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- Mar 13, 2003
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I think the idea that you can have a benign venous air embolus, that has gone unnoticed, that is then later made clinically significant by nitrous is farfetched.
As for right to left shunting, if you get air across into the arterial circulation, it's not gonna matter what the nitrous does to it, you're gonna be pretty hosed.
Now I'm in the camp that doesn't use nitrous routinely, so I'm not saying you should it in these scenarios, but I think avoiding it for fear of making otherwise insignificant air into a big deal in these scenarios is much ado about nothing.
As for right to left shunting, if you get air across into the arterial circulation, it's not gonna matter what the nitrous does to it, you're gonna be pretty hosed.
Now I'm in the camp that doesn't use nitrous routinely, so I'm not saying you should it in these scenarios, but I think avoiding it for fear of making otherwise insignificant air into a big deal in these scenarios is much ado about nothing.
