Abstract
Nitrous oxide administration via an oxygen facemask such as the Mary Catterall (MC) is an accepted technique for supplementing regional anaesthesia. This study assessed the range of nitrous oxide and oxygen concentrations delivered to the trachea using a mechanical lung model. The inspired concentrations of these two gases were determined by the total fresh gas inflow rates, their concentrations in the fresh gas mixture and the peak inspiratory flow rate of the analogue lung. A 1:1 nitrous oxide-oxygen mixture in the fresh gas with an inflow rate of 4-6 l/min is recommended to ensure adequate oxygen delivery into the trachea as well as achieving the therapeutic concentrations of nitrous oxide (20-30%).
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Anderson B. J., Dyson A., Henderson A. M. Inspired oxygen and nitrous oxide concentrations in volunteers during nitrous oxide sedation with a Hudson mask. Anaesth Intensive Care. 1988 Nov;16(4):423–426. doi: 10.1177/0310057X8801600407. [DOI] [PubMed] [Google Scholar]
- Chan A. S., Bruce W. E., Soni N. A comparison of anaesthetic breathing systems during spontaneous ventilation. An in-vitro study using a lung model. Anaesthesia. 1989 Mar;44(3):194–199. doi: 10.1111/j.1365-2044.1989.tb11221.x. [DOI] [PubMed] [Google Scholar]
- Leigh J. M. Variation in performance of oxygen therapy devices. Anaesthesia. 1970 Apr;25(2):210–222. doi: 10.1111/j.1365-2044.1970.tb00192.x. [DOI] [PubMed] [Google Scholar]
- Lichtenthal P., Philip J., Sloss L. J., Gabel R., Lesch M. Administration of nitrous oxide in normal subjects. Evaluation of systems of gas delivery for their clinical use and hemodynamic effects. Chest. 1977 Sep;72(3):316–322. doi: 10.1378/chest.72.3.316. [DOI] [PubMed] [Google Scholar]
- Parbrook G. D. The levels of nitrous oxide analgesia. Br J Anaesth. 1967 Dec;39(12):974–982. doi: 10.1093/bja/39.12.974. [DOI] [PubMed] [Google Scholar]