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Nitrous oxide

Nitrous oxide (dinitrogen oxide or dinitrogen monoxide), commonly known as laughing gas, nitrous, nitro, or nos,[4] is a chemical compound, an oxide of nitrogen with the formula N
2
O
. At room temperature, it is a colourless non-flammable gas, and has a slightly sweet scent and taste.[5] At elevated temperatures, nitrous oxide is a powerful oxidiser similar to molecular oxygen.

Nitrous oxide
Names
IUPAC names
Nitrous oxide[1] (not recommended)
Dinitrogen oxide[2] (alternative name)
Systematic IUPAC name
Oxodiazen-2-ium-1-ide
Other names
Laughing gas, sweet air, nitrous, nos, protoxide of nitrogen, hyponitrous oxide, dinitrogen oxide, dinitrogen monoxide
Identifiers
  • 10024-97-2 Y
3D model (JSmol)
  • Interactive image
  • Interactive image
8137358
ChEBI
  • CHEBI:17045 Y
ChEMBL
  • ChEMBL1234579 N
ChemSpider
  • 923 Y
DrugBank
  • DB06690 N
ECHA InfoCard 100.030.017
E number E942 (glazing agents, ...)
2153410
KEGG
  • D00102 Y
  • 948
RTECS number
  • QX1350000
UNII
  • K50XQU1029 Y
UN number 1070 (compressed)
2201 (liquid)
  • DTXSID8021066
  • InChI=1S/N2O/c1-2-3 Y
    Key: GQPLMRYTRLFLPF-UHFFFAOYSA-N Y
  • InChI=1/N2O/c1-2-3
  • InChI=1/N2O/c1-2-3
    Key: GQPLMRYTRLFLPF-UHFFFAOYAP
  • N#[N+][O-]
  • [N-]=[N+]=O
Properties
N
2
O
Molar mass 44.013 g/mol
Appearance colourless gas
Density 1.977 g/L (gas)
Melting point −90.86 °C (−131.55 °F; 182.29 K)
Boiling point −88.48 °C (−127.26 °F; 184.67 K)
1.5 g/L (15 °C)
Solubility soluble in alcohol, ether, sulfuric acid
log P 0.35
Vapor pressure 5150 kPa (20 °C)
−18.9·10−6 cm3/mol
1.000516 (0 °C, 101.325 kPa)
Viscosity 14.90 μPa·s[3]
Structure
linear, C∞v
0.166 D
Thermochemistry
219.96 J/(K·mol)
+82.05 kJ/mol
Pharmacology
N01AX13 (WHO)
Inhalation
Pharmacokinetics:
0.004%
5 minutes
Respiratory
Hazards
GHS labelling:
Danger
H270, H280, H281
P220, P244, P282, P317, P336, P370+P376, P403, P410+P403
NFPA 704 (fire diamond)
Flash point Nonflammable
Safety data sheet (SDS) Ilo.org, ICSC 0067
Related compounds
Nitric oxide
Dinitrogen trioxide
Nitrogen dioxide
Dinitrogen tetroxide
Dinitrogen pentoxide
Related compounds
Ammonium nitrate
Azide
Except where otherwise noted, data are given for materials in their standard state (at 25 °C [77 °F], 100 kPa).
N verify (what is YN ?)

Nitrous oxide has significant medical uses, especially in surgery and dentistry, for its anaesthetic and pain-reducing effects.[6] Its colloquial name, "laughing gas", coined by Humphry Davy, is due to the euphoric effects upon inhaling it, a property that has led to its recreational use as a dissociative anaesthetic.[6] It is on the World Health Organization's List of Essential Medicines.[7] It is also used as an oxidiser in rocket propellants, and in motor racing to increase the power output of engines.

Nitrous oxide's atmospheric concentration reached 333 parts per billion (ppb) in 2020, increasing at a rate of about 1 ppb annually.[8][9] It is a major scavenger of stratospheric ozone, with an impact comparable to that of CFCs.[10] Global accounting of N
2
O
sources and sinks over the decade ending 2016 indicates that about 40% of the average 17 TgN/yr (teragrams, or million metric tons, of nitrogen per year) of emissions originated from human activity, and shows that emissions growth chiefly came from expanding agriculture.[11][12] Being the third most important greenhouse gas, nitrous oxide also substantially contributes to global warming.[13][14]

Nitrous oxide is used as a propellant, and has a variety of applications from rocketry to making whipped cream. It is used as a recreational drug for its potential to induce a brief "high". Most recreational users are unaware of its neurotoxic effects when abused. When used chronically, nitrous oxide has the potential to cause neurological damage through inactivation of vitamin B12.

Uses edit

Rocket motors edit

Nitrous oxide may be used as an oxidiser in a rocket motor. It has advantages over other oxidisers in that it is much less toxic, and because of its stability at room temperature, it is also easier to store and relatively safe to carry on a flight. As a secondary benefit, it may be decomposed readily to form breathing air. Its high density and low storage pressure (when maintained at low temperatures) enable it to be highly competitive with stored high-pressure gas systems.[15]

In a 1914 patent, American rocket pioneer Robert Goddard suggested nitrous oxide and gasoline as possible propellants for a liquid-fuelled rocket.[16] Nitrous oxide has been the oxidiser of choice in several hybrid rocket designs (using solid fuel with a liquid or gaseous oxidiser). The combination of nitrous oxide with hydroxyl-terminated polybutadiene fuel has been used by SpaceShipOne and others. It also is notably used in amateur and high power rocketry with various plastics as the fuel.

Nitrous oxide also may be used in a monopropellant rocket. In the presence of a heated catalyst, N
2
O
will decompose exothermically into nitrogen and oxygen, at a temperature of approximately 1,070 °F (577 °C).[17] Because of the large heat release, the catalytic action rapidly becomes secondary, as thermal autodecomposition becomes dominant. In a vacuum thruster, this may provide a monopropellant specific impulse (Isp) of as much as 180 s. While noticeably less than the Isp available from hydrazine thrusters (monopropellant or bipropellant with dinitrogen tetroxide), the decreased toxicity makes nitrous oxide an option worth investigating.

