Vic P, Laguette D, Blondin G, Blayo M, Thirion S, Queinnec C, Lew J, Mehu G, Broussine L. [Utilization of an equimolar mixture of oxygen-nitrous oxide in a general pediatric ward].
Arch Pediatr 1999;
6:844-8. [PMID:
10472395 DOI:
10.1016/s0929-693x(00)88477-8]
[Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
UNLABELLED
We report our experience of the utilization of the 50% oxygen-nitrous oxide mixture (nitrous oxide 50%) in our general pediatric ward after one year of use.
PATIENTS AND METHODS
Between 1st April 1997 and 31st March 1998, children who had to undergo a painful procedure were proposed to inhale 50% nitrous oxide before the procedure. We evaluate pain, restlessness and adverse effects.
RESULTS
The procedures (127 of them) were carried out in 90 children (61 boys). They were aged from 5 months to 15 years (mean: 5.7 years; median: 4.1 years). Indications were: lumbar puncture (n = 45), burning dressing (n = 29), venous cannulation (n = 12), minor surgery (n = 27), and miscellaneous (n = 14). Inhalation time was between 2 to 70 min (mean: 14.4 min; median: 11 min). Pain was absent or low in 106 cases (83.4%). Restlessness was absent or low in 100 cases (78.8%). Averse events were observed 12 times, but they were always minor and quickly reversible.
CONCLUSION
Nitrous oxide (50%) can be used successfully in a general pediatric ward. Other studies are necessary to define the best conditions.
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