ORCID

Abstract

Nitrous oxide is an N-methyl--aspartate receptor antagonist and may reduce the incidence of chronic post-surgical pain. • Nitrous oxide oxidizes Vitamin B12 and can precipitate sub-acute combined degeneration of the cord with chronic use or in patients with folate/B12 deficiency. • Nitrous oxide expands air spaces and is contraindicated in patients with pneumothorax or recent (up to 4–6 weeks) ocular surgery using intraocular gas. • Nitrous oxide has global warming and ozone depletion potential and its concentration in the theatre environment is regulated. • The ENIGMA-II trial showed that nitrous oxide does not increase the risk of death or cardiovascular complications.

Publication Date

2016-03-01

Publication Title

BJA Education

Volume

16

Issue

3

ISSN

2058-5349

Keywords

1A01, 1A02

First Page

87

Last Page

91

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