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In 1911, the anaesthetist Arthur Ernest Guedel first described the use of self-administration of a nitrous oxide and oxygen mix. It was not until 1961 that the first paper was published by Michael Tunstall and others, describing the administration of a pre-mixed 50:50 nitrous oxide and oxygen mix, which led to the commercialisation of the product.
Nitrous oxide (N 2 O), commonly referred to as laughing gas, along with various street names, is an inert gas which can induce euphoria, dissociation, hallucinogenic states of mind, and relaxation when inhaled. [1] Nitrous oxide has no acute biochemical or cellular toxicity and is not metabolized in humans or other mammals.
The Ministry of Health has warned that nitrous oxide is a prescription medicine whose sale or possession without a prescription is an offense under the Medicines Act. [136] This would seemingly prohibit all non-medicinal uses of nitrous oxide, although it is implied that only recreational use will be targeted.
Signs and symptoms of pregnancy are common, benign conditions that result from the changes to the body that occur during pregnancy. Signs and symptoms of pregnancy typically change as pregnancy progresses, although several symptoms may be present throughout. Depending on severity, common symptoms in pregnancy can develop into complications. [1]
Nitrous oxide is thought to be particularly non-toxic, though heavy long-term use can lead to a variety of serious health problems linked to the destruction of vitamin B12 and folic acid. [17] [18] Nitrous oxide "whippets" are small aerosol containers designed for charging whipped cream dispensers.
It is for this reason that Entonox, a 50:50 gaseous mixture of nitrous oxide and oxygen, is suitable for use by para-medical staff such as ambulance officers: it provides sufficient nitrous oxide for pain relief with sufficient oxygen to avoid hypoxia. [7] [8]
Medications: long-term use of certain medications can result in poor absorption of dietary vitamin B 12. [1] These include medications to treat heartburn, and metformin to treat diabetes. [132] [133] A genetic disorder, transcobalamin II deficiency, or Imerslund–Gräsbeck syndrome can be a cause. Nitrous oxide exposure, and recreational use ...
Monitoring of methemoglobin needed when nitric oxide is in use. Nitric oxide with oxygen (O 2) in combination produces another by-product chemical compound nitrogen dioxide (NO 2). The higher the oxygen concentration and nitric oxide therapy duration and lower ventilator flow rate the higher amount of NO 2 will be produced. NO 2 is toxic and its