Oxtox - What Is It?
Oxygen toxicity is a time duration phenomenon: that is, both time and partial pressure play a role. If an oxygen partial pressure of 2 ata is breathed for a few minutes, there would probably not be any problem. But, breathing it for an hour, might cause problems. This is why oxygen exposure limits are given as partial pressure/time limits. As the partial pressure gets higher, the recommended exposure time gets shorter.
What kind of problems might breathing a high oxygen partial pressure cause? It is the lungs and the brain which are the target organs of major concern in diving oxygen toxicity. Oxygen toxicity in the lungs (pulmonary oxygen toxicity) is like getting a bad case of the flu, but it will rarely cause permanent damage. The most common situation in which pulmonary oxygen toxicity might occur is during very long recompression treatments.
Oxygen toxicity of the brain, commonly referred to as central nervous system (CNS) oxygen toxicity, is different. It can occur during actual diving, and when it does, it can ruin your day - and possibly more. Some symptoms of CNS oxygen toxicity include flashing lights in front of the eyes, tunnel vision, loud ringing or roaring in the ear (tinnitus), confusion, lethargy, a feeling of nausea or vertigo, areas of numbness or tingling, and muscular twitching, especially of the lips.
These CNS symptoms are inconvenient, and a warning to change to a breathing gas with a lower oxygen partial pressure as soon as possible, but do not put the diver at risk of injury at this point. The big daddy of CNS symptoms does, however. It is the full-blown grand mal convulsion. During a convulsion, a diver will thrash about, perhaps bang his head into something hard, or if underwater, may lose his mouthpiece. The result can be trauma or drowning.
The good news is that convulsions are rare; the bad news is that all the inconvenient CNS symptoms noted above do not always provide warning of an impending convulsion. In some cases, a convulsion may occur without any warning at all. One more piece of good news: the convulsion in and of itself is not harmful, so if you don't crack your head or drown, you should have no permanent damage.
By now you're probably asking where these dire descriptions are leading.
To a better understanding, we hope, of diving on nitrox. As air-breathing sport divers need to know about decompression sickness (DCS), divers using high oxygen in nitrogen mixtures (nitrox) need to know about oxygen toxicity. (To read more about nitrox, see Alert Diver, January/February 1996, p.32.)
Both decompression sickness and oxygen toxicity are rare occurrences; they can be made rarer with good diving practices. With DCS, it's using your table or computer conservatively and keeping the ascent rate down. With oxtox, it's paying attention to the partial pressure and the amount of exposure time.
The main thing we're discussing here is CNS oxygen toxicity, because this is the most dangerous kind. Lung oxygen toxicity is unlikely to be a problem for recreational divers, so it will be mentioned only in passing.
Remember Partial Pressure?
The partial pressure of a gas is a measure of the number of molecules in a given volume - the molecular concentration. The physiological effects of a gas are due mainly to its partial pressure, no matter what the total pressure is.
If a gas has only one component, say 100-percent oxygen, the partial pressure and the pressure are the same. If there is a gas mix, then the partial pressure is the gas fraction times the total pressure. A 50 percent oxygen-in-nitrogen mix has an oxygen partial pressure (pO2) of 1.0 atmosphere absolute (ata) at a depth of 33 feet / 10 meters where the total pressure is 2 ata.
At this depth the 50 percent oxygen would have the same physiological effect as 100 percent oxygen at the surface. Breathing a 100 percent oxygen mix at a depth of 33 feet / 10 meters (2 ata total pressure) would be equivalent to breathing the 50 percent mix at 132 feet / 40 meters (4 ata total pressure).