Andy, while I agree with a big chunk of what you wrote, I'd be curious to see how many of them were also deep breathing versus shallow breathing. I've seen a number of people that were breathing very rapidly ("heavy breathing") but also breathing very shallow get spaced out on deep dives.
Yes, we do agree... and I expect our experiences of witnessing the narcotic effects of hypercapnia are probably similar.
In my mind, breathing versus hypercapnia is a
'chicken or egg first' question.
Inefficient breathing causes hypercapnia. But hypercapnia also causes shallow, rapid breathing. They certainly spiral, once initiated... and elevation of partial pressure on rapid descent will dramatically exaggerate the severity of that issue.
My most recent incidence with (
what I firmly believe to be..) hypercapnia narcosis occurred only last October:
My technical diving student, a physically fit, large-framed, athletic male, had to complete a sidemount entry onto a static, light shot-line in some reasonable surface current conditions. We conducted a 3-tank decompression dive using air and 50%.
There was some pace needed to rapidly don primary and deco sidemount tanks, followed by a short fight against moderate current to get to the line. The student was slightly out-of-breath as we gave the "OK" to descend.
At the descent/bubble check, the student then opted to 'tread water' rather than attain proper neutral buoyancy. This didn't facilitate him getting relaxed and lowering his respiration.
Following the bubble/descent check we began our descent to 45m/150ft, at a descent rate around 18m/60ft per min, giving "ok" signals every 10m/30ft of the descent.
Immediately on reaching bottom depth, my student firmly thumbed the dive. Without hesitation we ascended and I noted that my student seemed significanly agitated and stressed.
When we reached 21m/70ft, I initiated a gas switch to 50%. Whilst we hadn't incurred deco, my reasoning was that this would eliminate any issue of gas contamination and/or help resolve CO2 issues. It worked. The student became calm and the stress/anxiety faded. The remaining ascent was uneventful.
Back on the boat, my student explained that as we approached bottom depth he was overcome by 'inexplicable' anxiety and felt he was "just about to panic". This was a new sensation for him, as he was a confident, fit and experienced deep recreational diver, with no past history of narcosis presentation.
I surmised that his experience was probably hypercapnia-related; triggered by the pace and exertion of our water entry and then amplified by his failure to complete bubble/descent checks in relaxed neutral buoyancy.
His learning points were:
1. To improve equipment and procedural familiarity so that entry and donning tanks required less exertion.
2. To get neutral on the bubble/descent check so that this phase allowed him to relax and lower his respiration.
3. To extend the descent check if he needed to calm his breathing...and to also use this time to evaluate his physiological and psychological readiness before committing to descent to bottom depth.
4. To consider a brief period of breathing deco gas on the shallow descent check to assist flushing his lungs and resolving possible hypercapnia-related issues at the outset.
5. To understand the critical impact of CO2 retention and the narcotic potential of CO2 when deep diving and to take effective measures to moderate that effect.
6. His decision to immediately abort the dive was 100% correct.
7. The importance of a solid team, effective communication and disciplined protocols in preventing the issue escalating into a more serious incident... especially in regards to respecting and acting without hesitation upon the principle that '
any diver has the right to abort any dive at any time'.