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#81
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Medal Winners: Air Traffic Control Tapes
On pumped fuel gases: Point well taken, you're correct that it used to
be at least partly carbon monoxide. I think that industrial fuel gases were even purer CO at one time. I have a vague memory that it was produced by passing flue gases through heated iron pipes to convert CO2 to CO--is that correct? On helium solubility: Thanks for the note, I wasn't aware of Trimix. Similarly, I didn't know helium had a drug effect. Xenon must have the most of all the noble gases; it has good anesthetic effect at about 70 Torr and is currently being proposed for actual surgical anesthesia. It has the interesting problem of not being patentable, and therefore not worth any company's money to get through FDA approval, so it may never appear on the drug market. Of other small, nonpolar molecules, the one I'm sorry I missed (it was gone before I started my practice) is cyclopropane. It's similarly very blood insoluble and therefore fast-acting (more on that if anyone's interested). It has the problem of being not just inflammable like ether, but explosive. Spark suppression used to be a big deal in operating room design. Another interesting suicide-by-oxygen-dilution problem is automobile exhaust. Catalytic converters work well enough that running a car engine in a closed garage frequently produces anoxic brain damage (CO2 poisoning) rather than death (CO same). Perhaps that happens to some of the suicides who are unaware that fuel gas got swapped for methane. Things were quiet in the operating room today, and I had an hour to chat with the anesthesiology residents. I told them about this Usenet discussion and asked them to distinguish CO2 poisoning from that by CO. They didn't do very well. David Don W wrote: Hi David, David Kazdan wrote: Helium is almost exactly the dilutional asphyxiant that nitrogen is. It's used in deep-diving artificial atmospheres for two reasons: Nitrogen is a weak anesthetic gas, producing intoxication at several atmospheres pressure--(nitrogen narcosis"), and it's soluble enough in blood and other water-based body fluids to fizz out when the pressure is released suddenly (the bends, caisson worker's disease). "Helium has neither of these properties." snip David David Kazdan, MD, PhD Anesthesiologist Pilot I hesitate to enter this discussion since you are obviously well qualified, however, that is often how learning occurs and I still have a lot to learn. I agree with all of your excellent post with one minor exception. Helium _is_ absorbed into the bloodstream under high enough partial pressure and does release bubbles when the pressure is released too quickly. Heliox (Helium + O2) and Trimix (Helium + N + O2) are common gasses used in the technical diving community, and they both require decompression stops on the way back to the surface. Technical divers use these mixes for dives from 130' (~5 atmospheres) to as much as 1000' (~31 atmospheres). The O2 content of the mixes is reduced to avoid oxygen toxicity effects at high PPO2. I also would point out that helium at high PP--although not narcotic like Nitrogen--does produce some strange physiological effects including a "buzz" similar to having had a lot of caffein. Don Woodbridge P.E. Engineer Technical Diver Pilot |
#82
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Medal Winners: Air Traffic Control Tapes
On Tue, 7 Feb 2006 12:12:29 -0600, "Montblack"
wrote: ("Don W" wrote) I also would point out that helium at high PP--although not narcotic like Nitrogen--does produce some strange physiological effects including a "buzz" similar to having had a lot of caffein. Don Woodbridge P.E. Engineer Technical Diver Pilot This may sound silly, but what about CO2 in soda-pop? If one drinks six or seven cans/day of pop (diet - whatever) what does that do in the bloodstream? I've heard Olympic level athletes do not drink pop, for performance reasons - blood, oxygen carrying ability, ...something. It's loaded with processed sugar which brings on a shot of energy followed by a rapid decline in energy. They want something that lasts. You ever see how much some of those athletes eat? If I ate half that much I'd need wheels. Pop is often refered to as having "empty calories". People who drink a lot of pop tend to be a wee bit on the hefty side and it takes a lot of exercise to burn that off.. Roger Halstead (K8RI & ARRL life member) (N833R, S# CD-2 Worlds oldest Debonair) www.rogerhalstead.com Montblack |
#84
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co/co2 etc. was: Medal Winners
"David Kazdan" wrote in message