Nitrous oxide is said to deflagrate at approximately 600 °C (1,112 °F) at a pressure of 309 psi (21 atmospheres).[18] At 600 psi, for example, the required ignition energy is only 6 joules, whereas N
2
O
at 130 psi a 2,500-joule ignition energy input is insufficient.[19][20]

Internal combustion engine edit

In vehicle racing, nitrous oxide (often called "nitrous") allows the engine to burn more fuel by providing more oxygen during combustion. The increase in oxygen allows an increase in the injection of fuel, allowing the engine to produce more engine power. The gas is not flammable at a low pressure/temperature, but it delivers more oxygen than atmospheric air by breaking down at elevated temperatures, about 570 degrees F (~300C). Therefore, it often is mixed with another fuel that is easier to deflagrate. Nitrous oxide is a strong oxidising agent, roughly equivalent to hydrogen peroxide, and much stronger than oxygen gas.

Nitrous oxide is stored as a compressed liquid; the evaporation and expansion of liquid nitrous oxide in the intake manifold causes a large drop in intake charge temperature, resulting in a denser charge, further allowing more air/fuel mixture to enter the cylinder. Sometimes nitrous oxide is injected into (or prior to) the intake manifold, whereas other systems directly inject, right before the cylinder (direct port injection) to increase power.

The technique was used during World War II by Luftwaffe aircraft with the GM-1 system to boost the power output of aircraft engines. Originally meant to provide the Luftwaffe standard aircraft with superior high-altitude performance, technological considerations limited its use to extremely high altitudes. Accordingly, it was only used by specialised planes such as high-altitude reconnaissance aircraft, high-speed bombers and high-altitude interceptor aircraft. It sometimes could be found on Luftwaffe aircraft also fitted with another engine-boost system, MW 50, a form of water injection for aviation engines that used methanol for its boost capabilities.

One of the major problems of using nitrous oxide in a reciprocating engine is that it can produce enough power to damage or destroy the engine. Very large power increases are possible, and if the mechanical structure of the engine is not properly reinforced, the engine may be severely damaged or destroyed during this type of operation. It is important with nitrous oxide augmentation of petrol engines to maintain proper operating temperatures and fuel levels to prevent "pre-ignition",[21] or "detonation" (sometimes referred to as "knock"). Most problems that are associated with nitrous oxide do not come from mechanical failure due to the power increases. Since nitrous oxide allows a much denser charge into the cylinder, it dramatically increases cylinder pressures. The increased pressure and temperature can cause problems such as melting the pistons or valves. It also may crack or warp the piston or cylinder head and cause pre-ignition due to uneven heating.

Automotive-grade liquid nitrous oxide differs slightly from medical-grade nitrous oxide. A small amount of sulfur dioxide (SO
2
) is added to prevent substance abuse.[22]

Aerosol propellant edit

 
Food-grade N
2
O
whipped-cream chargers

The gas is approved for use as a food additive (E number: E942), specifically as an aerosol spray propellant. Its most common uses in this context are in aerosol whipped cream canisters and cooking sprays.

The gas is extremely soluble in fatty compounds. In aerosol whipped cream, it is dissolved in the fatty cream until it leaves the can, when it becomes gaseous and thus creates foam. Used in this way, it produces whipped cream which is four times the volume of the liquid, whereas whipping air into cream only produces twice the volume. If air were used as a propellant, oxygen would accelerate rancidification of the butterfat, but nitrous oxide inhibits such degradation. Carbon dioxide cannot be used for whipped cream because it is acidic in water, which would curdle the cream and give it a seltzer-like "sparkling" sensation.

The whipped cream produced with nitrous oxide is unstable, and will return to a more liquid state within half an hour to one hour.[23] Thus, the method is not suitable for decorating food that will not be served immediately.

In December 2016, some manufacturers reported a shortage of aerosol whipped creams in the United States due to an explosion at the Air Liquide nitrous oxide facility in Florida in late August. With a major facility offline, the disruption caused a shortage resulting in the company diverting the supply of nitrous oxide to medical clients rather than to food manufacturing. The shortage came during the Christmas and holiday season when canned whipped cream use is normally at its highest.[24]

Similarly, cooking spray, which is made from various types of oils combined with lecithin (an emulsifier), may use nitrous oxide as a propellant. Other propellants used in cooking spray include food-grade alcohol and propane.

Medicine edit

 
Medical-grade N
2
O
tanks used in dentistry

Nitrous oxide has been used in dentistry and surgery, as an anaesthetic and analgesic, since 1844.[25] In the early days, the gas was administered through simple inhalers consisting of a breathing bag made of rubber cloth.[26] Today, the gas is administered in hospitals by means of an automated relative analgesia machine, with an anaesthetic vaporiser and a medical ventilator, that delivers a precisely dosed and breath-actuated flow of nitrous oxide mixed with oxygen in a 2:1 ratio.

Nitrous oxide is a weak general anaesthetic, and so is generally not used alone in general anaesthesia, but used as a carrier gas (mixed with oxygen) for more powerful general anaesthetic drugs such as sevoflurane or desflurane. It has a minimum alveolar concentration of 105% and a blood/gas partition coefficient of 0.46. The use of nitrous oxide in anaesthesia can increase the risk of postoperative nausea and vomiting.[27][28][29]

Dentists use a simpler machine which only delivers an N
2
O
/O
2
mixture for the patient to inhale while conscious but must still be a recognised purpose designed dedicated relative analgesic flowmeter with a minimum 30% of oxygen at all times and a maximum upper limit of 70% nitrous oxide. The patient is kept conscious throughout the procedure, and retains adequate mental faculties to respond to questions and instructions from the dentist.[30]

Inhalation of nitrous oxide is used frequently to relieve pain associated with childbirth, trauma, oral surgery and acute coronary syndrome (including heart attacks). Its use during labour has been shown to be a safe and effective aid for birthing women.[31] Its use for acute coronary syndrome is of unknown benefit.[32]

In Britain and Canada, Entonox and Nitronox are used commonly by ambulance crews (including unregistered practitioners) as rapid and highly effective analgesic gas.

