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CO2 in INERGEN. Figure 2 shows the extremely rapid
response, which will drive both respiration and brain
80 oxygenation favorably. Recalling that the CO2 of the
70 blood controls the several mechanisms whereby the
Hypoxia/CO2 oxygen inhaled is delivered internally more efficiently,
60
it is clear that the difference between 44 mm Hg and 39
50 mm Hg after one minute is very significant in terms of
early improvement in respiration, arterial oxygenation
40
Hypoxia and brain blood flow. Loss of CO2 from the blood, as
30
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
will occur in a hypoxic atmosphere without added
Rest Exercise 50 Watts CO 2 , will have a corresponding negative effect on
Time (min) oxygenation of vital body tissues.
Figure 1 – End Tidal O2 Partial Pressure
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The results shown in Figure 8 clearly show that a With the added CO2 in INERGEN agent, no adverse
significant decrease in performance occurs when effects will occur.
breathing the 10% oxygen atmosphere, and a return to The physiologic data also confirms the rapidity of the
high scores follows when breathing is shifted to the “CO2 Effect,” resulting in beneficial influences for all
INERGEN atmosphere. This restoration of perfor- measured functions within the first minute, and proba-
mance corresponds to the fact that more oxygen bly beginning within the first breath cycle.
reaches the brain in an INERGEN atmosphere. Furthermore, the beneficial effects continue for at least
The same series of tests also indicated that the 10 minutes and undoubtedly well beyond.
observed drop in cognitive performance with reduced Finally, it should again be noted that all of the data
oxygen levels did not begin until the inhaled oxygen cited in this document come from actual testing on
level was decreased below 14% [21]. However, inert humans at the fire protection design concentration with
gas agents typically employ design concentrations that no animal testing, extrapolations, computer models,
lower the oxygen concentration into the 10-12% range. assumptions or projections necessary.
At that degree of hypoxia, the “CO2 effect” is consid-
ered critical for maintaining cognitive and psychomo-
tor functions.
Ventilation Volume Responses to 10% O2 & 10% O2/4% CO2 heart rate at rest is minor, but does show that the pres-
At Rest and 50 Watt Exercise ence of CO 2 results in smaller increases than for
Average ± SEM of 7 Subjects
hypoxia alone, both at rest and in exercise.
60
Hemoglobin O2 Saturation Responses to 10% O2
50 Hypoxia/CO2 & 10% O2/4% CO2
Ventilation (l/min BTPS)
Hemoglobin % Saturation
90 Hypoxia/CO2
20
Normoxic
10 Control
80
Hypoxia
0 70
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Rest Exercise 50 Watts
Time (min) 60
Figure 3 – Ventilation Volume 006116
50
The immediate impact on the volume of air breathed 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Rest Exercise 50 Watts
per minute when encountering a low oxygen (hypoxic)
atmosphere is clearly indicated in Figure 3. Within the Time (min)
first minute, the inspired volume has essentially Figure 5 – Hemoglobin Saturation
doubled when breathing an INERGEN atmosphere, but 006118
is only slightly increased without added CO 2 . The Normal hemoglobin oxygen capacity is around 19 ml
increase is a normal physiologic mechanism for of oxygen per 100 ml of blood. Using this value as
supplying more oxygen to the body through the lungs. 100%, Figure 5 shows the maintaining of a signifi-
The rapidity with which the body adjusts is well within cantly higher hemoglobin oxygen saturation level
the likely exposure time in any fire protection scenario, when breathing an INERGEN atmosphere versus 10%
and the difference between 20 l/m and 10 l/m is often oxygen with no added CO2. Again, effects can be seen
not subjectively noticeable. during the first several minutes. After 10 minutes, the
INERGEN atmosphere still maintains over 90% satura-
Heart Rate Responses to 10% O2 & 10% O2/4% CO2 tion, while the non-INERGEN atmosphere has
At Rest and 50 Watt Exercise decreased to 75% and is still falling.
Average ± SEM of 7 Subjects
140
130
120 Hypoxia
Heart Rate (bt/min)
110
100
90 Hypoxia/CO2
80
70
60
50 Normoxic Control
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Rest Exercise 50 Watts
Time (min)
40