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Helium may be added to reduce the amount of nitrogen and oxygen in the gas mixture when diving deeper, to reduce the effects of narcosis and to avoid the risk of oxygen toxicity. This is complicated at depths beyond about 150 metres (500 ft), because a helium–oxygen mixture then causes high pressure nervous syndrome. [1]
There are few side effects, other than vomiting, with short-term use. [1] [2] With long-term use anemia or numbness may occur. [2] It should always be given with at least 21% oxygen. [2] It is not recommended in people with a bowel obstruction or pneumothorax. [2] Use in the early part of pregnancy is not recommended. [1]
Localized deep pain, ranging from mild to excruciating. Sometimes a dull ache, more rarely a sharp pain. Active and passive motion of the joint may aggravate the pain. The pain may be reduced by bending the joint to find a more comfortable position. If caused by altitude, pain can occur immediately or up to many hours later. Cutaneous Skin
Nitrogen narcosis is a reversible alteration in consciousness that occurs while breathing gas with a high partial pressure of nitrogen. The effect is similar to alcohol intoxication or nitrous oxide inhalation and does not usually become noticeable at nitrogen partial pressures less than about 3 bar, equivalent to a depth of about 30 meters ...
Narcosis results from breathing gases under elevated pressure, and may be classified by the principal gas involved. The noble gases, except helium and probably neon, [2] as well as nitrogen, oxygen and hydrogen cause a decrement in mental function, but their effect on psychomotor function (processes affecting the coordination of sensory or cognitive processes and motor activity) varies widely.
In 2022 the IPCC reported that: "The human perturbation of the natural nitrogen cycle through the use of synthetic fertilizers and manure, as well as nitrogen deposition resulting from land-based agriculture and fossil fuel burning has been the largest driver of the increase in atmospheric N2O of 31.0 ± 0.5 ppb (10%) between 1980 and 2019." [61]