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Nitrous Oxide - MCI

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• N 2 O + O 2 (70/30) vs O 2 + nitrogen (80/20)<br />

– 2050 patients, for at least 2 hours, mean age 55 y.o<br />

• Lower rate of major complications without N 2 O<br />

– Fever, wound infection, pneumonia, atelectasis, N&V<br />

• Lower cost Graham Anesthesiology 2011<br />

• No change stroke or death but ↑MI Leslie Anesth Analg 2011<br />

• Design issues: ? outcome 2° protective effect of ↑O 2

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