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Nitrous Oxide - MCI

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Problems with <strong>Nitrous</strong> <strong>Oxide</strong><br />

Occupational Exposure<br />

• Occupational exposure limits (OELs, 8h time‐weighted average) variable 25‐<br />

100 ppm<br />

– Pre‐scavenging often exceeded<br />

• May have effect via inhibition methionine synthetase<br />

• No conclusive evidence for<br />

– Reproductive, genetic, haematologic or genetic effect<br />

– Many problems in occupational studies<br />

• Inconclusive results & many design problems<br />

• Very high doses vs not scavenged vs scavenged<br />

• Confounding agents, anaesthetics Sanders Anesthesiology 2008

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