European Society of Anaesthesiology task force on use of nitrous oxide in clinical anaesthetic practice
Author
Veyckemans, FrancisUCLouvain
Collaborator
Abstract
Nitrous oxide (N2O) has been used for years as an essential part of general anaesthesia. During the past few decades, however, its use in general anaesthesia has steadily declined. Parallel to this evolution, we witness a growing interest in the use of N2O by nonanaesthesiologists, mainly as a sedative and adjuvant for pain therapy during procedural interventions.1–4 In line with this paradigm shift, heated debates, frequently blurred by strong emotional viewpoints, are questioning the current place of N2O during anaesthesia and during procedural sedation.5 In an attempt to search for up-to-date answers to these issues, the European Society of Anaesthesiology (ESA) convened a number of clinical experts to debate specifically on the following questions. 1. What is the place of N2O in today's perioperative anaesthesia management? 2. What is the place of N2O in procedural analgesia and sedation? 3. Is administration of N2O associated with a health risk for patients and/or providers? Members of the task force consisted of the chairs of the ESA Scientific Committee and Research Committee, and the chairs of the scientific subcommittees on Pharmacology, Paediatrics, and Monitoring, Ultrasound and Equipment. In addition, Western and Eastern European key opinion leaders on the use and place of N2O in adult and paediatric anaesthesia were asked to join the task force. The present consensus statement is the result of an intensive debate based on the available literature and the expert opinion of the task force members.
European Society of Anaesthesiology task force on use of nitrous oxide in clinical anaesthetic practice. (2015). The current place of nitrous oxide in clinical practice. European Journal of Anaesthesiology, 32(8), 517-520. https://doi.org/10.1097/EJA.00000000000002 (Original work published 2015)