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. 2018 Apr 27;18(2):71–78. doi: 10.17245/jdapm.2018.18.2.71

Table 3. Summary of case studies on nitrous oxide toxicity.

Study Patient's age Concentration and duration of exposure to N2O Time of onset of symptoms History or undiagnosed disease Treatment Consequences
Lassen et al. (1956) [42] 10 years 14 days 14th day - - -
11 years 12 days 6–10th day - - -
15 years 17–18 days 17–18th day - - Mortality (on 29th day)
53 years 16 days 16th day - - Mortality (on 16th day)
Koblin and Biebuyck (1986) [43] 25 years 1st: 90 min, 1980, Mar. 2 months later Ileal resection for Crohn's disease Cyanocobalamin injection Reversible
2nd: 1982, Apr.
58 years 90 min 6 weeks later Pernicious anemia Cyanocobalamin injection Reversible
Hadzic et al. (1995) [44] 47 years 70% for 8 hours 6 weeks later Pernicious anemia Cobalamin injection Reversible
Rosener and Dichgans (1996) [45] 50 years 66% for 2 hours 4 weeks later Vegetarian diet Cyanocobalamin injection Reversible
McNeely et al. (2000) [37] 6 months - 2 weeks later Breast feeding vegetarian mother Vitamin B12 supplementation Developmental delay
Ilniczky et al. (2002) [32] 52 years - 1 week later Macrocytic, hyperchromic anemia with decreased serum levels of vitamin B12 IM injection of vitamin B12 Reversible
57 years - 2 months later Borderline anemia with decreased serum levels of vitamin B12 IM injection of vitamin B12 Reversible
Selzer et al. (2003) [40] 3 months 1st: 60% for 45 min 25 days after 2nd anesthesia MTHFR deficiency - Mortality (46 days after 2nd anesthesia)
2nd: 60% for 270 min (4 days after 1st anesthesia)
Lacassie et al. (2006) [46] 52 years 1st: 50% for 200 min for 2 weeks after 1st anesthesia Polymorphism of MTHFR Vitamin B12 and folic acid supplementation Reversible
2nd: 50%, 105 min (8 weeks after 1st anesthesia)
Singer et al. (2008) [47] 27 years - 2 months later Pernicious anemia IM injection of vitamin B12 Reversible
Renard et al. (2009) [48] 46 years - 2 days later Borderline anemia IM injection of vitamin B12 Reversible

Min: minutes, IM: Intramuscular, MTHFR: 5,10-Methylenetetrahydrofolate Reductase.