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Anesthesia Progress logoLink to Anesthesia Progress
. 1989 May-Jun;36(3):88–92.

Cardiovascular influences of nitrous oxide in spontaneously hypertensive rats.

R J Henry, R M Quock
PMCID: PMC2148656  PMID: 2638155

Abstract

Cardiovascularly compromised outpatients undergoing minor elective oral surgical or dental care have not frequently received the anxiolytic and analgesic benefits of nitrous oxide ostensibly because of the reported likelihood of sympathetic nervous stimulation and possible exacerbation of hypertension or cardiac complication. Recent studies, though, have shown that the hemodynamic effects of nitrous oxide are negligible and possibly even beneficial. The present study was conducted to determine the cardiovascular effects of nitrous oxide and nitrogen (as control gas) in the spontaneously hypertensive rat (SHR) and its normotensive Wistar-Kyoto counterpart (WKY). SHRs exposed to nitrogen did not exhibit any significant change in SBP or HR, but SHRs exposed to nitrous oxide exhibited a generally concentration-related reduction in both SBP and HR. WKYs, however, displayed reductions in SBP and HR when exposed to either nitrous oxide or nitrogen. These findings indicate a difference in the hemodynamic responses of SHRs and WKYs to nitrous oxide and nitrogen. The specificity and mechanism of the nitrous oxide effects in hypertension were not determined in this study, however, these findings do indicate that nitrous oxide does not exacerbate hypertension in normal or hypertensive rats.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BLOCH M. SOME SYSTEMIC EFFECTS OF NITROUS OXIDE. Br J Anaesth. 1963 Oct;35:631–639. doi: 10.1093/bja/35.10.631. [DOI] [PubMed] [Google Scholar]
  2. Balasaraswathi K., Kumar P., Rao T. L., El-Etr A. A. Left ventricular end-diastolic pressure (LVEDP) as an index for nitrous oxide use during coronary artery surgery. Anesthesiology. 1981 Dec;55(6):708–709. doi: 10.1097/00000542-198155060-00025. [DOI] [PubMed] [Google Scholar]
  3. Berkowitz B. A., Finck A. D., Hynes M. D., Ngai S. H. Tolerance to nitrous oxide analgesia in rats and mice. Anesthesiology. 1979 Oct;51(4):309–312. doi: 10.1097/00000542-197910000-00006. [DOI] [PubMed] [Google Scholar]
  4. Buñag R. D., Butterfield J. Tail-cuff blood pressure measurement without external preheating in awake rats. Hypertension. 1982 Nov-Dec;4(6):898–903. doi: 10.1161/01.hyp.4.6.898. [DOI] [PubMed] [Google Scholar]
  5. Craythorne N. W., Darby T. D. The cardiovascular effects of nitrous oxide in the dog. Br J Anaesth. 1965 Aug;37(8):560–565. doi: 10.1093/bja/37.8.560. [DOI] [PubMed] [Google Scholar]
  6. Davidson J. R., Chinyanga H. M. Cardiovascular collapse associated with nitrous oxide anaesthetic: a case report. Can Anaesth Soc J. 1982 Sep;29(5):484–488. doi: 10.1007/BF03009414. [DOI] [PubMed] [Google Scholar]
  7. DiSesa V. J., Mark J. B., Gold J. P., Kidwell F., Shemin R. J., Collins J. J., Jr, Cohn L. H. Nitrous oxide for blood pressure control after coronary artery surgery: a dose-response hemodynamic study in postoperative patients. Ann Thorac Surg. 1987 Aug;44(2):189–191. doi: 10.1016/s0003-4975(10)62039-5. [DOI] [PubMed] [Google Scholar]
  8. Dottori O., Korsgren M., Ax B., Löf S., Wilhelmsen L. The haemodynamic effects of unsupplemented nitrous oxide-oxygen-relaxant anaesthesia in cardiac patients. Acta Anaesthesiol Scand. 1976;20(3):195–200. doi: 10.1111/j.1399-6576.1976.tb05028.x. [DOI] [PubMed] [Google Scholar]
  9. Edmunds D. H., Rosen M. Inhalation sedation with 25% nitrous oxide. Report of a field trial. Anaesthesia. 1984 Feb;39(2):138–142. doi: 10.1111/j.1365-2044.1984.tb09501.x. [DOI] [PubMed] [Google Scholar]
