Anesth Analg 2000;91:749-751
© 2000 International Anesthesia Research Society
GENERAL ARTICLES
Hyperbaric Nitrogen Prolongs Breath-Holding Time in Humans
Hiroaki Morooka, MD,
Yoshitaka Wakasugi, ME,
Hiroko Shimamoto, MD,
Osamu Shibata, MD, and
Koji Sumikawa, MD
Department of Anesthesiology, Nagasaki University School of Medicine, Nagasaki, Japan
Address correspondence and reprint requests to Hiroaki Morooka, MD, Department of Anesthesiology, Nagasaki University School of Medicine, Nagasaki 852-8501, Japan. Address e-mail to morooka{at}net.nagasaki-u.ac.jp
Either an increase in PaCO2 or a decrease in PaO2, can affect respiratory stimulation through respiratory centers, thus influencing breath-holding time (BHT). This study was designed to determine whether and how hyperbaric air could influence BHT in comparison with hyperbaric oxygen in humans. We studied 36 healthy volunteers in a multiplace hyperbaric chamber. BHT, pulse oximeter, and transcutaneous carbon dioxide tension were measured at 1 and 2.8 atmosphere absolute (ATA) in two groups. Group A (n = 20) breathed air. Group O (n = 16) breathed oxygen with a face mask (5 L/min). BHTs were 108 ± 28 s at 1.0 ATA and 230 ± 71 s at 2.8 ATA in Group A, and 137 ± 48 s at 1.0 ATA and 180 ± 52 s at 2.8 ATA in Group O. Transcutaneous carbon dioxide tension in Group A (59 ± 2 mm Hg) was higher than that in Group O (54 ± 2 mm Hg) at the end of maximal breath-holding at 2.8 ATA. The prolongation of BHT in hyperbaric air is significantly greater than that in hyperbaric oxygen.
Implications: Breath-holding time is significantly prolonged in hyperbaric air than it is in hyperbaric oxygen. The mechanism involves the anesthetic effect of nitrogen suppressing the suffocating feeling during breath-holding.
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