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April 2014 No. 285 Founded in 1966 by Professor D M Davies, FRCP, FRCP Ed ISSN 0044–6394 Relatively high concentrations of N O are needed to induce anaesthesia. When the proportion of N O in a mixture with air or a b c Robin E. Ferner , Angus A. Mackenzie & Jeffrey K. Aronson oxygen causes absolute oxygen depletion a b West Midlands Centre for Adverse Drug Reactions, Department of Anaesthesia and (i.e. an inspired oxygen fraction substan- Critical Care, Birmingham, UK and Green-Templeton College, Oxford, UK tially below 0.21), the patient can suffer Correspondence to Robin E. Ferner, MSc, MD, FRCP, City Hospital, Birmingham, B18 irreversible neurological damage, with 7QH, UK. unconsciousness, convulsion and death. Tel: +44 (0)121 507 5672; e-mail: r.e.ferner@bham.ac.uk Stewart reported the case of a 12-year- old schoolgirl who stopped breathing after 42 min of N O and oxygen anaesthesia, and later died. He also noted 26 other cases. Summary Nowadays, anaesthetists using N O supple- Nitrous oxide (N O) has been used as an anaesthetic agent since 1844. It has two 2 ment it with another volatile anaesthetic to well recognized adverse effects: it oxidizes Co(I) to Co(II) and so inactivates overcome the low
Adverse Drug Reaction Bulletin – Wolters Kluwer Health
Published: Apr 1, 2014
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