Fifty percent nitrous oxide can be considered for use by trained non-professional first aid responders in prehospital settings, given the relative ease and safety of administering 50% nitrous oxide as an analgesic. The rapid reversibility of its effect would also prevent it from precluding diagnosis.[33]

Recreational use edit

 
Aquatint depiction of a laughing gas party in the nineteenth century, by Thomas Rowlandson
 
Street sign indicating ban of nitrous oxide use near the Poelestraat in Groningen
 
Whippit remnants (the small steel canisters) of recreational drug use, the Netherlands, 2017

Recreational inhalation of nitrous oxide, with the purpose of causing euphoria and/or slight hallucinations, began as a phenomenon for the British upper class in 1799, known as "laughing gas parties".[34]

Starting in the 19th century, the widespread availability of the gas for medical and culinary purposes allowed for recreational use to expand greatly globally. In the UK as of 2014, nitrous oxide was estimated to be used by almost half a million young people at nightspots, festivals and parties.[35]

Widespread recreational use of the drug throughout the UK was featured in the 2017 Vice documentary Inside The Laughing Gas Black Market, in which journalist Matt Shea met with dealers of the drug who stole it from hospitals.[36]

A significant issue cited in London's press is the effect of nitrous oxide canister littering, which is highly visible and causes significant complaints from communities.[37]

Prior to 8 November 2023, nitrous oxide was subject to the Psychoactive Substances Act 2016 in the UK. It was already illegal to produce, supply, import or export nitrous oxide for recreational use. However, the UK government updated the law on 8th November 2023 to include possession of nitrous oxide by classifying it as a Class C drug under the Misuse of Drugs Act 1971. [38]

While casual use of nitrous oxide is understood by most recreational users to be a route to a "safe high", many are unaware that excessive consumption has the potential to cause neurological harm which, if left untreated, can result in permanent neurological damage.[39] In Australia, recreation use became a public health concern following a rise in reported cases of neurotoxicity and a rise in emergency room admissions, and in (the state of) South Australia legislation was passed in 2020 to restrict canister sales.[40]

Safety edit

Nitrous oxide is a significant occupational hazard for surgeons, dentists and nurses. Because nitrous oxide is minimally metabolised in humans (with a rate of 0.004%), it retains its potency when exhaled into the room by the patient, and can pose an intoxicating and prolonged exposure hazard to the clinic staff if the room is poorly ventilated. Where nitrous oxide is administered, a continuous-flow fresh-air ventilation system or N
2
O
scavenger system is used to prevent a waste-gas buildup.[citation needed]

The National Institute for Occupational Safety and Health recommends that workers' exposure to nitrous oxide should be controlled during the administration of anaesthetic gas in medical, dental and veterinary operators.[41] It set a recommended exposure limit (REL) of 25 ppm (46 mg/m3) to escaped anaesthetic.[42]

Mental and manual impairment edit

Exposure to nitrous oxide causes short-term decreases in mental performance, audiovisual ability and manual dexterity.[43] These effects coupled with the induced spatial and temporal disorientation could result in physical harm to the user from environmental hazards.[44]

Neurotoxicity and neuroprotection edit

Nitrous oxide is neurotoxic and there is evidence that medium or long-term habitual consumption of significant quantities can cause neurological harm with the potential for permanent damage if left untreated.[40][45]

Like other NMDA receptor antagonists, it has been suggested that N
2
O
produces neurotoxicity in the form of Olney's lesions in rodents upon prolonged (several hour) exposure.[46][47][48][49] It has been argued that, because N
2
O
is rapidly expelled from the body under normal circumstances, it is less likely to be neurotoxic than other NMDAR antagonists.[50] Indeed, in rodents, short-term exposure results in only mild injury that is rapidly reversible, and neuronal death occurs only after constant and sustained exposure.[46] Nitrous oxide also may cause neurotoxicity after extended exposure because of hypoxia. This is especially true of non-medical formulations such as whipped-cream chargers (also known as "whippets" or "nangs"),[51] which never contain oxygen, since oxygen makes cream rancid.[52]

In heavy (≥400 g or ≥200 L of N2O gas in one session) or frequent (regular, i.e., daily or weekly) users reported to poison control centers, signs of peripheral neuropathy have been noted: the presence of ataxia (gait abnormalities) or paresthesia (perception of abnormal sensations, e.g. tingling, numbness, prickling, mostly in the extremities). These are considered an early sign of neurological damage and indicates chronic toxicity.[53]

Nitrous oxide at 75% by volume reduces ischemia-induced neuronal death induced by occlusion of the middle cerebral artery in rodents, and decreases NMDA-induced Ca2+ influx in neuronal cell cultures, a critical event involved in excitotoxicity.[50]

DNA damage edit

Occupational exposure to ambient nitrous oxide has been associated with DNA damage, due to interruptions in DNA synthesis.[54] This correlation is dose-dependent[55][56] and does not appear to extend to casual recreational use; however, further research is needed to confirm the duration and quantity of exposure needed to cause damage.

Oxygen deprivation edit

If pure nitrous oxide is inhaled without oxygen, oxygen deprivation can occur, resulting in low blood pressure, fainting, and even heart attacks. This can occur if the user inhales large quantities continuously, as with a strap-on mask connected to a gas canister. It can also happen if the user engages in excessive breath-holding or uses any other inhalation system that cuts off a supply of fresh air.[57]

Vitamin B12 deficiency edit

Long-term exposure to nitrous oxide may cause vitamin B12 deficiency. This can cause serious neurotoxicity if the user has preexisting vitamin B12 deficiency.[58] It inactivates the cobalamin form of vitamin B12 by oxidation. Symptoms of vitamin B12 deficiency, including sensory neuropathy, myelopathy and encephalopathy, may occur within days or weeks of exposure to nitrous oxide anaesthesia in people with subclinical vitamin B12 deficiency.

Symptoms are treated with high doses of vitamin B12, but recovery can be slow and incomplete.[59]

People with normal vitamin B12 levels have stores to make the effects of nitrous oxide insignificant, unless exposure is repeated and prolonged (nitrous oxide abuse). Vitamin B12 levels should be checked in people with risk factors for vitamin B12 deficiency prior to using nitrous oxide anaesthesia.[60]

Prenatal development edit

Several experimental studies in rats indicate that chronic exposure of pregnant females to nitrous oxide may have adverse effects on the developing fetus.[61][62][63]

Chemical/physical risks edit

At room temperature (20 °C [68 °F]) the saturated vapour pressure is 50.525 bar, rising up to 72.45 bar at 36.4 °C (97.5 °F)—the critical temperature. The pressure curve is thus unusually sensitive to temperature.[64]

