To
hobodiver: The best way to know whether someone is a CO2 retainer is to draw an arterial blood gas (ABG), a nifty little test where we stick a needle into an artery (usually in the wrist) and actually measure the gases in your blood.
To
String: CO2 retainers are typically in the later stages of emphysema and cannot perform the level of exercise that you engage in.
It is important for medical personnel to know if a person is a CO2 retainer because breathing is normally driven by CO2: when it builds up, you breathe to get rid of it. CO2 retainers, however, lose their CO2 drive, and they respond instead to oxygen. When it gets low, they breathe to get some more. This can be a problem because giving these people oxygen actually can cut off their drive to breathe!
To
heelsfaninpa: To provide a longer-winded answer to your original question, I think of this by imagining a teeter-totter or balance scale with Oxygen Toxicity Risk on one end, and Nitrogen Toxicity Risk on the other. The goal is to keep the thing balanced as much as I can, trying not to tip either end into the toxicity range.
Breathing gases under super-atmospheric pressures is not normal, and doing it can cause problems.
The risk of Nitrogen Toxicity is increased by (a) diving deeper and (b) diving longer. How can one reduce the risk? Besides limiting the depth of dives and staying within NDL time limits, the risk can also be reduced by
reducing the amount of nitrogen we breathe. While some mistakenly imagine that the goal of Nitrox is to increase the amount of oxygen we breathe, it is more accurate to say that the goal is to
reduce the amount of nitrogen we breathe.
The problem, though, is that lowering the percentage of nitrogen in the gas is accomplished by increasing the percentage of oxygen. That, in turn, introduces a new problem, namely, Oxygen Toxicity Risk.
Curiously, like nitrogen toxicity risk, oxygen toxicity risk is increased by (a) diving deeper and (b) diving longer. But unlike nitrogen toxicity, which usually develops
after the dive while on the surface, the most life-threatening oxygen toxicity -- the risk of a seizure -- develops
during the dive while you are
still under water!
Considering this, I agree with those who would rather get bent than to have a seizure and drown. On the other hand, I don't really want to experience either problem.
There are no hard and fast numbers above which one is guaranteed to have a problem or below which one is guaranteed NOT to have a problem. The guidelines are simply that: just guidelines.
Divers assume a number of risks when they strap on tanks, go under water, and breathe pressurized gases. Smart divers try to minimize those risks by staying within guidelines which are based upon experience (good and bad).
Do people get away with ignoring the guidelines? Sure. People survive running red lights, speeding, eating horribly, and smoking. But will your luck hold out? I don't intend to find out.
Knowing how conservative most agencies are when setting guidelines, and also having read quite a bit on this topic from a medical standpoint, I feel very comfortable with the standard recommendation to use the maximum (planned) PO2 of 1.4 and contingency (unplanned) PO2 of 1.6. My computer goes off at 1.2 just in case I have gotten distracted by something else, but I don't get nervous at that level. That said, most of my dives do not even break 1.0.