“…Since oxidative phosphorylation is essential for ATP generation in mammalian cells, a cyanide‐mediated shutdown of Complex IV activity, and a consequent inhibition of mitochondrial electron transport and aerobic ATP generation would be expected to severely affect the function of all cells, especially those with high bioenergetic demand (e.g., developing/proliferating cells, neurons, cardiac myocytes). Indeed, in vivo or ex vivo studies show that ATP and high‐energy phosphate content of the tissues decrease rapidly and precipitously after systemic exposure to cyanide [ 43 , 44 , 45 , 46 , 47 , 48 , 49 ] and the inhibition of mitochondrial Complex IV is well detectable in various tissues ex vivo [ 22 , 48 , 50 , 51 , 52 ]. In line with the inhibition of mitochondrial function, tissues exposed to cyanide lose their ability to extract oxygen, even in the presence of adequate blood flow [ 53 , 54 ], a phenomenon called ‘cytotoxic hypoxia’.…”