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使用一氧化二氮/氧气进行院前镇痛。

Prehospital analgesia with nitrous oxide/oxygen.

作者信息

McKinnon K D

出版信息

Can Med Assoc J. 1981 Oct 15;125(8):836-40.

PMID:7306895
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1862698/
Abstract

A pilot study of prehospital analgesia with 50% nitrous oxide and 50% oxygen was undertaken in patients experiencing severe pain from various sources. Under the supervision of an ambulance attendant N2O/O2 was administered through a face mask held by the patient and connected to a portable regulator/tank unit. Two types of units were evaluated -- Entonox (with premixed N2O and O2) and Nitronox (with separate cylinders of N2O and O2, the gases being mixed at the time of administration). Of the 72 patients 69 obtained worthwhile analgesia (marked or partial relief of pain) during treatment in the field or in the ambulance. There were no serious side effects, and those that did occur reflected N2O's expected action (e.g., giddiness). N2O/O2 is thus considered a safe and effective analgesic, suitable for use by ambulance personnel.

摘要

对因各种原因遭受剧痛的患者进行了一项院前使用50%氧化亚氮和50%氧气镇痛的试点研究。在救护车护理人员的监督下,通过患者手持并连接到便携式调节器/储气罐装置的面罩给予一氧化二氮/氧气。评估了两种装置——安桃乐(预混一氧化二氮和氧气)和耐乐品(一氧化二氮和氧气分别装在气瓶中,给药时气体混合)。72例患者中,69例在现场或救护车上治疗期间获得了有效的镇痛效果(疼痛明显减轻或部分缓解)。没有严重的副作用,出现的副作用反映了一氧化二氮的预期作用(如头晕)。因此,一氧化二氮/氧气被认为是一种安全有效的镇痛药,适合救护人员使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e3/1862698/958cfe678d79/canmedaj01353-0039-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e3/1862698/a3b1b2ce5a98/canmedaj01353-0039-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e3/1862698/958cfe678d79/canmedaj01353-0039-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e3/1862698/a3b1b2ce5a98/canmedaj01353-0039-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e3/1862698/958cfe678d79/canmedaj01353-0039-b.jpg

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引用本文的文献

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Pre-hospital analgesia with Entonox.使用恩托诺克斯进行院前镇痛。
Can Anaesth Soc J. 1982 May;29(3):275-9. doi: 10.1007/BF03007131.
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Local exhaust ventilation and exposure to nitrous oxide in ambulances.救护车中的局部排风通风与一氧化二氮暴露

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The use of entonox in the ambulance service.恩托诺克斯在救护服务中的应用。
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Arterial concentrations of nitrous oxide during intermittent patient-controlled inhalation of 50 percent nitrous oxide in oxygen (Entonox) during the first stage of labour.分娩第一阶段,产妇间歇性自控吸入含50%氧化亚氮的氧气(恩托诺克斯)时动脉血中氧化亚氮的浓度。
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Cardiovascular effects of 50 per cent nitrous oxide and 50 per cent oxygen mixture.50%氧化亚氮与50%氧气混合气体对心血管的影响。
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Pre-mixed nitrous oxide-oxygen analgesia in the ambulance service.救护服务中的预混一氧化二氮-氧气镇痛法。
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