Effects of nitrous oxide on the respiratory pattern of spontaneously breathing children. A re-appraisal. 1986

W S Wren, and P Allen, and A Synnott, and P O'Griofa

An increase in ventilation in spontaneously breathing children, when nitrous oxide was withdrawn from the nitrous oxide-halothane inspired mixture, was previously suggested to be a direct effect of decreased alveolar nitrous oxide concentration. To test whether a "gas effect" of oxygen inflow had caused a false increase in tidal volume signal, in the present study nitrous oxide was withdrawn in two stages, with equilibrium at each stage; there was a 7% increase in VT, to 3.88 ml kg-1. During that nitrous oxide withdrawal, despite a constant vaporizer setting for halothane, the alveolar concentration of halothane decreased (from 1.06% to 0.9%). When the alveolar halothane concentration was subsequently deliberately decreased from 1.06% to 0.9% with nitrous oxide maintained constant at 65%, there was a 14% increase in VT, again to 3.88 ml kg-1. It is concluded that nitrous oxide did not produce significant depression of ventilation in children, and that the observed increases in tidal volume were the result of decreases in end-tidal halothane concentration, produced by a decrease in its inspired concentration.

UI MeSH Term Description Entries
D009609 Nitrous Oxide Nitrogen oxide (N2O). A colorless, odorless gas that is used as an anesthetic and analgesic. High concentrations cause a narcotic effect and may replace oxygen, causing death by asphyxia. It is also used as a food aerosol in the preparation of whipping cream. Laughing Gas,Nitrogen Protoxide,Gas, Laughing,Oxide, Nitrous
D012119 Respiration The act of breathing with the LUNGS, consisting of INHALATION, or the taking into the lungs of the ambient air, and of EXHALATION, or the expelling of the modified air which contains more CARBON DIOXIDE than the air taken in (Blakiston's Gould Medical Dictionary, 4th ed.). This does not include tissue respiration ( Breathing
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D006221 Halothane A nonflammable, halogenated, hydrocarbon anesthetic that provides relatively rapid induction with little or no excitement. Analgesia may not be adequate. NITROUS OXIDE is often given concomitantly. Because halothane may not produce sufficient muscle relaxation, supplemental neuromuscular blocking agents may be required. (From AMA Drug Evaluations Annual, 1994, p178) 1,1,1-Trifluoro-2-Chloro-2-Bromoethane,Fluothane,Ftorotan,Narcotan
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000768 Anesthesia, General Procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery. Anesthesias, General,General Anesthesia,General Anesthesias
D013990 Tidal Volume The volume of air inspired or expired during each normal, quiet respiratory cycle. Common abbreviations are TV or V with subscript T. Tidal Volumes,Volume, Tidal,Volumes, Tidal

Related Publications

W S Wren, and P Allen, and A Synnott, and P O'Griofa
August 1984, British journal of anaesthesia,
W S Wren, and P Allen, and A Synnott, and P O'Griofa
October 1972, Anesthesiology,
W S Wren, and P Allen, and A Synnott, and P O'Griofa
August 1993, American journal of veterinary research,
W S Wren, and P Allen, and A Synnott, and P O'Griofa
January 2022, Medical gas research,
W S Wren, and P Allen, and A Synnott, and P O'Griofa
April 1980, Journal of applied physiology: respiratory, environmental and exercise physiology,
W S Wren, and P Allen, and A Synnott, and P O'Griofa
July 1987, Anaesthesia,
W S Wren, and P Allen, and A Synnott, and P O'Griofa
October 1998, Acta anaesthesiologica Scandinavica,
W S Wren, and P Allen, and A Synnott, and P O'Griofa
October 1986, British journal of anaesthesia,
W S Wren, and P Allen, and A Synnott, and P O'Griofa
June 1986, British journal of anaesthesia,
W S Wren, and P Allen, and A Synnott, and P O'Griofa
December 1974, British journal of anaesthesia,
Copied contents to your clipboard!