As with many strong oxidisers, contamination of parts with fuels have been implicated in rocketry accidents, where small quantities of nitrous/fuel mixtures explode due to "water hammer"-like effects (sometimes called "dieseling"—heating due to adiabatic compression of gases can reach decomposition temperatures).[65] Some common building materials such as stainless steel and aluminium can act as fuels with strong oxidisers such as nitrous oxide, as can contaminants that may ignite due to adiabatic compression.[66]

There also have been incidents where nitrous oxide decomposition in plumbing has led to the explosion of large tanks.[18]

Mechanism of action edit

The pharmacological mechanism of action of N
2
O
in medicine is not fully known. However, it has been shown to directly modulate a broad range of ligand-gated ion channels, and this likely plays a major role in many of its effects. It moderately blocks NMDAR and β2-subunit-containing nACh channels, weakly inhibits AMPA, kainate, GABAC and 5-HT3 receptors, and slightly potentiates GABAA and glycine receptors.[67][68] It also has been shown to activate two-pore-domain K+
channels
.[69] While N
2
O
affects quite a few ion channels, its anaesthetic, hallucinogenic and euphoriant effects are likely caused predominantly, or fully, via inhibition of NMDA receptor-mediated currents.[67][70] In addition to its effects on ion channels, N
2
O
may act to imitate nitric oxide (NO) in the central nervous system, and this may be related to its analgesic and anxiolytic properties.[70] Nitrous oxide is 30 to 40 times more soluble than nitrogen.

The effects of inhaling sub-anaesthetic doses of nitrous oxide have been known to vary, based on several factors, including settings and individual differences;[71][72] however, from his discussion, Jay (2008)[44] suggests that it has been reliably known to induce the following states and sensations:

  • Intoxication
  • Euphoria/dysphoria
  • Spatial disorientation
  • Temporal disorientation
  • Reduced pain sensitivity

A minority of users also will present with uncontrolled vocalisations and muscular spasms. These effects generally disappear minutes after removal of the nitrous oxide source.[44]

Anxiolytic effect edit

In behavioural tests of anxiety, a low dose of N
2
O
is an effective anxiolytic, and this anti-anxiety effect is associated with enhanced activity of GABAA receptors, as it is partially reversed by benzodiazepine receptor antagonists. Mirroring this, animals that have developed tolerance to the anxiolytic effects of benzodiazepines are partially tolerant to N
2
O
.[73] Indeed, in humans given 30% N
2
O
, benzodiazepine receptor antagonists reduced the subjective reports of feeling "high", but did not alter psychomotor performance, in human clinical studies.[74][75]

Analgesic effect edit

The analgesic effects of N
2
O
are linked to the interaction between the endogenous opioid system and the descending noradrenergic system. When animals are given morphine chronically, they develop tolerance to its pain-killing effects, and this also renders the animals tolerant to the analgesic effects of N
2
O
.[76] Administration of antibodies that bind and block the activity of some endogenous opioids (not β-endorphin) also block the antinociceptive effects of N
2
O
.[77] Drugs that inhibit the breakdown of endogenous opioids also potentiate the antinociceptive effects of N
2
O
.[77] Several experiments have shown that opioid receptor antagonists applied directly to the brain block the antinociceptive effects of N
2
O
, but these drugs have no effect when injected into the spinal cord.

Apart from an indirect action, nitrous oxide, like morphine [78] also interacts directly with the endogenous opioid system by binding at opioid receptor binding sites.[79][80]

Conversely, α2-adrenoceptor antagonists block the pain-reducing effects of N
2
O
when given directly to the spinal cord, but not when applied directly to the brain.[81] Indeed, α2B-adrenoceptor knockout mice or animals depleted in norepinephrine are nearly completely resistant to the antinociceptive effects of N
2
O
.[82] Apparently N
2
O
-induced release of endogenous opioids causes disinhibition of brainstem noradrenergic neurons, which release norepinephrine into the spinal cord and inhibit pain signalling.[83] Exactly how N
2
O
causes the release of endogenous opioid peptides remains uncertain.

Properties and reactions edit

Nitrous oxide is a colourless gas with a faint, sweet odour.

Nitrous oxide supports combustion by releasing the dipolar bonded oxygen radical, and can thus relight a glowing splint.

N
2
O
is inert at room temperature and has few reactions. At elevated temperatures, its reactivity increases. For example, nitrous oxide reacts with NaNH
2
at 460 K (187 °C) to give NaN
3
:

 

The above reaction is the route adopted by the commercial chemical industry to produce azide salts, which are used as detonators.[84]

History edit

The gas was first synthesised in 1772 by English natural philosopher and chemist Joseph Priestley who called it dephlogisticated nitrous air (see phlogiston theory)[85] or inflammable nitrous air.[86] Priestley published his discovery in the book Experiments and Observations on Different Kinds of Air (1775), where he described how to produce the preparation of "nitrous air diminished", by heating iron filings dampened with nitric acid.[87]

Early use edit

 
"Living Made Easy": A satirical print from 1830 depicting Humphry Davy administering a dose of laughing gas to a woman

The first important use of nitrous oxide was made possible by Thomas Beddoes and James Watt, who worked together to publish the book Considerations on the Medical Use and on the Production of Factitious Airs (1794). This book was important for two reasons. First, James Watt had invented a novel machine to produce "factitious airs" (including nitrous oxide) and a novel "breathing apparatus" to inhale the gas. Second, the book also presented the new medical theories by Thomas Beddoes, that tuberculosis and other lung diseases could be treated by inhalation of "Factitious Airs".[25]

 
Sir Humphry Davy's Researches chemical and philosophical: chiefly concerning nitrous oxide (1800), pages 556 and 557 (right), outlining potential anaesthetic properties of nitrous oxide in relieving pain during surgery

The machine to produce "Factitious Airs" had three parts: a furnace to burn the needed material, a vessel with water where the produced gas passed through in a spiral pipe (for impurities to be "washed off"), and finally the gas cylinder with a gasometer where the gas produced, "air", could be tapped into portable air bags (made of airtight oily silk). The breathing apparatus consisted of one of the portable air bags connected with a tube to a mouthpiece. With this new equipment being engineered and produced by 1794, the way was paved for clinical trials,[clarification needed] which began in 1798 when Thomas Beddoes established the "Pneumatic Institution for Relieving Diseases by Medical Airs" in Hotwells (Bristol). In the basement of the building, a large-scale machine was producing the gases under the supervision of a young Humphry Davy, who was encouraged to experiment with new gases for patients to inhale.[25] The first important work of Davy was examination of the nitrous oxide, and the publication of his results in the book: Researches, Chemical and Philosophical (1800). In that publication, Davy notes the analgesic effect of nitrous oxide at page 465 and its potential to be used for surgical operations at page 556.[88] Davy coined the name "laughing gas" for nitrous oxide.[89]

