Nitrous oxide's revival in childbirth: Widely used before the advent of epidural analgesia in the 1970s, patient-controlled nitrous oxide is re-emerging for analgesia in labor.

Autor: ILLUZZI, JESSICA L., TELFER, MICHELLE L., RUBIN, PHIL
Zdroj: Contemporary OB/GYN; May2018, Vol. 63 Issue 5, p7-11, 4p
Abstrakt: The article discusses the emerging revival of patient-controlled nitrous oxide gas for analgesia in labor as of 2018. Topics covered include its sweet-smelling property with both anesthetic and analgesic mechanisms of action when inhaled, its increase of dopamine, norepinephrine, and endogenous opioid release, and its negative effect on cord blood gases. Also noted are the needs for a scavenging system to suck exhaled gas, room ventilation, and leak alarms when offering nitrous oxide.
Databáze: Complementary Index