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Recording Brain Electromagnetic Activity During the Administration of the Gaseous Anesthetic Agents Xenon and Nitrous Oxide in Healthy Volunteers
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Update on nitrous oxide and its use in anesthesia practice.

Zdravka Zafirova1, Colin Sheehan2, Leila Hosseinian2

  • 1Department of Cardiovascular Surgery, Icahn School of Medicine, Mount Sinai Hospital System, 321 West 37 St, ap. 5A, New York, NY, 10018, USA.

Best Practice & Research. Clinical Anaesthesiology
|October 17, 2018
PubMed
Summary

Nitrous oxide (N2O) is a safe and effective anesthetic and analgesic gas used in various medical settings. Its broad utility and ease of administration ensure its continued importance in clinical practice.

Keywords:
adverse effectsgeneral anesthesialabor analgesianitrous oxide

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Area of Science:

  • Anesthesiology and Pharmacology
  • Neuroscience

Background:

  • Nitrous oxide (N2O) has a long-standing history in medical applications as an anesthetic and analgesic.
  • Its mechanism involves action on multiple supraspinal and spinal targets.

Purpose of the Study:

  • To review the clinical utility and safety profile of nitrous oxide.
  • To highlight its persistent and expanding role in medical practice.

Main Methods:

  • Literature review of historical and current clinical applications.
  • Analysis of safety data and adverse effect incidence.
  • Evaluation of administration protocols and provider/patient factors.

Main Results:

  • N2O demonstrates utility across a wide range of clinical situations.
  • The gas exhibits a favorable safety profile with low incidence and acuity of adverse effects.
  • Administration is feasible by diverse medical providers and via self-administration by patients.

Conclusions:

  • The safety, efficacy, and administration flexibility of nitrous oxide support its ongoing and growing use in clinical settings.
  • Nitrous oxide remains a valuable agent for anesthesia and analgesia.