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Limited analgesic efficacy of nitrous oxide for painful procedures in children
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  • Published on:
    Nitrous oxide can be made more effective and predictable using a closed breathing circuit
    • Faye Weinberg, A&ESpR
    • Other Contributors:
      • Dr David Vaughan, Dr Jeremy Drake,

    Dear Sir,

    We read with interest the study by Babl et al “limited analgesia efficacy of nitrous oxide for painful procedures in children” published in the EMJ November 2008 Vol 25 No 11.

    Central to the protocol and management is the use of clinical assessment to determine adequacy and depth of analgesia/ sedation. We agree with this wholeheartedly and support this method as it emphasises the importanc...

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    Conflict of Interest:
    None declared.
  • Published on:
    nitrous oxide can be made more effective and predictable using a closed breathing circuit
    • Faye Weinberg, SpR A&E
    • Other Contributors:
      • Dr Jeremy Drake, Dr David Vaughan

    Dear Sir,

    We read with interest the study by Babl et al “limited analgesia efficacy of nitrous oxide for painful procedures in children” published in the EMJ November 2008 Vol 25 No 11.

    Central to the protocol and management is the use of clinical assessment to determine adequacy and depth of analgesia/ sedation. We agree with this wholeheartedly and support this method as it emphasises the importance...

    Show More
    Conflict of Interest:
    None declared.
  • Published on:
    Nitrous is not enough
    • Andrew Appelboam, Consultant Emergency Physician
    • Other Contributors:
      • Lewis Jones, Adrian R Harris

    Dear Sir

    RE: The Efficacy of N2O

    We read with interest the recent article by Babl et al but feel the paper, its provocative title and accompanying editorial comment could be misleading and potentially damaging to the use of this useful agent.

    In our experience, ‘intra procedural’ pain scoring by the patient during adequately administered 70% nitrous would in most cases be impossible. Indeed...

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    Conflict of Interest:
    None declared.