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.