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Just Say NO to Nitrous!

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You’re Wrong, I’m Right

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Abstract

A 65-year-old man is having an open prostatectomy. His ejection fraction is 30 % due to previous myocardial infarctions. He has multiple coronary artery stents for his extensive coronary artery disease. In addition he is in rate-controlled atrial fibrillation treated with metoprolol and flecainamide. The patient is advised to have a neuraxial anesthetic but he declines. The risks and benefits of a general anesthetic are explained to the patient, and it is decided to give a small dose of sevoflurane with the addition of nitrous oxide and fentanyl to pick up the “slack.” The case is discussed in morning conference, and the majority of providers do not agree with the use of nitrous oxide.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, New York, New York, 10016, USA

    Corey S. Scher

Authors
  1. Corey S. Scher
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Corresponding author

Correspondence to Corey S. Scher .

Editor information

Editors and Affiliations

  1. Clinical Professor of Anesthesiology, Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, New York, New York, USA

    Corey S. Scher

  2. Assistant Professor, Department of Anesthesia and Critical Care, The University of Chicago, Chicago, Illinois, USA

    Anna Clebone

  3. Clinical Professor of Anesthesiology (Emeritus), Former Assistant Director of Anesthesiology, Bellevue Hospital Center Retired from Department of Anesthesiology, Bellevue Hospital Center, New York University School of Medicine, New York, New York, USA

    Sanford M. Miller

  4. Clinical Associate Professor of Anesthesiology and Surgery, Bellevue Hospital Center, Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, Surgical Intensive Care Unit, New York, New York, USA

    J. David Roccaforte

  5. Department of Anesthesiology, Perioperative Care and Pain Medicine, Vice Chair Faculty Promotion Associate Director Anesthesia Service Bellevue Hospital Center, New York, New York, USA

    Levon M. Capan

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© 2017 Springer International Publishing Switzerland

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Scher, C.S. (2017). Just Say NO to Nitrous!. In: Scher, C., Clebone, A., Miller, S., Roccaforte, J., Capan, L. (eds) You’re Wrong, I’m Right. Springer, Cham. https://doi.org/10.1007/978-3-319-43169-7_4

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  • DOI: https://doi.org/10.1007/978-3-319-43169-7_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43167-3

  • Online ISBN: 978-3-319-43169-7

  • eBook Packages: MedicineMedicine (R0)

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