Nitrous oxide - Revision history

Rossdonaldson1: /* Complications */

2023-05-17T21:02:28Z

Complications

← Older revision		Revision as of 21:02, 17 May 2023
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	==Complications==		==Complications==
	*Asphyxia, if oxygen is not given with the gas		''See [[Nitrous oxide toxicity]]''
			*[[Asphyxia]], if oxygen is not given with the gas
	**Headache		**Headache
	**Dizziness		**Dizziness
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	**Megaloblastic anemia		**Megaloblastic anemia
	**Thrombocytopenia		**Thrombocytopenia
	**Peripheral ~~Neuropathy~~		**Peripheral neuropathy

	==See Also==		==See Also==

Rossdonaldson1: /* Procedure */

2023-05-17T21:00:20Z

Procedure

← Older revision		Revision as of 21:00, 17 May 2023
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	*General monitoring procedures shall be followed		*General monitoring procedures shall be followed
	*Nitrous oxide administration should be limited to 30 minutes		*Nitrous oxide administration should be limited to 30 minutes
	*Administer 100% oxygen for 2-5 minutes after discontinuing nitrous oxide or if nitrous oxide / oxygen administration is interrupted for > 30 seconds		*Administer 100% [[oxygen]] for 2-5 minutes after discontinuing nitrous oxide or if nitrous oxide / oxygen administration is interrupted for > 30 seconds

	==Complications==		==Complications==

Rossdonaldson1 at 20:55, 17 May 2023

2023-05-17T20:55:38Z

← Older revision		Revision as of 20:55, 17 May 2023
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	**Urinary catheter insertion		**Urinary catheter insertion
	**Intramuscular injections		**Intramuscular injections
	**Joint aspiration or injection		**[[Joint aspiration]] or injection
	**Lumbar puncture		**Lumbar puncture
	**Laceration repair		**[[Laceration repair]]
	**Abscess incision and drainage		**[[Abscess]] [[incision and drainage]]
	**Nail removal		**Nail removal
	**Wound packing or dressing change		**Wound packing or dressing change
	**Foreign body removal		**Foreign body removal
	*Nitrous Oxide + [[opioid]] or [[benzodiazepine]] examples include (smaller dosages should be used initially and titrated PRN)		*Nitrous Oxide + [[opioid]] or [[benzodiazepine]] examples include (smaller dosages should be used initially and titrated PRN)
	**Lumbar puncture		**[[Lumbar puncture]]
	**Laceration repair		**[[Laceration repair]]
	**Abscess incision and drainage		**Abscess [[incision and drainage]]
	**Foreign body removal		**[[Foreign body removal]]
	**Simple or minimally displaced fracture reduction		**Simple or minimally displaced fracture reduction

Rossdonaldson1: /* Contraindications */

2023-05-17T20:53:06Z

Contraindications

← Older revision		Revision as of 20:53, 17 May 2023
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	==Contraindications==		==Contraindications==
	''Nitrous accumulates in potential spaces and is potentially problematic when there are recent lung or ocular surgery.''		''Nitrous accumulates in potential spaces and is potentially problematic when there are recent lung or ocular surgery.''
	*Caution should be used when combined with benzodiazepines or other sedatives		*Caution should be used when combined with [[benzodiazepines]] or other [[sedatives ]]
	*Age less than 4 years and/or weight less than 15 kg		*Age less than 4 years and/or weight less than 15 kg
	*ASA Class 3 or above		*ASA Class 3 or above
	*Closed head injury, recent craniotomy, [[altered level of consciousness]] or suspicion of elevated intracranial pressure		*Closed head injury, recent craniotomy, [[altered level of consciousness]] or suspicion of elevated intracranial pressure
	*Penetrating [[globe injury]] or recent eye surgery		*Penetrating [[globe injury]] or recent eye surgery
	*Complex upper respiratory infection (obstructive sinusitis, bullous otitis media)		*Complex upper respiratory infection (obstructive [[sinusitis]], bullous [[otitis media]])
	*Maxillofacial injuries		*[[Maxillofacial injuries]]
	*Acute [[asthma]], bullous emphysema or [[pneumonia]]		*Acute [[asthma]], bullous emphysema or [[pneumonia]]
	*[[Pneumothorax]] or [[chest trauma]]		*[[Pneumothorax]] or [[chest trauma]]
	*[[Pulmonary hypertension]]		*[[Pulmonary hypertension]]
	*Congenital heart disease		*[[Congenital heart disease]]
	*Bowel obstruction or ileus		*[[Bowel obstruction]] or ileus
	*Recent [[SCUBA diving]], [[barotrauma]] or [[decompression illness]]		*Recent [[SCUBA diving]], [[barotrauma]] or [[decompression illness]]
	*[[Pregnancy]]		*[[Pregnancy]]

