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Medical Forum / General / Dentistry / September 2005

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Nitrous oxide and driving

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letsconnect - 27 Sep 2005 16:26 GMT
Is it true that in the US, patients are not allowed to drive themselves
home after receiving nitrous oxide? Are individual dental offices
allowed to set their own "rules"? Or is there a standard "waiting
period" before the patient is discharged (assuming their awake and
alert), at which stage they are allowed to drive? This pertains to
Michigan.

Thanks :-) !
letsconnect - 28 Sep 2005 00:23 GMT
Anyone? Or did the patient misunderstand? I was under the impression
that nitrous oxide wears off within about 5 minutes.

> Is it true that in the US, patients are not allowed to drive themselves
> home after receiving nitrous oxide? Are individual dental offices
[quoted text clipped - 4 lines]
>
> Thanks :-) !
Dartos - 28 Sep 2005 14:02 GMT
Yes, it's gone in a hurry.

I don't think you could get out of the office and into your car
fast enough to still be 'under the influence' of nitrous even if
you tried.

Dartos

> Anyone? Or did the patient misunderstand? I was under the impression
> that nitrous oxide wears off within about 5 minutes.
[quoted text clipped - 7 lines]
>>
>>Thanks :-) !
letsconnect - 28 Sep 2005 14:57 GMT
> Yes, it's gone in a hurry.
>
> I don't think you could get out of the office and into your car
> fast enough to still be 'under the influence' of nitrous even if
> you tried.

That's what I understood as well (complete elimination takes 3-5
minutes). It would appear that this "rule" only applies to that
particular dental office. Unless it is a rule specific to Michigan?
Dartos - 28 Sep 2005 16:10 GMT
My WAG would be either someone really, really cautious about
liability or someone using other drugs in addition to the
nitrous to increase sedative effects.

Dartos

> That's what I understood as well (complete elimination takes 3-5
> minutes). It would appear that this "rule" only applies to that
> particular dental office. Unless it is a rule specific to Michigan?
jwn dds - 28 Sep 2005 16:27 GMT
I would not worry AT ALL about nitrous and driving.  Other forms of
conscious sedation though (IV, pills) would be a definite concern.

> My WAG would be either someone really, really cautious about
> liability or someone using other drugs in addition to the
[quoted text clipped - 5 lines]
>> minutes). It would appear that this "rule" only applies to that
>> particular dental office. Unless it is a rule specific to Michigan?
Tony Bad - 28 Sep 2005 17:24 GMT
> I would not worry AT ALL about nitrous and driving.  Other forms of
> conscious sedation though (IV, pills) would be a definite concern.

Well...maybe nitrous WHILE driving...(;^P)

T
letsconnect - 28 Sep 2005 17:09 GMT
Looks like someone who's really really cautious about liability (won't
use nitrous unless there's an escort in the waiting room). No pills or
IV involved, BTW.

> My WAG would be either someone really, really cautious about
> liability or someone using other drugs in addition to the
> nitrous to increase sedative effects.
jwn dds - 28 Sep 2005 21:28 GMT
The thing with liability is what do the expert witnesses say in court?  It
is well known that after a few minutes you are completely recovered.  If the
expert witness says that, you are fine.  Some people are extra cautious with
everything.  They chart 1/2 page for a simple occlusal filling.  Careful
isn't bad I guess.

> Looks like someone who's really really cautious about liability (won't
> use nitrous unless there's an escort in the waiting room). No pills or
[quoted text clipped - 3 lines]
>> liability or someone using other drugs in addition to the
>> nitrous to increase sedative effects.
letsconnect - 28 Sep 2005 22:16 GMT
> The thing with liability is what do the expert witnesses say in court?  It
> is well known that after a few minutes you are completely recovered.  If the
> expert witness says that, you are fine.  Some people are extra cautious with
> everything.  They chart 1/2 page for a simple occlusal filling.  Careful
> isn't bad I guess.

Just pray the expert witness isn't a "holistic" dentist ;-)
jwn dds - 29 Sep 2005 16:34 GMT
The judge will usually pick a reputable dentist... I'd hope.

>> The thing with liability is what do the expert witnesses say in court?
>> It
[quoted text clipped - 6 lines]
>
> Just pray the expert witness isn't a "holistic" dentist ;-)
 
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