Page last updated: 2024-10-19

nitrous oxide and Methemoglobinemia

nitrous oxide has been researched along with Methemoglobinemia in 6 studies

Nitrous Oxide: Nitrogen oxide (N2O). A colorless, odorless gas that is used as an anesthetic and analgesic. High concentrations cause a narcotic effect and may replace oxygen, causing death by asphyxia. It is also used as a food aerosol in the preparation of whipping cream.
dinitrogen oxide : A nitrogen oxide consisting of linear unsymmetrical molecules with formula N2O. While it is the most used gaseous anaesthetic in the world, its major commercial use, due to its solubility under pressure in vegetable fats combined with its non-toxicity in low concentrations, is as an aerosol spray propellant and aerating agent for canisters of 'whipped' cream.

Methemoglobinemia: The presence of methemoglobin in the blood, resulting in cyanosis. A small amount of methemoglobin is present in the blood normally, but injury or toxic agents convert a larger proportion of hemoglobin into methemoglobin, which does not function reversibly as an oxygen carrier. Methemoglobinemia may be due to a defect in the enzyme NADH methemoglobin reductase (an autosomal recessive trait) or to an abnormality in hemoglobin M (an autosomal dominant trait). (Dorland, 27th ed)

Research Excerpts

ExcerptRelevanceReference
"This communication reports a case of acute toxic methemoglobinemia associated with hypoxia and general motor seizures following dental anesthesia using nitrous oxide and prilocaine hydrochloride."3.66Acute toxic methemoglobinemia following dental analgesia. ( Ludwig, SC, 1981)

Research

Studies (6)

TimeframeStudies, this research(%)All Research%
pre-19905 (83.33)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's1 (16.67)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Trapp, L1
Will, J1
Clutton-Brock, J1
Ludwig, SC1
Misiewicz, A1
Shira, RB1
Greenfield, W1
Karpinski, JF1
Gabel, RA1
Bunn, HF1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Methemoglobin Levels in Generally Anesthetized Pediatric Dental Patients Receiving Prilocaine Versus Lidocaine[NCT01402869]91 participants (Actual)Interventional2011-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Delta Methemoglobin Blood Level

Change in percentage of methemoglobin in blood from baseline level to peak level (NCT01402869)
Timeframe: From administration of local anesthetic or start of restorative procedures to time at which maximum methemoglobin blood level was documented during dental treatment for an average of 2 hours

Interventionpercentage of methemoglobin in blood (Mean)
Prilocaine2.73
Lidocaine0.78
No Local Anesthetic0.76

Peak Methemoglobin Blood Levels

The maximum percentage of methemoglobin in blood (NCT01402869)
Timeframe: Measured at 10 second intervals during dental treatment for an average of 2 hours

Interventionpercentage of methemoglobin in blood (Mean)
Prilocaine3.55
Lidocaine1.63
No Local Anesthetic1.60

Time to Peak Methemoglobin Blood Levels

The length of time between the administration of local anesthetic (Prilocaine and Lidocaine Groups) or start of restorative dental procedures (No local anesthetic Group) and the time at which the maximum methemoglobin blood level is observed. (NCT01402869)
Timeframe: Measured at 10 second intervals during dental treatment for an average of 2 hours

Interventionminutes (Mean)
Prilocaine62.73
Lidocaine57.50
No Local Anesthetic29.50

Reviews

1 review available for nitrous oxide and Methemoglobinemia

ArticleYear
Acquired methemoglobinemia revisited.
    Dental clinics of North America, 2010, Volume: 54, Issue:4

    Topics: Anesthesia, Dental; Anesthetics, Combined; Anesthetics, Local; Benzocaine; Enzyme Inhibitors; Hemogl

2010

Other Studies

5 other studies available for nitrous oxide and Methemoglobinemia

ArticleYear
Two cases of poisoning by contamination of nitrous oxide with higher oxides of nitrogen during anaesthesia.
    British journal of anaesthesia, 1967, Volume: 39, Issue:5

    Topics: Adult; Anesthesia, Inhalation; Blood Chemical Analysis; Diagnosis, Differential; Female; Humans; Met

1967
Acute toxic methemoglobinemia following dental analgesia.
    Annals of emergency medicine, 1981, Volume: 10, Issue:5

    Topics: Acute Disease; Anesthesia, Dental; Child, Preschool; Humans; Male; Methemoglobinemia; Nitrous Oxide;

1981
[The transferrin and the ceruloplasmin levels in the blood serum of subjects chronically exposed to nitric oxides (author's transl)].
    Przeglad lekarski, 1980, Volume: 37, Issue:11

    Topics: Air Pollutants; Air Pollutants, Occupational; Ceruloplasmin; Humans; Male; Methemoglobinemia; Nitrou

1980
Citanest Forte--its use in oral surgery.
    Oral surgery, oral medicine, and oral pathology, 1975, Volume: 39, Issue:2

    Topics: Adult; Anesthesia, Inhalation; Anesthesia, Intravenous; Anesthesia, Local; Female; Humans; Male; Met

1975
Hereditary methemoglobinemia as a cause of cyanosis during anesthesia.
    Anesthesiology, 1974, Volume: 40, Issue:5

    Topics: Anesthesia, Inhalation; Ascorbic Acid; Blood Gas Analysis; Cyanosis; Female; Hemoglobins; Humans; Me

1974