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INDICATIONS FOR USE
To be used in nitrous oxide-oxygen sedation systems for delivering to a patient
a mixture of nitrous oxide and oxygen gases with a maximum nitrous oxide
concentration of 70%.
CONTRAINDICATIONS
Contraindications for use of nitrous oxide/oxygen inhalation may include:
1. some chronic obstructive pulmonary diseases;
2. severe emotional disturbances or drug-related dependencies;
3. first trimester of pregnancy;
4. treatment with bleomycin sulfate;
5. methylenetetrahydrofolate reductase deficiency.
Whenever possible, appropriate medical specialists should be consulted before
administering analgesic/anxiolytic agents to patients with significant underlying
medical conditions (e.g., severe obstructive pulmonary disease, congestive heart
failure, sickle cell disease, acute oritis media, recent tympanic membrane graft,
acute severe head injury.
1
)
1
American Academy of Pediatric Dentistry. Clinical Guidelines: Guidelines on Use of Nitrous Oxide for
Pediatric Dental Patients. Pediatr Dent 2009;31(6):148-151. Available at:
“http://www.aapd.org/media/policies.asp”. Accessed February 23, 2010.
WARNINGS
To be used only by a professional trained in the use of nitrous oxide.
Patient should always be closely monitored during nitrous oxide use. If patient has
an adverse reaction, reduce or stop the flow of nitrous oxide as needed. The O
2
flush button can be used to rapidly purge the lines of N
2
O. If patient does not show
signs of quick recovery, remove nasal hood and treat with pure oxygen from either
the O
2
resuscitator fitting or an auxiliary oxygen tank using a demand valve, oxy-
gen assisted manual resuscitator, or equivalent. Call for emergency assistance if
rapid response is not achieved.
Do not use this device for the administration of general anesthesia or as part of, or
in conjunction with, a general anesthesia administration system.
Unit is calibrated at the factory to ±5% per industry recommendations.
Verify that the correct gases are being delivered to the correct ports on the analgesia
gas machine before initial use. This can be done by shutting off the oxygen cylin-
ders in the tank room. Gases should not flow when flowmeters are turned on.
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