Despite Davy's discovery that inhalation of nitrous oxide could relieve a conscious person from pain, another 44 years elapsed before doctors attempted to use it for anaesthesia. The use of nitrous oxide as a recreational drug at "laughing gas parties", primarily arranged for the British upper class, became an immediate success beginning in 1799. While the effects of the gas generally make the user appear stuporous, dreamy and sedated, some people also "get the giggles" in a state of euphoria, and frequently erupt in laughter.[90]

One of the earliest commercial producers in the U.S. was George Poe, cousin of the poet Edgar Allan Poe, who also was the first to liquefy the gas.[91]

Anaesthetic use edit

The first time nitrous oxide was used as an anaesthetic drug in the treatment of a patient was when dentist Horace Wells, with assistance by Gardner Quincy Colton and John Mankey Riggs, demonstrated insensitivity to pain from a dental extraction on 11 December 1844.[92] In the following weeks, Wells treated the first 12 to 15 patients with nitrous oxide in Hartford, Connecticut, and, according to his own record, only failed in two cases.[93] In spite of these convincing results having been reported by Wells to the medical society in Boston in December 1844, this new method was not immediately adopted by other dentists. The reason for this was most likely that Wells, in January 1845 at his first public demonstration to the medical faculty in Boston, had been partly unsuccessful, leaving his colleagues doubtful regarding its efficacy and safety.[94] The method did not come into general use until 1863, when Gardner Quincy Colton successfully started to use it in all his "Colton Dental Association" clinics, that he had just established in New Haven and New York City.[25] Over the following three years, Colton and his associates successfully administered nitrous oxide to more than 25,000 patients.[26] Today, nitrous oxide is used in dentistry as an anxiolytic, as an adjunct to local anaesthetic.

Nitrous oxide was not found to be a strong enough anaesthetic for use in major surgery in hospital settings, however. Instead, diethyl ether, being a stronger and more potent anaesthetic, was demonstrated and accepted for use in October 1846, along with chloroform in 1847.[25] When Joseph Thomas Clover invented the "gas-ether inhaler" in 1876, however, it became a common practice at hospitals to initiate all anaesthetic treatments with a mild flow of nitrous oxide, and then gradually increase the anaesthesia with the stronger ether or chloroform. Clover's gas-ether inhaler was designed to supply the patient with nitrous oxide and ether at the same time, with the exact mixture being controlled by the operator of the device. It remained in use by many hospitals until the 1930s.[26] Although hospitals today use a more advanced anaesthetic machine, these machines still use the same principle launched with Clover's gas-ether inhaler, to initiate the anaesthesia with nitrous oxide, before the administration of a more powerful anaesthetic.

As a patent medicine edit

Colton's popularisation of nitrous oxide led to its adoption by a number of less than reputable quacksalvers, who touted it as a cure for consumption, scrofula, catarrh and other diseases of the blood, throat and lungs. Nitrous oxide treatment was administered and licensed as a patent medicine by the likes of C. L. Blood and Jerome Harris in Boston and Charles E. Barney of Chicago.[95][96]

Production edit

Reviewing various methods of producing nitrous oxide is published.[97]

Industrial methods edit

 
Nitrous oxide production

Nitrous oxide is prepared on an industrial scale by carefully heating ammonium nitrate[97] at about 250 °C, which decomposes into nitrous oxide and water vapour.[98]

 

The addition of various phosphate salts favours formation of a purer gas at slightly lower temperatures. This reaction may be difficult to control, resulting in detonation.[99]

Laboratory methods edit

The decomposition of ammonium nitrate is also a common laboratory method for preparing the gas. Equivalently, it can be obtained by heating a mixture of sodium nitrate and ammonium sulfate:[100]

 

Another method involves the reaction of urea, nitric acid and sulfuric acid:[101]

 

Direct oxidation of ammonia with a manganese dioxide-bismuth oxide catalyst has been reported:[102] cf. Ostwald process.

 

Hydroxylammonium chloride reacts with sodium nitrite to give nitrous oxide. If the nitrite is added to the hydroxylamine solution, the only remaining by-product is salt water. If the hydroxylamine solution is added to the nitrite solution (nitrite is in excess), however, then toxic higher oxides of nitrogen also are formed:

 

Treating HNO
3
with SnCl
2
and HCl also has been demonstrated:

 

Hyponitrous acid decomposes to N2O and water with a half-life of 16 days at 25 °C at pH 1–3.[103]

 

Atmospheric occurrence edit

 
Nitrous oxide (N2O) measured by the Advanced Global Atmospheric Gases Experiment (AGAGE) in the lower atmosphere (troposphere) at stations around the world. Abundances are given as pollution free monthly mean mole fractions in parts-per-billion.
 
Nitrous oxide atmospheric concentration since 1978
 
Annual growth rate of atmospheric nitrous oxide since 2000
 
Earth's nitrous oxide budget from the Global Carbon Project (2020)[104]

Nitrous oxide is a minor component of Earth's atmosphere and is an active part of the planetary nitrogen cycle. Based on analysis of air samples gathered from sites around the world, its concentration surpassed 330 ppb in 2017.[8] The growth rate of about 1 ppb per year has also accelerated during recent decades.[9] Nitrous oxide's atmospheric abundance has grown more than 20% from a base level of about 270 ppb in year 1750.[105] Important atmospheric properties of N
2
O
are summarized in the following table:

Property Value
Ozone depletion potential (ODP) 0.17[106] (CCl3F = 1)
Global warming potential (GWP: 100-year) 265[107] (CO2 = 1)
Atmospheric lifetime 116 ± 9 years[108]

In 2022 the IPCC reported that: "The human perturbation of the natural nitrogen cycle through the use of synthetic fertilizers and manure, as well as nitrogen deposition resulting from land-based agriculture and fossil fuel burning has been the largest driver of the increase in atmospheric N2O of 31.0 ± 0.5 ppb (10%) between 1980 and 2019."[108]

