NITROUS OXIDE CONTRAINDICATIONS / ЗАКИСЬ АЗОТА:ПРОТИВОПОКАЗАНИЯ


  • Bowel obstruction: Obstructed bowel is a closed space.
  •  Emphysema: Blebs can accumulate N2O and burst.
  • Air embolism: If suspected, turn off N2O immediately.
  • Eye surgery when intraocular gases are used: Expansion of gas bubble can cause blindness.
  • Middle ear surgery: Accumulation can dislodge a tympanic graft after tympanoplasty.
  • Chest wall or head trauma: N2O can ↑ pneumothorax or ↑ ICP respectively
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  • Кишечная непроходимость: ущемленная кишка в закрытом пространстве
  • Эмфизема: буллы могут накапливать N2O и разрываться
  • Воздушная эмболия: при подозрении немедленно остановите подачу N2O 
  • Глазная хирургия при использовании внутриглазных газов: расширение глазного яблока может привести к слепоте
  • Хирургия среднего уха: накопление N2O может оттеснить тимпанический шунт после тимпанопластики
  • Травма грудной стенки или головы: N2O может усугубить пневмоторакс или внутричерепное давление соответственно


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