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Handbook of Nitrous Oxide and Oxygen Sedation
Article in Anesthesia Progress · January 2008
Source: PubMed Central
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Morton Rosenberg
Tufts University
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BOOK REVIEW
cial note are the chapters on recovery, nitrous oxide
abuse, potential biohazards associated with chronic exposure, and ethical and legal concerns. The book is well
indexed, and the appendices add valuable information
not readily available in the main text. The references
are carefully chosen and add to the text.
It is clearly evident from the preface onward that the
authors are experts in the field, and they continually
convey their enthusiasm for this safe, effective, timeproven method of comfort as well as their faith that,
when used correctly by informed health professionals, it
will provide many patients with a more pleasant and
humane clinical experience. With 56% of general dentist and 85% of oral and maxillofacial surgeons using
nitrous oxide and oxygen sedation, it is still the most
used sedative technique in dentistry, according to the
American Dental Association Survey Center's 1994
quarterly survey. This book is addressed to many different health professionals, from dentists, dental hygienists, and assistants to practitioners in podiatry, endoscopsy, radiology, and dermatology. Trying to be all
things to all people is this text's greatest deficiency, but
the handbook does give a complete overview for most
purposes with an emphasis on the dental use of the
drug. It is a neat, small text on a discrete topic that
should be of interest to all in dentistry who routinely
utilize what Horace Wells once exclaimed to be "the
greatest discovery ever made".
HANDBOOK OF NITROUS OXIDE AND
OXYGEN SEDATION
Morris S. Clark DDS and Ann L. Brunick BS, MS
St. Louis, 1999
Mosby
Price, $34.95
As one spends time in medical and dental schools, hospitals, and clinics, it becomes quite evident that we are
in the age of the handbook. Hefty reference texts are
too cumbersome to be immediately available, and CDROMS need the accompanying hardware to make them
accessible. Internists, surgical house officers, anesthesia
residents, and oral and maxillofacial surgery residents
are well equipped with handbooks for every conceivable
discipline. Handbooks are a quick and inexpensive way
to make information instantly available, and by dint of
their popularity, they work. I can therefore understand
why the authors chose this format in presenting the subject of nitrous oxide and oxygen sedation. The hallmarks
of being a good handbook include being concise yet
comprehensive, being informative and detailed but accessible, and having an outline that is logical and flowing; the Handbook of Nitrous Oxide and Oxygen Sedation meets these standards.
Once one becomes accustomed to the outline mode,
it is astonishing how rapidly the material is digested and
how easy it is to cover the topic comprehensively and
painlessly. The subject is divided into 19 chapters,
which intuitively follow most of the better courses on
nitrous oxide and oxygen sedation given in dental
schools or continuing education programs. All of the
requisite topics, from patient assessment to physical
properties and phamacokinetics, are reviewed. Of spe-
Morton Rosenberg, DMD
Tufts University Schools of Medicine and
Dental Medicine
New England Medical Center
Boston, Massachusetts
Anesth Prog 45:157 1999
C) 1999 by the American Dental Society of Anesthesiology
ISSN 0003-3006/99/$9.50
SSDI 0003-3006(99)
157
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