Emissions by source edit

17.0 (12.2 to 23.5) million tonnes total annual average nitrogen in N
2
O
was emitted in 2007–2016.[108] About 40% of N
2
O
emissions are from humans and the rest are part of the natural nitrogen cycle.[109] The N
2
O
emitted each year by humans has a greenhouse effect equivalent to about 3 billion tonnes of carbon dioxide: for comparison humans emitted 37 billion tonnes of actual carbon dioxide in 2019, and methane equivalent to 9 billion tonnes of carbon dioxide.[110]

Most of the N
2
O
emitted into the atmosphere, from natural and anthropogenic sources, is produced by microorganisms such as denitrifying bacteria and fungi in soils and oceans.[111] Soils under natural vegetation are an important source of nitrous oxide, accounting for 60% of all naturally produced emissions. Other natural sources include the oceans (35%) and atmospheric chemical reactions (5%).[112] Wetlands can also be emitters of nitrous oxide.[113][114] Emissions from thawing permafrost may be significant, but as of 2022 this is not certain.[108]

The main components of anthropogenic emissions are fertilised agricultural soils and livestock manure (42%), runoff and leaching of fertilisers (25%), biomass burning (10%), fossil fuel combustion and industrial processes (10%), biological degradation of other nitrogen-containing atmospheric emissions (9%) and human sewage (5%).[115][116][117][118][119] Agriculture enhances nitrous oxide production through soil cultivation, the use of nitrogen fertilisers and animal waste handling.[120] These activities stimulate naturally occurring bacteria to produce more nitrous oxide. Nitrous oxide emissions from soil can be challenging to measure as they vary markedly over time and space,[121] and the majority of a year's emissions may occur when conditions are favorable during "hot moments"[122][123] and/or at favorable locations known as "hotspots".[124]

Among industrial emissions, the production of nitric acid and adipic acid are the largest sources of nitrous oxide emissions. The adipic acid emissions specifically arise from the degradation of the nitrolic acid intermediate derived from the nitration of cyclohexanone.[115][125][126]

Biological processes edit

Natural processes that generate nitrous oxide may be classified as nitrification and denitrification. Specifically, they include:

  • aerobic autotrophic nitrification, the stepwise oxidation of ammonia (NH
    3
    ) to nitrite (NO
    2
    ) and to nitrate (NO
    3
    )
  • anaerobic heterotrophic denitrification, the stepwise reduction of NO
    3
    to NO
    2
    , nitric oxide (NO), N
    2
    O
    and ultimately N
    2
    , where facultative anaerobe bacteria use NO
    3
    as an electron acceptor in the respiration of organic material in the condition of insufficient oxygen (O
    2
    )
  • nitrifier denitrification, which is carried out by autotrophic NH
    3
    -oxidising bacteria and the pathway whereby ammonia (NH
    3
    ) is oxidised to nitrite (NO
    2
    ), followed by the reduction of NO
    2
    to nitric oxide (NO), N
    2
    O
    and molecular nitrogen (N
    2
    )
  • heterotrophic nitrification
  • aerobic denitrification by the same heterotrophic nitrifiers
  • fungal denitrification
  • non-biological chemodenitrification

These processes are affected by soil chemical and physical properties such as the availability of mineral nitrogen and organic matter, acidity and soil type, as well as climate-related factors such as soil temperature and water content.

The emission of the gas to the atmosphere is limited greatly by its consumption inside the cells, by a process catalysed by the enzyme nitrous oxide reductase.[127]

Environmental impact edit

Greenhouse effect edit

 
Trends in the atmospheric abundance of long-lived greenhouse gases

Nitrous oxide has significant global warming potential as a greenhouse gas. On a per-molecule basis, considered over a 100-year period, nitrous oxide has 265 times the atmospheric heat-trapping ability of carbon dioxide (CO
2
).[107] However, because of its low concentration (less than 1/1,000 of that of CO
2
), its contribution to the greenhouse effect is less than one third that of carbon dioxide, and also less than water vapour and methane.[128] On the other hand, since about 40% of the N
2
O
entering the atmosphere is the result of human activity,[115] control of nitrous oxide is considered part of efforts to curb greenhouse gas emissions.[129]

Most human caused nitrous oxide released into the atmosphere is from agriculture, when farmers add nitrogen-based fertilizers onto the fields, and through the breakdown of animal manure. Reduction of emissions can be a hot topic in the politics of climate change.[130]

Nitrous oxide is also released as a by-product of burning fossil fuel, though the amount released depends on which fuel was used. It is also emitted through the manufacture of nitric acid, which is used in the synthesis of nitrogen fertilizers. The production of adipic acid, a precursor to nylon and other synthetic clothing fibres, also releases nitrous oxide.[131]

A rise in atmospheric nitrous oxide concentrations has been implicated as a possible contributor to the extremely intense global warming during the Cenomanian-Turonian boundary event.[132]

Ozone layer depletion edit

Nitrous oxide has also been implicated in thinning the ozone layer. A 2009 study suggested that N
2
O
emission was the single most important ozone-depleting emission and it was expected to remain the largest throughout the 21st century.[10][133]

Legality edit

In the United States, possession of nitrous oxide is legal under federal law and is not subject to DEA purview.[134] It is, however, regulated by the Food and Drug Administration under the Food Drug and Cosmetics Act; prosecution is possible under its "misbranding" clauses, prohibiting the sale or distribution of nitrous oxide for the purpose of human consumption. Many states have laws regulating the possession, sale and distribution of nitrous oxide. Such laws usually ban distribution to minors or limit the amount of nitrous oxide that may be sold without special license.[citation needed] For example, in the state of California, possession for recreational use is prohibited and qualifies as a misdemeanor.[135]

In August 2015, the Council of the London Borough of Lambeth (UK) banned the use of the drug for recreational purposes, making offenders liable to an on-the-spot fine of up to £1,000.[136]

In New Zealand, the Ministry of Health has warned that nitrous oxide is a prescription medicine, and its sale or possession without a prescription is an offense under the Medicines Act.[137] This statement would seemingly prohibit all non-medicinal uses of nitrous oxide, although it is implied that only recreational use will be targeted legally.

In India, transfer of nitrous oxide from bulk cylinders to smaller, more transportable E-type, 1,590-litre-capacity tanks[138] is legal when the intended use of the gas is for medical anaesthesia.