  10. Eisele J. H., Smith N. T. Cardiovascular effects of 40 percent nitrous oxide in man. Anesth Analg. 1972 Nov-Dec;51(6):956–963. [PubMed] [Google Scholar]
  11. Everett G. B., Allen G. D. Simultaneous evaluation of cardiorespiratory and analgesic effects of nitrous oxide-oxygen inhalation analgesia. J Am Dent Assoc. 1971 Jul;83(1):129–133. doi: 10.14219/jada.archive.1971.0281. [DOI] [PubMed] [Google Scholar]
  12. Fukunaga A. F., Epstein R. M. Sympathetic excitation during nitrous-oxide-halothane anesthesia in the cat. Anesthesiology. 1973 Jul;39(1):23–36. doi: 10.1097/00000542-197307000-00005. [DOI] [PubMed] [Google Scholar]
  13. Gillman M. A. Possible mechanisms of action of nitrous oxide at the opioid receptor. Med Hypotheses. 1984 Oct;15(2):109–114. doi: 10.1016/0306-9877(84)90114-2. [DOI] [PubMed] [Google Scholar]
  14. Goldberg A. H., Sohn Y. Z., Phear W. P. Direct myocardial effects of nitrous oxide. Anesthesiology. 1972 Oct;37(4):373–380. doi: 10.1097/00000542-197210000-00003. [DOI] [PubMed] [Google Scholar]
  15. Goldstein E., Goldstein M. A clinical evaluation of nitrous oxide-oxygen sedation for dental procedures. Dent J. 1974 May;40(5):367–371. [PubMed] [Google Scholar]
  16. Holaday J. W. Cardiovascular effects of endogenous opiate systems. Annu Rev Pharmacol Toxicol. 1983;23:541–594. doi: 10.1146/annurev.pa.23.040183.002545. [DOI] [PubMed] [Google Scholar]
  17. Hornbein T. F., Martin W. E., Bonica J. J., Freund F. G., Parmentier P. Nitrous oxide effects on the circulatory and ventilatory responses to halothane. Anesthesiology. 1969 Sep;31(3):250–260. doi: 10.1097/00000542-196909000-00014. [DOI] [PubMed] [Google Scholar]
  18. Kawamura R., Stanley T. H., English J. B., Hill G. E., Liu W. S., Webster L. R. Cardiovascular responses to nitrous oxide exposure for two hours in man. Anesth Analg. 1980 Feb;59(2):93–99. [PubMed] [Google Scholar]
  19. Lundborg R. O., Milde J. H., Theye R. A. Effect of nitrous oxide on myocardial contractility of dogs. Can Anaesth Soc J. 1966 Jul;13(4):361–367. doi: 10.1007/BF03002177. [DOI] [PubMed] [Google Scholar]
  20. Parbrook G. E. Therapeutic uses of nitrous oxide: a review. Br J Anaesth. 1968 May;40(5):365–372. doi: 10.1093/bja/40.5.365. [DOI] [PubMed] [Google Scholar]
  21. Price H. L. Myocardial depression by nitrous oxide and its reversal by Ca++. Anesthesiology. 1976 Mar;44(3):211–215. doi: 10.1097/00000542-197603000-00009. [DOI] [PubMed] [Google Scholar]
  22. Roberts G. J., Gibson A., Porter J., de Zoysa S. Physiological changes during relative analgesia--a clinical study. J Dent. 1982 Mar;10(1):55–64. doi: 10.1016/0300-5712(82)90009-4. [DOI] [PubMed] [Google Scholar]
  23. Roizen M. F., Plummer G. O., Lichtor J. L. Nitrous oxide and dysrhythmias. Anesthesiology. 1987 Mar;66(3):427–431. doi: 10.1097/00000542-198703000-00033. [DOI] [PubMed] [Google Scholar]
  24. Stuebner E. A. Nitrous oxide--analgesia or anesthesia. Dent Clin North Am. 1973 Apr;17(2):235–247. [PubMed] [Google Scholar]
  25. Taggart P., Hedworth-Whitty R., Carruthers M., Gordon P. D. Observations on electrocardiogram and plasma catecholamines during dental procedures: the forgotten vagus. Br Med J. 1976 Oct 2;2(6039):787–789. doi: 10.1136/bmj.2.6039.787. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Thornton J. A., Fleming J. S., Goldberg A. D., Baird D. Cardiovascular effects of 50 per cent nitrous oxide and 50 per cent oxygen mixture. Anaesthesia. 1973 Sep;28(5):484–489. doi: 10.1111/j.1365-2044.1973.tb00513.x. [DOI] [PubMed] [Google Scholar]
  27. Trieger N., Loskota W. J., Jacobs A. W., Newman M. G. Nitrous oxide--a study of physiological and psychomotor effects. J Am Dent Assoc. 1971 Jan;82(1):142–150. doi: 10.14219/jada.archive.1971.0008. [DOI] [PubMed] [Google Scholar]

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