Evidence map›Paper›PMID 30350155›Full record

Observational studyEuropean journal of applied physiology2019

Inert gas narcosis in scuba diving, different gases different reactions.

Monica Rocco, P Pelaia, P Di Benedetto, G Conte, L Maggi, S Fiorelli, M Mercieri, C Balestra, R A De Blasi, ROAD Project Investigators

Erratum issuedOpen access · greenAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in European journal of applied physiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 31 citations in OpenAlex.

  1. Trial
  2. Critical flicker fusion frequency: confounders and caveats.European journal of applied physiology · 2026
    Article
  3. Article
  4. Article
  5. Oxy-Inflammation in Humans during Underwater Activities.International journal of molecular sciences · 2024
    Review
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  9. Article
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  11. Review
  12. Article
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  15. Observational
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  19. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Monica RoccoDepartment of Surgical and Medical Science and Translational Medicine, Anesthesia and Intensive Care, Sapienza University, Rome, Italy. monica.rocco@uniroma1.it.ORCID http://orcid.org/0000-0001-8380-3607
P PelaiaDepartment of Biomedical Sciences and Public Health, Anesthesia and Intensive Care, Università Politecnica delle Marche Torrette, Ancona, Italy.
P Di BenedettoAzienda Ospedaliero, Universitaria Sant'Andrea, Rome, Italy.
G ConteDepartment of Informatics Engineering, University Politecnica delle Marche, Ancona, Italy.
L MaggiAnesthesia and Intensive Care, Università Campus Biomedico, Rome, Italy.
S FiorelliDepartment of Surgical and Medical Science and Translational Medicine, Anesthesia and Intensive Care, Sapienza University, Rome, Italy.
M MercieriDepartment of Surgical and Medical Science and Translational Medicine, Anesthesia and Intensive Care, Sapienza University, Rome, Italy.
C BalestraEnvironmental, Occupational and Ageing (Integrative) Physiology Lab, Haute Ecole Bruxelles-Brabant (HE2B), Brussels, Belgium.
R A De BlasiDepartment of Surgical and Medical Science and Translational Medicine, Anesthesia and Intensive Care, Sapienza University, Rome, Italy.
ROAD Project Investigators
Marche Polytechnic University · ITSapienza University of Rome · ITHaute École de Bruxelles · BEUniversità Campus Bio-Medico · IT

Funding

Ministero dell'Istruzione, dell'Università e della Ricerca 2012W33K5Z_004
6 · The paper itself

Abstract

purposeUnderwater divers face several potential neurological hazards when breathing compressed gas mixtures including nitrogen narcosis which can impact diver's safety. Various human studies have clearly demonstrated brain impairment due to nitrogen narcosis in divers at 4 ATA using critical flicker fusion frequency (CFFF) as a cortical performance indicator. However, recently some authors have proposed a probable adaptive phenomenon during repetitive exposure to high nitrogen pressure in rats, where they found a reversal effect on dopamine release.

methodsSixty experienced divers breathing Air, Trimix or Heliox, were studied during an open water dive to a depth of 6 ATA with a square profile testing CFFF measurement before (T

resultsCFFF results showed a slight increase in alertness and arousal during the deep dive regardless of the gas mixture breathed. The percent change in CFFF values at T

conclusionsOur results highlight that nitrogen and oxygen alone and in combination can produce neuronal excitability or depression in a dose-related response.

Indexed as

AdultArousalBrainDivingFlicker FusionHeliumHumansInert Gas NarcosisMaleMiddle AgedNitrogenHeliumNitrogenCritical flicker fusion frequencyDivers’ safetyGABA receptorsNitrogen narcosis

Identifiers

PMID30350155
OpenAlexW2897829263

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.