeting in Seattle to examine whether there were sufficient grounds for a modification of these limits. The resulting scientific journal paper was published in Diving and Hyperbaric Medicine Journal today and is attached below. It establishes a new limit for 1.3 atm, an inspired PO2 chosen because of the existence of a reasonable body of evidence that the modification is justified. It is important to understand that the new limit represents what appears to be an acceptably low level of risk, based on a substantially superior evidence base compared to the old limit. Of course, the only way to achieve zero risk is not to breathe an elevated PO2 underwater!

The paper is self-explanatory and so I will not replicate the narrative. I believe this is a significant event in the evolution of technical diving. Happy to discuss.

Simon M
 

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Great read, thanks a lot for sharing Dr Mitchell!

I got a “might have flew over my head” question, and forgive me if I’m badly phrasing it (since I’m out of my depth, pun unintended):
where do we go from here?
The way I’m understanding the new recommendation is:
- CNS OxTox limits are much more permissive, Pulmonary toxicity is more of the “leading tissue” if I make a bad analogy to inert gas loading
- A simple air break easily mitigates the pulmonary oxtox risk

So, should we start to consider a replacement to the CNS clock based on lung o2 loading? Are there studies that go into that, or planned for the future? Could that be a “feature” we would want to have in the next generation of dive computers/planning tools? (Maybe an airbreak reminder 🤷🏽‍♀️)
Is that (Pulmonary OxTox clock) something we can statistically establish even in a “generic” model or is the personal variability too high?

Thanks again for your work and contributions
 
I highlighted the same statement as SelfDiver, but couldn't see in the study where it addressed the common tactic of raising the PO2 during resting decompression to a limit of 1.6. It mentioned it in reviewing the 1991 NOAA tables, but not in its current guidance, as far as I could tell.
 
So we went from 180 to 240 for 1.3? Nice.
Thanks
AFAI understand it became 240 working dive minutes plus 240 resting dive minutes @ 1.3 ppo2
So a “soft” 480m
 
Hello,

Questions about the evidence base for the current NOAA limits for oxygen exposure to manage the risk of CNS oxygen toxicity have often been raised on scubaboard. It is widely understood (though perhaps still surprising to some) that there was essentially no testing / validation of these limits in the exposure range that technical and rebreather divers are interested in (notionally an inspired PO2 of 1.2 - 1.6 atmospheres). In April this year a panel of experts was convened for a workshop at the conclusion of the American Academy of Underwater Sciences Meeting in Seattle to examine whether there were sufficient grounds for a modification of these limits. The resulting scientific journal paper was published in Diving and Hyperbaric Medicine Journal today and is attached below. It establishes a new limit for 1.3 atm, an inspired PO2 chosen because of the existence of a reasonable body of evidence that the modification is justified. It is important to understand that the new limit represents what appears to be an acceptably low level of risk, based on a substantially superior evidence base compared to the old limit. Of course, the only way to achieve zero risk is not to breathe an elevated PO2 underwater!

The paper is self-explanatory and so I will not replicate the narrative. I believe this is a significant event in the evolution of technical diving. Happy to discuss.

Simon M
Dr. Mitchell,
Does this new 240 minute limit imply that 1.2, 1.1 and 1.0 also need an adjustment?
How about the 1.4 limit?

Another (off topic) question is are you working on filling out the table for single exposure limit for 1.7-2.0 ppO2?

I think you are saying that long exposure to elevated Oxygen leading to pulmonary tox. and irritation is the more prevalent than the convulsions?
 
AFAI understand it became 240 working dive minutes plus 240 resting dive minutes @ 1.3 ppo2
So a “soft” 480m
What does reating dive means? Being outside the water for 240min?
 

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