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Anaesthesiology
> Explanation
- The anaesthetic agent whose use may lead to
diffusion hypoxia include?
A. nitrous oxide
B. halothane
C. ethylene oxide
D. sevoflurane
Ans: A) Nitrous oxide
Ref: K.D.Tripathi, 4th Ed, Pg-346
Explanation -
When Nitrous oxide is
discontinued following prolonged use in
anaesthesia, due to its low blood
solubility, there is rapid
diffusion of Nitrous oxide
into alveoli and dilution of the alveolar air.
Due to this, there is much reduction in the partial
pressure of oxygen in the alveoli
The resulting
hypoxia is known as Diffusion Hypoxia
Prevention - It can be prevented by
1) Continuing 100% oxygen
inhalation for a few minutes after stopping
nitrous oxide (so that the partial pressure of oxygen
gets raised within the alveoli), instead of directly
starting AIR
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