Recent content by MikeCivitello

  1. M

    Nitronox. Why isn't it used anymore?

    TheLocalMedic - NIOSH guidelines for nitrous oxide use are 25ppm time weighted average (TWA) for the duration of exposure. ACGIH has a 50ppm guideline over an 8 hour TWA (which is typically the TWA protocol followed). Use of N20 where there is venting or good air circulation will...
  2. M

    Nitronox. Why isn't it used anymore?

    I should have been more specific in my post - I typed one thing and was thinking something else! None of our nitrous oxide and oxygen systems are used the OR. Outside of dental (and other private practice specialties) our systems are typically used in Emergency Departments, Radiology, and...
  3. M

    Nitronox. Why isn't it used anymore?

    Do not most ambulances have windows that can be opened and exhaust fans? Also keep in mind - it is not a continous flow where added concerns would be if the patient removes the mask from their face or drops it. The valve is closed until the patient inhales and then closes again when they stop...
  4. M

    Nitronox. Why isn't it used anymore?

    I would agree with Robb. Working in an OR setting - with a continuous flow system is much different than what the Nitronox system is intended for and how it would be used. OR settings and dental offices use continuous flow systems - and typically for long durations. The Nitronox system is a...
  5. M

    Nitronox Now Available...Again!

    After 5+ long years the Nitronox Field Unit is once again available. Re-launched this week! The Nitronox system blends oxygen and nitrous oxide (from separate cylinders), and is administered through a special demand valve - providing a safe, fast and effective 50/50 analgesic mix. Now...
  6. M

    the 100% directionless thread

    Nitronox is now available again - just released this week.
  7. M

    Nitronox. Why isn't it used anymore?

    Just as a follow up to posts in this thread - the device is now available again in the U.S. - as of this week!
  8. M

    BLS Skills -- What Should We Add?

    I think concerns of abuse will always be there. Having a firm policy, standards on security, and who has access to the N20 cylinders - along with zero tolerance will be critical. Perhaps some others that are currently using N20 can chime in with what they do - or suggestions...
  9. M

    BLS Skills -- What Should We Add?

    Do you have more information on what "FDA restrictions" came up? Nitrous Oxide and Oxygen are not restricted for use in the US by the FDA. Its used every day in dental offices, hospitals and by first responders. You may be confusing the "pre-mixed" 02 and N20 gas that is commonly used in...
  10. M

    Should I85s be allowed to help with pain managment?

    Love the video - one of my favorites! JPINFV - That is the current design. The "mixer", small cylinder of N20, and demand valve system are packaged in a carry case. There is an oxygen supply hose with either quick connect or DISS fitting to connect the device to your 02 source - either a...
  11. M

    Should I85s be allowed to help with pain managment?

    Correct - pre-mixed 02 and N20 is not FDA approved in the US. That leaves us with 2 gas cylinders and a device/mixer with demand valve. Unfortunately there is no way around that. The biggest issue that I have heard with the pre-mixed gas is that it can potentially separate at low...
  12. M

    Paramedic drove on laughing gas

    Mycrofft - Do you have additional information on this? N20 is not flammable. It would be considered an accellerant just as 02 is - which would also be on board. Mike
  13. M

    Nitronox. Why isn't it used anymore?

    JWK is correct. N20 is not metabolized by the patient - so pretty much whatever they inhale - comes back out when they exhale. The key with the first responder device is room air exchange and venting when used inside the ambulance. If you were in a closed room this would be an issue. The...
  14. M

    Nitronox. Why isn't it used anymore?

    The main reason why you don't hear much about Nitronox is because the Nitronox device went out of production about 5 years ago - and there has been no one to service existing units. The Nitronox device was owned by Matrx Medical - which gradually sold off various devices and business units over...
  15. M

    Nitronox Nitrous Oxide Units - Wanted

    Hello - I'm new to the forum. I would have placed this in the "Wanted" section - but do not have the required 10 posts. I apologize if this is in the wrong spot! I am trying to find a Nitronox unit (functioning or non functioning). I work for a company that is looking to do testing on...
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