In September 2023, the UK Government announced that nitrous oxide would be made illegal by the end of the year, with possession potentially carrying up to a two-year prison sentence or an unlimited fine.[139]

See also edit

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External links edit

  • Paul Crutzen Interview Freeview video of Paul Crutzen Nobel Laureate for his work on decomposition of ozone talking to Harry Kroto Nobel Laureate by the Vega Science Trust.
  • National Institute for Occupational Safety and Health – Nitrous Oxide
  • CDC – NIOSH Pocket Guide to Chemical Hazards – Nitrous Oxide
  • Nitrous Oxide FAQ
  • Erowid article on Nitrous Oxide
  • Nitrous oxide fingered as monster ozone slayer 29 September 2012 at the Wayback Machine, Science News
  • Dental Fear Central article on the use of nitrous oxide in dentistry
  • Altered States Database

nitrous, oxide, also, recreational, nitrous, oxide, redirects, here, other, uses, disambiguation, disambiguation, laughing, redirects, here, other, uses, laughing, disambiguation, confused, with, nitric, oxide, nitrogen, dioxide, generic, nitrogen, oxide, poll. See also Recreational use of nitrous oxide N2O redirects here For other uses see Nitrous oxide disambiguation and N2O disambiguation Laughing gas redirects here For other uses see Laughing gas disambiguation Not to be confused with nitric oxide NO nitrogen dioxide NO2 or generic nitrogen oxide pollutants NOx Nitrous oxide dinitrogen oxide or dinitrogen monoxide commonly known as laughing gas nitrous nitro or nos 4 is a chemical compound an oxide of nitrogen with the formula N2 O At room temperature it is a colourless non flammable gas and has a slightly sweet scent and taste 5 At elevated temperatures nitrous oxide is a powerful oxidiser similar to molecular oxygen Nitrous oxide NamesIUPAC names Nitrous oxide 1 not recommended Dinitrogen oxide 2 alternative name Systematic IUPAC name Oxodiazen 2 ium 1 ideOther names Laughing gas sweet air nitrous nos protoxide of nitrogen hyponitrous oxide dinitrogen oxide dinitrogen monoxideIdentifiersCAS Number 10024 97 2 Y3D model JSmol Interactive imageInteractive imageBeilstein Reference 8137358ChEBI CHEBI 17045 YChEMBL ChEMBL1234579 NChemSpider 923 YDrugBank DB06690 NECHA InfoCard 100 030 017E number E942 glazing agents Gmelin Reference 2153410KEGG D00102 YPubChem CID 948RTECS number QX1350000UNII K50XQU1029 YUN number 1070 compressed 2201 liquid CompTox Dashboard EPA DTXSID8021066InChI InChI 1S N2O c1 2 3 YKey GQPLMRYTRLFLPF UHFFFAOYSA N YInChI 1 N2O c1 2 3InChI 1 N2O c1 2 3Key GQPLMRYTRLFLPF UHFFFAOYAPSMILES N N O N N OPropertiesChemical formula N2 OMolar mass 44 013 g molAppearance colourless gasDensity 1 977 g L gas Melting point 90 86 C 131 55 F 182 29 K Boiling point 88 48 C 127 26 F 184 67 K Solubility in water 1 5 g L 15 C Solubility soluble in alcohol ether sulfuric acidlog P 0 35Vapor pressure 5150 kPa 20 C Magnetic susceptibility x 18 9 10 6 cm3 molRefractive index nD 1 000516 0 C 101 325 kPa Viscosity 14 90 mPa s 3 StructureMolecular shape linear C vDipole moment 0 166 DThermochemistryStd molarentropy S 298 219 96 J K mol Std enthalpy offormation DfH 298 82 05 kJ molPharmacologyATC code N01AX13 WHO Routes ofadministration InhalationPharmacokinetics Metabolism 0 004 Biological half life 5 minutesExcretion RespiratoryHazardsGHS labelling PictogramsSignal word DangerHazard statements H270 H280 H281Precautionary statements P220 P244 P282 P317 P336 P370 P376 P403 P410 P403NFPA 704 fire diamond 200OXFlash point NonflammableSafety data sheet SDS Ilo org ICSC 0067Related compoundsRelated nitrogen oxides Nitric oxideDinitrogen trioxideNitrogen dioxideDinitrogen tetroxideDinitrogen pentoxideRelated compounds Ammonium nitrateAzideExcept where otherwise noted data are given for materials in their standard state at 25 C 77 F 100 kPa N verify what is Y N Infobox references Nitrous oxide has significant medical uses especially in surgery and dentistry for its anaesthetic and pain reducing effects 6 Its colloquial name laughing gas coined by Humphry Davy is due to the euphoric effects upon inhaling it a property that has led to its recreational use as a dissociative anaesthetic 6 It is on the World Health Organization s List of Essential Medicines 7 It is also used as an oxidiser in rocket propellants and in motor racing to increase the power output of engines Nitrous oxide s atmospheric concentration reached 333 parts per billion ppb in 2020 increasing at a rate of about 1 ppb annually 8 9 It is a major scavenger of stratospheric ozone with an impact comparable to that of CFCs 10 Global accounting of N2 O sources and sinks over the decade ending 2016 indicates that about 40 of the average 17 TgN yr teragrams or million metric tons of nitrogen per year of emissions originated from human activity and shows that emissions growth chiefly came from expanding agriculture 11 12 Being the third most important greenhouse gas nitrous oxide also substantially contributes to global warming 13 14 Nitrous oxide is used as a propellant and has a variety of applications from rocketry to making whipped cream It is used as a recreational drug for its potential to induce a brief high Most recreational users are unaware of its neurotoxic effects when abused When used chronically nitrous oxide has the potential to cause neurological damage through inactivation of vitamin B12 Contents 1 Uses 1 1 Rocket motors 1 2 Internal combustion engine 1 3 Aerosol propellant 1 4 Medicine 1 5 Recreational use 2 Safety 2 1 Mental and manual impairment 2 2 Neurotoxicity and neuroprotection 2 3 DNA damage 2 4 Oxygen deprivation 2 5 Vitamin B12 deficiency 2 6 Prenatal development 2 7 Chemical physical risks 3 Mechanism of action 3 1 Anxiolytic effect 3 2 Analgesic effect 4 Properties and reactions 5 History 5 1 Early use 5 2 Anaesthetic use 5 3 As a patent medicine 6 Production 6 1 Industrial methods 6 2 Laboratory methods 7 Atmospheric occurrence 7 1 Emissions by source 7 2 Biological processes 8 Environmental impact 8 1 Greenhouse effect 8 2 Ozone layer depletion 9 Legality 10 See also 11 References 12 External linksUses editRocket motors edit Nitrous oxide may be used as an oxidiser in a rocket motor It has advantages over other oxidisers in that it is much less toxic and because of its stability at room temperature it is also easier to store and relatively safe to carry on a flight As a secondary benefit it may be decomposed readily to form breathing air Its high density and low storage pressure when maintained at low temperatures enable it to be highly competitive with stored high pressure gas systems 15 In a 1914 patent American rocket pioneer Robert Goddard suggested nitrous oxide and gasoline