Denitrogenation interruptions with air

Abstract

A 3-h denitrogenation period at ground-level pressure with 95% O2-5% N2, with an air interruption of 5 min or more and matched with additional denitrogenation time equal to the interruption, will later result occasionally in altitude decompression sickness ('bends') during a 2-h decompression exposure at 3.8 psia (10,058 m equivalent) with 92% O2- 8% N2. Thus the equal time or 'mirror-image' make-up time for loss of denitrogenation did not prevent bends 7 times in 17 subjects during 71 exposures with air interruptions; on the other hand, no case of bends was reported after uninterrupted denitrogenation periods. Nitrogen-loading during the interruptive period is believed to resupply the bends sites with additional nitrogen, which re-establishes conditions favoring a return to a high incidence of bends.