N2O

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I don't think N2O and O2 (50%) might be on use.

 

In many articles of Anaesthesiology, we can see :

 

*      No effective analgesic if the concentration is < 70% in moisture with
O2. In that concentration is not safe; only administered by a
Anaesthesiologists.

*      Because is very diffusible is not indicate in any case of gas trapped
( as pneumothorax, pneumoperitoneu, pneumoencephalus, etc, as appendicitis
or colecistitis or any degree of intestinal occlusion..). The pressure in
the cameras will be high.

*      It will be prudent to be without feeding minimum from 6 hours...we
can surely say it about any accident ????? Because it is an anaesthetic gas
with the correspondent << of reflexes.

*      Probably is direct depressor of myocardial .

*      Of course depressor of CNS.

*      Etc..

 

But we can have patients laughing instead of criing with pain, and we can
have patients not understanding that what they feel is pain and they
sufficiently obtunded for not understand it....

 

Rita Perez

ritaperez at netcabo.pt

MD, Anaesthesiologist.

 

 

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