PT  - JOURNAL ARTICLE
AU  - Gentile, Michael A
TI  - Inhaled Medical Gases: More to Breathe Than Oxygen
AID  - 10.4187/respcare.01442
DP  - 2011 Sep 01
TA  - Respiratory Care
PG  - 1341--1359
VI  - 56
IP  - 9
4099  - http://rc.rcjournal.com/content/56/9/1341.short
4100  - http://rc.rcjournal.com/content/56/9/1341.full
AB  - The mixture of oxygen and nitrogen is usually sufficient to achieve the therapeutic objective of supporting adequate gas exchange. Pediatric and neonatal patients have an assortment of physiologic conditions that may require adjunctive inhaled gases to treat the wide variety of diseases seen in this heterogeneous population. Inhaled nitric oxide, helium oxygen mixtures, inhaled anesthetics, hypercarbic mixtures, hypoxic mixtures, inhaled carbon monoxide, and hydrogen sulfide have been used to alter physiology in an attempt to improve patient outcomes. Balancing the therapeutic potential, possible adverse effects, and the complexity of the technical aspects of gas delivery, it is essential that clinicians thoroughly understand the application of medical gas therapy beyond the traditional nitrogen/oxygen mixture.