Rossdonaldson1: /* Contraindications */

2023-05-17T20:49:24Z

Contraindications

← Older revision		Revision as of 20:49, 17 May 2023
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	*ASA Class 3 or above		*ASA Class 3 or above
	*Closed head injury, recent craniotomy, [[altered level of consciousness]] or suspicion of elevated intracranial pressure		*Closed head injury, recent craniotomy, [[altered level of consciousness]] or suspicion of elevated intracranial pressure
	*[[~~Penetrating~~ globe injury]] or recent eye surgery		*Penetrating [[globe injury]] or recent eye surgery
	*Complex upper respiratory infection (obstructive sinusitis, bullous otitis media)		*Complex upper respiratory infection (obstructive sinusitis, bullous otitis media)
	*Maxillofacial injuries		*Maxillofacial injuries

Rossdonaldson1: /* Contraindications */

2023-05-17T20:48:57Z

Contraindications

← Older revision		Revision as of 20:48, 17 May 2023
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	*Congenital heart disease		*Congenital heart disease
	*Bowel obstruction or ileus		*Bowel obstruction or ileus
	*Recent [[SCUBA diving]], [[barotrauma]] or decompression illness		*Recent [[SCUBA diving]], [[barotrauma]] or [[decompression illness]]
	*[[Pregnancy]]		*[[Pregnancy]]

Rossdonaldson1: /* Contraindications */

2023-05-17T20:48:13Z

Contraindications

← Older revision		Revision as of 20:48, 17 May 2023
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	*Complex upper respiratory infection (obstructive sinusitis, bullous otitis media)		*Complex upper respiratory infection (obstructive sinusitis, bullous otitis media)
	*Maxillofacial injuries		*Maxillofacial injuries
	*Acute [[asthma]], [[bullous emphysema]] or [[pneumonia]]		*Acute [[asthma]], bullous emphysema or [[pneumonia]]
	*[[Pneumothorax]] or [[chest trauma]]		*[[Pneumothorax]] or [[chest trauma]]
	*[[Pulmonary hypertension]]		*[[Pulmonary hypertension]]

Rossdonaldson1: /* Contraindications */

2023-05-17T20:47:58Z

Contraindications

← Older revision		Revision as of 20:47, 17 May 2023
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	*Complex upper respiratory infection (obstructive sinusitis, bullous otitis media)		*Complex upper respiratory infection (obstructive sinusitis, bullous otitis media)
	*Maxillofacial injuries		*Maxillofacial injuries
	*Acute asthma, [[bullous emphysema]] or [[pneumonia]]		*Acute [[asthma]], [[bullous emphysema]] or [[pneumonia]]
	*[[Pneumothorax]] or [[chest trauma]]		*[[Pneumothorax]] or [[chest trauma]]
	*[[Pulmonary hypertension]]		*[[Pulmonary hypertension]]

Rossdonaldson1: /* Contraindications */

2023-05-17T20:47:49Z

Contraindications

← Older revision		Revision as of 20:47, 17 May 2023
Line 33:		Line 33:
	*Complex upper respiratory infection (obstructive sinusitis, bullous otitis media)		*Complex upper respiratory infection (obstructive sinusitis, bullous otitis media)
	*Maxillofacial injuries		*Maxillofacial injuries
	*[[Acute asthma]], [[bullous emphysema]] or [[pneumonia]]		*Acute asthma, [[bullous emphysema]] or [[pneumonia]]
	*[[Pneumothorax]] or [[chest trauma]]		*[[Pneumothorax]] or [[chest trauma]]
	*[[Pulmonary hypertension]]		*[[Pulmonary hypertension]]

Rossdonaldson1: /* Contraindications */

2023-05-17T20:47:36Z

Contraindications

← Older revision		Revision as of 20:47, 17 May 2023
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	*Age less than 4 years and/or weight less than 15 kg		*Age less than 4 years and/or weight less than 15 kg
	*ASA Class 3 or above		*ASA Class 3 or above
	*Closed head injury, recent craniotomy, altered level of consciousness or suspicion of elevated intracranial pressure		*Closed head injury, recent craniotomy, [[altered level of consciousness]] or suspicion of elevated intracranial pressure
	*Penetrating globe injury or recent eye surgery		*[[Penetrating globe injury]] or recent eye surgery
	*Complex upper respiratory infection (obstructive sinusitis, bullous otitis media)		*Complex upper respiratory infection (obstructive sinusitis, bullous otitis media)
	*Maxillofacial injuries		*Maxillofacial injuries
	*Acute asthma, bullous emphysema or pneumonia		*[[Acute asthma]], [[bullous emphysema]] or [[pneumonia]]
	*Pneumothorax or chest trauma		*[[Pneumothorax]] or [[chest trauma]]
	*Pulmonary hypertension		*[[Pulmonary hypertension]]
	*Congenital heart disease		*Congenital heart disease
	*Bowel obstruction or ileus		*Bowel obstruction or ileus
	*Recent SCUBA diving, barotrauma or decompression illness		*Recent [[SCUBA diving]], [[barotrauma]] or decompression illness
	*Pregnancy		*[[Pregnancy]]

	==Equipment Needed==		==Equipment Needed==