Skip to main content
Anesthesia Progress logoLink to Anesthesia Progress
. 1984 Feb;31(1):17–22.

Effect of Age on the Digit Blood Flow Response to Sedative Concentrations of Nitrous Oxide

Gerald I Roth, James L Matheny, Donald A Falace, James E O'Reilly, James C Norton
PMCID: PMC2235798  PMID: 6587798

Abstract

Twenty healthy male subjects [11 young, x̄ = 25.4 ± 0.8 (SEM) years old; 9 elderly, x̄ = 64.5 ± 0.7 years] volunteered for a study designed to investigate the effect of age on several cardiovascular parameters to inhaled N2O-O2. The protocol was designed to mimic the administration of N2O-O2 for sedation in the dental office, although no dental treatment was performed. Clinical criteria were used to judge the appropriate sedative level for each subject; no attempt was made to establish doseresponse relationships. Digit blood flow was measured by strain-gauge plethysmography, and heart rate, arterial blood pressure, respiratory rate, and skin temperature were monitored and recorded. N2O and CO2 levels were monitored in end-tidal gas samples by gas chromatography; machine gauge readings were calibrated against known gas mixtures by the same technique.

Under the conditions of this experiment both healthy young and healthy elderly subjects experienced a marked (200-300%) increase in digit blood flow during N2O inhalation, compared to that during air and 100% O2 inhalation. There was no significant difference in the degree of flow increase between young and elderly subjects. Also, there were no significant differences in the response of these healthy young and healthy elderly subjects to sedative concentrations of N2O with regard to heart rate, arterial blood pressure, respiratory rate, skin temperature, or mean end-tidal CO2 levels. The data indicate that N2O, in the concentrations routinely administered in the dental office for sedation, does not have a differential effect on the measured parameters in healthy elderly and healthy young males.

Full text

PDF
17

Selected References

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

  1. Abboud F. M. Vascular responses to norepinephrine, angiotensin, vasopressin and serotonin. Fed Proc. 1968 Nov-Dec;27(6):1391–1395. [PubMed] [Google Scholar]
  2. BYGDEMAN S. Reactivity of skin and muscular blood vessels to noradrenaline during induced respiratory acidosis in cats. Nature. 1963 May 4;198:491–492. doi: 10.1038/198491a0. [DOI] [PubMed] [Google Scholar]
  3. 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]
  4. Heistad D. D., Abboud F. M. Factors that influence blood flow in skeletal muscle and skin. Anesthesiology. 1974 Aug;41(2):139–156. doi: 10.1097/00000542-197408000-00005. [DOI] [PubMed] [Google Scholar]
  5. 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]
  6. Kitahata L. M., Taub A., Conte A. J. The effect of nitrous oxide on alveolar carbon dioxide tension: a second-gas effect. Anesthesiology. 1971 Dec;35(6):607–611. doi: 10.1097/00000542-197112000-00010. [DOI] [PubMed] [Google Scholar]
  7. Longnecker D. E., Harris P. D. Microcirculatory actions of general anesthetics. Fed Proc. 1980 Apr;39(5):1580–1583. [PubMed] [Google Scholar]
  8. Lunn J. K., Liu W. S., Stanley T. H., Gentry S., English J. B. Peripheral vascular and cardiac effects of nitrous oxide in the bovine. Can Anaesth Soc J. 1977 Sep;24(5):571–585. doi: 10.1007/BF03005531. [DOI] [PubMed] [Google Scholar]
  9. MAPLESON W. W. An electric analogue for uptake and exchange of inert gases and other agents. J Appl Physiol. 1963 Jan;18:197–204. doi: 10.1152/jappl.1963.18.1.197. [DOI] [PubMed] [Google Scholar]
  10. O'Reilly J. E., Roth G. I., Matheny J. L., Dean J. E. Simultaneous analysis of respiratory gases and nitrous oxide in dental patients. J Dent Res. 1980 Apr;59(4):675–682. doi: 10.1177/00220345800590040401. [DOI] [PubMed] [Google Scholar]
  11. O'Reilly J. E., Roth G. I., Matheny J. L., Falace D. A., Norton J. C. The effects of nitrous oxide administration in the healthy elderly: N2O elimination and alveolar CO2. Anesth Prog. 1983 Nov-Dec;30(6):187–192. [PMC free article] [PubMed] [Google Scholar]
  12. RING G. C., KURBATOV T., SHANNON G. J. Changes in central pulse and finger plethysmography during aging. J Gerontol. 1959 Apr;14(2):189–191. doi: 10.1093/geronj/14.2.189. [DOI] [PubMed] [Google Scholar]
  13. RODDIE I. C., SHEPHERD J. T., WHELAN R. F. The contribution of constrictor and dilator nerves to the skin vasodilatation during body heating. J Physiol. 1957 May 23;136(3):489–497. doi: 10.1113/jphysiol.1957.sp005775. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Roth G. I., Matheny J. L., Gonty A. A., O'Reilly J. E. Effect of nitrous oxide on the human peripheral microcirculation. J Dent Res. 1980 Sep;59(9):1520–1520. doi: 10.1177/00220345800590091401. [DOI] [PubMed] [Google Scholar]
  15. Smith N. T., Eger E. I., 2nd, Stoelting R. K., Whayne T. F., Cullen D., Kadis L. B. The cardiovascular and sympathomimetic responses to the addition of nitrous oxide to halothane in man. Anesthesiology. 1970 May;32(5):410–421. doi: 10.1097/00000542-197005000-00007. [DOI] [PubMed] [Google Scholar]
  16. Thompson T. L., 2nd, Moran M. G., Nies A. S. Drug therapy: Psychotropic drug use in the elderly (first of two parts). N Engl J Med. 1983 Jan 20;308(3):134–138. doi: 10.1056/NEJM198301203080305. [DOI] [PubMed] [Google Scholar]
  17. Thompson T. L., 2nd, Moran M. G., Nies A. S. Psychotropic drug use in the elderly. (Second of two parts). N Engl J Med. 1983 Jan 27;308(4):194–199. doi: 10.1056/NEJM198301273080405. [DOI] [PubMed] [Google Scholar]
  18. 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]
  19. WHITNEY R. J. The measurement of volume changes in human limbs. J Physiol. 1953 Jul;121(1):1–27. doi: 10.1113/jphysiol.1953.sp004926. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Wynne J., Mann T., Alpert J. S., Green L. H., Grossman W. Hemodynamic effects of nitrous oxide administered during cardiac catheterization. JAMA. 1980 Apr 11;243(14):1440–1442. [PubMed] [Google Scholar]
  21. ZWEIFACH B. W., METZ D. B. Regional differences in response of terminal vascular bed to vasoactive agents. Am J Physiol. 1955 Jul;182(1):155–165. doi: 10.1152/ajplegacy.1955.182.1.155. [DOI] [PubMed] [Google Scholar]

Articles from Anesthesia Progress are provided here courtesy of American Dental Society of Anesthesiology

RESOURCES