Why the study?
The literature and diving community are divided on whether oxygen is narcotic, while hyperbaric oxygen may also induce dose-dependent cerebral hyperexcitability.
Does hyperbaric oxygen cause narcosis or hyperexcitability compared to normobaric air or oxygen in human participants?
Does hyperbaric oxygen cause narcosis or hyperexcitability compared to normobaric air or oxygen in human participants?
Hyperbaric oxygen does not appear to have a narcotic effect but may induce early cortical hyperexcitability, which can help inform divers' decisions on suitable gas mixtures.
Hyperbaric oxygen may inform gas mixture choices for divers; leaves open clinical relevance of reduced DMN complexity.
Divers breathe higher partial pressures of oxygen at depth than at the surface. The literature and diving community are divided on whether or not oxygen is narcotic. Conversely, hyperbaric oxygen may induce dose-dependent cerebral hyperexcitability. This study evaluated whether hyperbaric oxygen causes similar narcotic effects to nitrogen, and investigated oxygen's hyperexcitability effect. Twelve human participants breathed "normobaric" air and 100% oxygen, and "hyperbaric" 100% oxygen at 142 and 284 kPa, while psychometric performance, electroencephalography (EEG), and task load perception were measured. EEG was analyzed with functional connectivity and temporal complexity algorithms. The spatial functional connectivity, estimated using mutual information, was summarized with the global efficiency network measure. Temporal complexity was calculated with a "default-mode-network (DMN) complexity" algorithm. Hyperbaric oxygen-breathing caused no change in EEG global efficiency or in the psychometric test. However, oxygen caused a significant reduction of DMN complexity and a reduction in task load perception. Hyperbaric oxygen did not cause the same changes in EEG global efficiency seen with hyperbaric air, which likely related to a narcotic effect of nitrogen. Hyperbaric oxygen seemed to disturb the time evolution of EEG patterns that could be taken as evidence of early oxygen-induced cortical hyperexcitability. These findings suggest that hyperbaric oxygen is not narcotic and will help inform divers' decisions on suitable gas mixtures.
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Vrijdag et al. (2022) studied this question.
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