What is narcosis and why does it happen?

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The effects of nitrogen on divers and nitrous oxide on land-dwellers are probably somewhat similar, and may be produced by similar mechanisms. The interesting thing is that the actual chemical events that lead to narcosis (or general anesthesia) are not understood, despite many years of research. We know what KINDS of gases are likely to produce sedation or anesthesia, and we can even build them, but we cannot really explain why they work.

Most people talk about narcosis as an either/or phenomenon: You are narced, or you are not. It is highly likely that what actually happens is that, from the moment you submerge, your nervous system is affected by nitrogen, and the effect increases as you go deeper. Where you become aware of the narcosis can vary, but most people will say it's at or below 100 fsw. The impairment can be manifested as euphoria (usually in good visibility and warm water) or as paranoia (more common in cold water and poor viz), and frequently involves a degree of tunnel vision (poor situational awareness) and poor judgment, clumsiness with physical skills, and even hallucinations when it is severe.

Bob said that narcosis isn't harmful, and that's true in the sense that it does no permanent harm we know of to the central nervous system. But people have died because of it, because they went too deep, or ran out of gas because they stopped checking gauges. It is not a funny thing, even when the experience is euphoric.

As Bob said, narcosis varies from individual to individual (just as susceptibility to alcohol and anesthetics does) and can also vary from day to day in the same individual. It's also important to know that carbon dioxide is an extremely narcotic gas, so breathing patterns that result in CO2 retention augment nitrogen narcosis, sometimes to a debilitating degree.

This is one of the reasons why new divers are advised to expand their envelope slowly, doing shallower dives until they are comfortable, before they head for the deeps.
 
I think people need to point out that there are no guarantees.. You may or may not succumb to this condition.

I have not been narced. Neither has my wife.. We have both gone to 125'.

A friend of mine has gotten narced around 130.

I have heard of people getting narced at 60ft.

I wouldnt worry about it since you are learning and are smart enough to NEVER DIVE ALONE and never ever lose sight of your buddy.
 
Whether or not you were aware of it, you were narc'd.
 
I think people need to point out that there are no guarantees.. You may or may not succumb to this condition.

I have not been narced. Neither has my wife.. We have both gone to 125'.

A friend of mine has gotten narced around 130.

I have heard of people getting narced at 60ft.

I wouldnt worry about it since you are learning and are smart enough to NEVER DIVE ALONE and never ever lose sight of your buddy.

One of the other interesting things about narcosis is that you often don't notice that you're narced ... at least, not until you're tasked to do something unexpected and suddenly discover that you can't perform as you know you should. One of the things I look for when I take my students on their first deep dive is their breathing pattern ... it will often change as narcosis sets in, and I can sometimes tell just by watching the size and frequency of their exhalation bubbles. Sometimes this impacts other things, like buoyancy control.

When looking for narcosis in yourself, pay attention to how often you're fiddling with your BC inflator button, or checking your gauges. These are often signs of narcosis ... even if you don't think you're feeling any different.

... Bob (Grateful Diver)
 
If you start attempting to give your second stage to a fish then most likely you are narc'd;)
 
Many deep divers develop a tolerance for narcosis through repetition ... basically adapting to the condition. Most modern diving philosophies frown on this technique ... again using the analogy that it amounts to training yourself to drive a car while drunk.
It's not clear whether people develop a tolerance for narcosis through repetition, or whether repetition of a task makes it more automatic and therefore easier to do while narc'd.

For me at least, it's more of the latter. If I keep the dive simple (and don't have any sort of emergency) then being narc'd a bit doesn't have any particularly noticeable effect.

In that sense it is very much like being slightly drunk. You are impaired, but it doesn't keep you from doing simple tasks. Also, to extend the driving analogy a bit .... a 16 year old just starting to drive has to exert a lot more brainpower and effort to drive than someone who has been driving several years. Same sort of thing for divers. Things like finning, breathing, buoyancy control, depth control, and keeping an eye on buddies become more and more automatic with more dive experience. IMO, being narc'd a bit won't affect an experienced diver as much as a newbie simply because the experienced diver is less task loaded while doing the same dive.

Obviously, the above is my subjective impression of a very subjective subject.
 
When looking for narcosis in yourself, pay attention to how often you're fiddling with your BC inflator button, or checking your gauges. These are often signs of narcosis ... even if you don't think you're feeling any different.
My most obvious sign of being narc'd is looking at my SPG, putting it back, and then immediately having to look at it again because I forgot what it read.

If your buddy keeps looking at his SPG repeatedly, then it's time to head up shallower. Either he's narc'd or he is getting nervous. In either case, going shallow is a good idea.
 
My most obvious sign of being narc'd is looking at my SPG, putting it back, and then immediately having to look at it again because I forgot what it read.

Me too ... but in my case that can happen at 30 feet ... :depressed:

... Bob (Grateful Diver)
 
Bob said that narcosis isn't harmful, and that's true in the sense that it does no permanent harm we know of to the central nervous system. But people have died because of it, because they went too deep, or ran out of gas because they stopped checking gauges. It is not a funny thing, even when the experience is euphoric./QUOTE]

Just got me to thinking.... Nitrous oxide abusers show some liver toxicity and some neuropathy. Of course they can be exposed and intoxicated for many, many hours whereas the narced diver would only experience it mildly or briefly in most instances.

Is there not one shred of evidence of long term nitrogen exposures at high partial pressures being associated with some sort of neurological changes?

Nitrous oxide is a powerful oxidizer, so I can understand it being associated with organ (liver) toxicity. But N2 is so inert I could see how it would not.

Divers with liver toxicity probably acquire it from "surface interval" adult beverages or too much kava on the Fiji trips :D
 
Most people are narced even if they don't think they are. When we dive we are not using any of our brains higher level functions such as speech or analytical skills.
If you tried you would more than likely find that you were incapable of performing these functions.

Something that all divers should do if at all possible is do a chamber dive, my wife and I were fortunate enough to be able to do at separate times and observe the other.
During the dives you were given tasks to perform including visual, mathematical and linguistic.

My wife did both a 30m (98ft) and 50m (168ft) chamber dives ... on the 30m she was fine and could perform all the tasks asked (interestingly enough there were also 2 DM's in the pot at the same time who couldn't stop giggling). On the 50m dive she became so fixated with the task she was doing she did not hear when she was told to stop.

Unfortunately I was only able to do the 30m dive and was able to complete all the tasks, it would have been interesting to see how I went on the 50m dive
 

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