Nitrous oxide levels in the emergency department
β Scribed by David J. Dula; John J. Skiendzielewski; Marie Royko
- Publisher
- Elsevier Science
- Year
- 1981
- Tongue
- English
- Weight
- 232 KB
- Volume
- 10
- Category
- Article
- ISSN
- 1097-6760
No coin nor oath required. For personal study only.
β¦ Synopsis
Levels of nitrous oxide were monitored in the emergency department during the use of a Nitronox ~ machine after four and eight minutes of breathing the gas. Levels near the user's head were found to be 800 to 1,200 parts per million. Levels at the center of the room peaked at 300 ppm after eight minutes of use, and spot checks in the emergency department hall adjacent to the test room were less than 10 ppm. Ventilation was measured in the test room and was found to influence the peak level of nitrous oxide and the rapidity of washout of the gas from the room. The results of this study should prompt the development of guidelines for the use of nitrous oxide in the emergency department setting.
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The catatonic syndrome has a wide differential diagnosis that includes both psychiatric and organic disorders. We present the cases of two patients with catatonia seen acutely in the emergency department. In these cases, the striking clinical picture proved to be secondary to psychiatric disturbance