news Things were quiet in the operating room today, and I had an hour to chat with the anesthesiology residents. I told them about this Usenet discussion and asked them to distinguish CO2 poisoning from that by CO. They didn't do very well. I remember attempting to resuscitate a V. Fib. case at a fraternity near the U. of Wash. We tubed the patient but were unable to get an IV line going to administer meds. I was about to try a subclavian when three anestheologists walked up. It's been over thirty years ago and I scarcely remember the details, but they quickly advised us that we already had a perfect administration route - the endotracheal tube! We had never been instructed that we could administer drugs through the tube. After checking to make sure they were who they claimed to be, they assisted us by simply squirting meds in the tube and resuming bag respiration. The attempt was futile, but I still remember their help. Rich S. |
#85
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Medal Winners: Air Traffic Control Tapes
("Roger" wrote)
I've heard Olympic level athletes do not drink pop, for performance reasons - blood, oxygen carrying ability, ...something. It's loaded with processed sugar which brings on a shot of energy followed by a rapid decline in energy. They want something that lasts. You ever see how much some of those athletes eat? If I ate half that much I'd need wheels. No, not the sugar or diet chemicals, just the CO2 side of the can. Does drinking 5, 6, 7, 8, 9 cans of pop per/day do something (bad) to your system because of (possible?) CO2 absorption(?) into the bloodstream? The Olympics are days away... (Getting back OT with medal winners :-) Montblack |
#86
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Medal Winners: Air Traffic Control Tapes
Montblack wrote:
Monty, did you get a note from me today? If not, I obviously didn't clean up your email address right. Some of us are better manglers than others.... Richard |
#87
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Medal Winners: Air Traffic Control Tapes
("Richard Lamb" wrote)
Monty, did you get a note from me today? If not, I obviously didn't clean up your email address right. Some of us are better manglers than others.... Nope. Y4-NOT = Mont black at v i s i (.) and the rest Montblack :-) O-ho, the Wells Fargo Wagon is a-comin' down the street I wish, I wish I knew what it could be |
#88
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Medal Winners: Air Traffic Control Tapes
It is CO that is the poison!!!
Read somewhere that there are no toxic substances, only toxic quantities. |
#89
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co/co2 etc. was: Medal Winners
Right--give higher doses and _never_ give bicarbonate that way (mostly
off the ACLS protocols, anyway). It's mostly used for epinephrine doses. David Rich S. wrote: "David Kazdan" wrote in message news Things were quiet in the operating room today, and I had an hour to chat with the anesthesiology residents. I told them about this Usenet discussion and asked them to distinguish CO2 poisoning from that by CO. They didn't do very well. I remember attempting to resuscitate a V. Fib. case at a fraternity near the U. of Wash. We tubed the patient but were unable to get an IV line going to administer meds. I was about to try a subclavian when three anestheologists walked up. It's been over thirty years ago and I scarcely remember the details, but they quickly advised us that we already had a perfect administration route - the endotracheal tube! We had never been instructed that we could administer drugs through the tube. After checking to make sure they were who they claimed to be, they assisted us by simply squirting meds in the tube and resuming bag respiration. The attempt was futile, but I still remember their help. Rich S. |
#90
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Medal Winners: Air Traffic Control Tapes
JJS jschneider@remove socks cebridge.net wrote:
"Ian Stirling" wrote in message ... Totally different situations. In one, you've got lungs full of stale air. There is a reasonable amount of O2 in it, even after you pass out (IIRC). Hemeoglobin is very clever, but it's not magic. It releases the molecule it's bound to (O2 or CO2) when it reaches somewhere there isn't much of that gas. Normally this is a good thing, but when the lungs are full of N2, not only do you get the normal release of CO2, but the lungs now actively strip oxygen from the blood, something which normally never happens. snip Ding! The light bulb is flickering. Thanks Ian, for being patient enough with me and taking the time to educate. I was aware that hemoglobin exchanges CO2 and O2. I wasn't aware that it did so in the manner you describe releasing either in a low presence of the gas in question. That is very interesting. I still do not understand why it took Yup, it's a beautifully simple mechanism. the victim so long to recover from a lack of oxygen unless there really was some brain damage that he recovered from over time?? Do you have any links to the CO2/O2 exchange mechanism for further reading? http://groups.google.co.uk/group/sci...ac2abacf99c7df I _think_ this should work. It's a thread on sci.space.tech, about vacuum breathing. I can only assume that the long time to recover was due to slight brain damage, due to the lack of oxygen. |
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