2010, Number 3
<< Back Next >>
Rev Mex Anest 2010; 33 (3)
Influence of nitrous oxide at 2,240 m over the sea level in the dose of propofol used for anesthesia induction
Martínez-Ara MF, Pórtela-Ortiz JM, Rivera-Orna MÁ, Rendón-Macías ME
Language: Spanish
References: 15
Page: 142-146
PDF size: 330.85 Kb.
ABSTRACT
Introduction: Nitrous oxide (N
2O) was used for over 150 years for its analgesic, ansiolytic and anesthetic. This study seeks to demonstrate that the use of N
2O lower the dose of propofol during induction of anesthesia, at the height of Mexico City.
Methods: A randomized, prospective and comparative study. We studied patients undergoing general were divided into groups: group A received 6 liters of oxygen, group B 4 liters of N
2O and 2 liters of Oxygen per minute, reaching a concentration of exhaled N
2O 65%. We applied propofol at 20 mg per minute and assesses the loss of reflexes: verbal, handles and lid in seconds and the dose of propofol.
Results: Demographic variables were not differences. Group A patients required a dose greater than 65% of propofol and the time was 54% higher for the loss of reflexes in relation to the group which use N
2O - propofol.
Conclusions: Nitrous oxide is useful as an anesthetic at the height of 2,240 meters above sea level. Significantly reduces the dose of propofol during induction of anesthesia.
REFERENCES
Dimitris EE, Raymond MQ. Advances in Understanding the Actions of Nitrous Oxide. Anesth Prog. 2007 Spring;54:9-18
Maze M, Fujinaga M. Recent advances in understanding the actions and toxicity of nitrous oxide. Anaesthesia. 2000;55:311-314.
Banks A, Hardman JG. Nitrous oxide. Anaesth Crit Care Pain 2005;5:145-148.
Tatsuya I, Hidetaka A, Yuzuru K. Interaction of nitrous oxide and propofol to reduce hypertensive response to stimulation. Can J Anesth 2000;7:699-704.
Dharshi K, Kate L, Abhay U, Andrew RB. Nitrous oxide and anesthetic requirement for loss of response to command during propofol anesthesia, Anesth Analg 2006;102:1088-1093.
O’Sullivan, Benger J. Nitrous oxide in emergency medicine. Emerg Med J 2003;20:214-17.
Shugaku H, Hiroshi T, Sahoko K, Tsutomu S, Kazuhiko F. The involvement of the nociceptin receptor in the antinociceptive action of nitrous oxide. Anesth Analg 2006;103:738-741.
Domínguez VC, Bellolio PC. Influence of inhaled nitrous oxide on the induction doses of propofol and thiopental assessed by auditory evoked potentials. Rev Esp Anestesiol Reanim 2007;54:475-79.
Chen CH, Yang YL, Chen WM, Shyr MH. Comparison of the anesthesia profiles between sevoflurane-nitrous oxide and propofol-nitrous oxide conveyed by laryngeal mask airway in patients undergoing ambulatory gynecological surgery. Acta Anaesthesiol Taiwan 2006;44:101-107.
Szalados MD, François D, David RB. Nitrous oxide potentiates succinylcholine neuromuscular blockade in humans. Anesth Analg 1991;72:18-21.
Sinha PK, Neema PK, Rathod RC. Effect of nitrous oxide in reducing pain of propofol injection in adult patients, Anaesth Intensive Care 2005;33:235-38.
Carlier S, Van Aken H, Vandermeersch E, Thorniley A, Byttebier G. Does nitrous oxide affect the hemodynamic effects of anesthesia induction with propofol? Anesth Analg 2000;90:1213-16 .
Ju-Mei NG, Nian-Chih H. Inhaling nitrous oxide reduces the induction dose requirements of propofol. Anesth Analg 2000;90:1213-16.
Niwa H, Tanimoto A, Sugimura M, Morimoto Y, Hanamoto H. Cardiovascular effects of epinephrine under sedation with nitrous oxide, propofol, or midazolam. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;102:1-9.
Rosenberg H, Orkin FK, Springstead J. Abuse of nitrous oxide. Anesth Analg 1979;58:104-106.