The use of nitrous oxide as an adjuvant for inhalation inductions with sevoflurane: a pro–con debate

Carbon footprint of inhalational and total intravenous anaesthesia for paediatric anaesthesia: a modelling study

“…However, although speed of onset is an often-stated justification for its use, when combined with sevoflurane (itself a fast-acting agent), the available evidence suggests that a reduction in induction time is rarely observed. [32][33][34] In contrast, evidence from our study and others clearly indicates the negative environmental impacts of N2O. 4,5,11,12,35 Our comparisons show that even if N2O is only used during induction of anaesthesia, the resulting effect on the carbon footprint of the anaesthetic is substantial.…”

Social Representations of Gender: A Contextual Construction in Schools

“…sr of gender allow participants to know, understand, and communicate reality; to guide and justify their behavior through the endorsement of, in this case, gender related beliefs and social practices (Abric, 1994). In addition to this, srs mark off identity and group specificity function (Abric, 1994;Banchs, 2000;Jodelet, 1989).…”

Sustainability in the Operating Room

“…Most importantly, use of N 2 O during induction decreases inspired oxygen concentration, eliminating preoxygenation, which decreases the time from apnea to desaturation, especially in young children. 17 Because young children are more prone to laryngospasm during induction, and by definition of receiving mask induction usually do not have intravenous access in place, preoxygenation is of utmost importance for safety.…”

“…The second gas effect has been mostly studied in adults and with halothane, making application of the principle questionable for pediatric patients who have a larger ratio of alveolar ventilation compared with functional residual capacity and a larger fraction of their cardiac output delivered to the vessel-rich group, both of which serve to speed induction independent of a second gas effect compared with adults. 17 In clinical practice, mask induction with sevoflurane is not faster with N 2 O than with 100% oxygen in children.…”

“…Use low flow (<2 L/min) during maintenance Turn off FGF during intubation while leaving the vaporizer set to preserve volatile agent concentration in the circuit and avoid washout of volatile agent into the room Use total intravenous anesthesia to eliminate volatile anesthetic emissions whenever possible apnea to desaturation, especially in young children. 17 Because young children are more prone to laryngospasm during induction, and by definition of receiving mask induction usually do not have intravenous access in place, preoxygenation is of utmost importance for safety.…”