Nitrous oxide for applying local anesthesia in nasal operations: a randomized placebo-controlled single-blinded study.

Abstract:

CONCLUSIONS:In our study setting nitrous oxide (N(2)O) did not show any clinical benefit in discomfort experienced when applying local anesthesia for nasal operations. Further studies with longer inhalation times are needed to elucidate the role of N(2)O in application of local anesthesia in nasal surgery. OBJECTIVES:N(2)O inhalation reduces the discomfort experienced in various medical procedures. The objective of this study was to assess the suitability of N(2)O inhalation before application of local anesthesia for nasal procedures in outpatient surgery. PATIENTS AND METHODS:This was a prospective, randomized, single-blinded, placebo-controlled study at the Helsinki University Central Hospital, Finland. Ninety patients were randomly divided into three groups. Group A inhaled 10 breaths of 50% N(2)O/50% O(2) through a nasal mask with a Porter 2000 MXR scavenging system before application of local nasal anesthesia, group B inhaled room air through the same mask and group C received only local anesthesia. A visual analog scale was used to assess pain, nausea, and discomfort related to the application of nasal anesthesia. RESULTS:The N(2)O inhalation was easy to perform and well tolerated. The N(2)O inhalation before applying local anesthesia for nasal operations did not show any significant additional benefit in reducing pain or discomfort.

journal_name

Acta Otolaryngol

journal_title

Acta oto-laryngologica

authors

Starck M,Tarkkila P,Mäkitie AA,Ylikoski JS,Bäck LJ

doi

10.1080/00016480701714319

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

772-7

issue

7

eissn

0001-6489

issn

1651-2251

pii

788285386

journal_volume

128

pub_type

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