as possible propellants for a liquid fuelled rocket 16 Nitrous oxide has been the oxidiser of choice in several hybrid rocket designs using solid fuel with a liquid or gaseous oxidiser The combination of nitrous oxide with hydroxyl terminated polybutadiene fuel has been used by SpaceShipOne and others It also is notably used in amateur and high power rocketry with various plastics as the fuel Nitrous oxide also may be used in a monopropellant rocket In the presence of a heated catalyst N2 O will decompose exothermically into nitrogen and oxygen at a temperature of approximately 1 070 F 577 C 17 Because of the large heat release the catalytic action rapidly becomes secondary as thermal autodecomposition becomes dominant In a vacuum thruster this may provide a monopropellant specific impulse Isp of as much as 180 s While noticeably less than the Isp available from hydrazine thrusters monopropellant or bipropellant with dinitrogen tetroxide the decreased toxicity makes nitrous oxide an option worth investigating Nitrous oxide is said to deflagrate at approximately 600 C 1 112 F at a pressure of 309 psi 21 atmospheres 18 At 600 psi for example the required ignition energy is only 6 joules whereas N2 O at 130 psi a 2 500 joule ignition energy input is insufficient 19 20 Internal combustion engine edit Main article Nitrous oxide engine In vehicle racing nitrous oxide often called nitrous allows the engine to burn more fuel by providing more oxygen during combustion The increase in oxygen allows an increase in the injection of fuel allowing the engine to produce more engine power The gas is not flammable at a low pressure temperature but it delivers more oxygen than atmospheric air by breaking down at elevated temperatures about 570 degrees F 300C Therefore it often is mixed with another fuel that is easier to deflagrate Nitrous oxide is a strong oxidising agent roughly equivalent to hydrogen peroxide and much stronger than oxygen gas Nitrous oxide is stored as a compressed liquid the evaporation and expansion of liquid nitrous oxide in the intake manifold causes a large drop in intake charge temperature resulting in a denser charge further allowing more air fuel mixture to enter the cylinder Sometimes nitrous oxide is injected into or prior to the intake manifold whereas other systems directly inject right before the cylinder direct port injection to increase power The technique was used during World War II by Luftwaffe aircraft with the GM 1 system to boost the power output of aircraft engines Originally meant to provide the Luftwaffe standard aircraft with superior high altitude performance technological considerations limited its use to extremely high altitudes Accordingly it was only used by specialised planes such as high altitude reconnaissance aircraft high speed bombers and high altitude interceptor aircraft It sometimes could be found on Luftwaffe aircraft also fitted with another engine boost system MW 50 a form of water injection for aviation engines that used methanol for its boost capabilities One of the major problems of using nitrous oxide in a reciprocating engine is that it can produce enough power to damage or destroy the engine Very large power increases are possible and if the mechanical structure of the engine is not properly reinforced the engine may be severely damaged or destroyed during this type of operation It is important with nitrous oxide augmentation of petrol engines to maintain proper operating temperatures and fuel levels to prevent pre ignition 21 or detonation sometimes referred to as knock Most problems that are associated with nitrous oxide do not come from mechanical failure due to the power increases Since nitrous oxide allows a much denser charge into the cylinder it dramatically increases cylinder pressures The increased pressure and temperature can cause problems such as melting the pistons or valves It also may crack or warp the piston or cylinder head and cause pre ignition due to uneven heating Automotive grade liquid nitrous oxide differs slightly from medical grade nitrous oxide A small amount of sulfur dioxide SO2 is added to prevent substance abuse 22 Aerosol propellant edit nbsp Food grade N2 O whipped cream chargersThe gas is approved for use as a food additive E number E942 specifically as an aerosol spray propellant Its most common uses in this context are in aerosol whipped cream canisters and cooking sprays The gas is extremely soluble in fatty compounds In aerosol whipped cream it is dissolved in the fatty cream until it leaves the can when it becomes gaseous and thus creates foam Used in this way it produces whipped cream which is four times the volume of the liquid whereas whipping air into cream only produces twice the volume If air were used as a propellant oxygen would accelerate rancidification of the butterfat but nitrous oxide inhibits such degradation Carbon dioxide cannot be used for whipped cream because it is acidic in water which would curdle the cream and give it a seltzer like sparkling sensation The whipped cream produced with nitrous oxide is unstable and will return to a more liquid state within half an hour to one hour 23 Thus the method is not suitable for decorating food that will not be served immediately In December 2016 some manufacturers reported a shortage of aerosol whipped creams in the United States due to an explosion at the Air Liquide nitrous oxide facility in Florida in late August With a major facility offline the disruption caused a shortage resulting in the company diverting the supply of nitrous oxide to medical clients rather than to food manufacturing The shortage came during the Christmas and holiday season when canned whipped cream use is normally at its highest 24 Similarly cooking spray which is made from various types of oils combined with lecithin an emulsifier may use nitrous oxide as a propellant Other propellants used in cooking spray include food grade alcohol and propane Medicine edit Main article Nitrous oxide medication nbsp Medical grade N2 O tanks used in dentistryNitrous oxide has been used in dentistry and surgery as an anaesthetic and analgesic since 1844 25 In the early days the gas was administered through simple inhalers consisting of a breathing bag made of rubber cloth 26 Today the gas is administered in hospitals by means of an automated relative analgesia machine with an anaesthetic vaporiser and a medical ventilator that delivers a precisely dosed and breath actuated flow of nitrous oxide mixed with oxygen in a 2 1 ratio Nitrous oxide is a weak general anaesthetic and so is generally not used alone in general anaesthesia but used as a carrier gas mixed with oxygen for more powerful general anaesthetic drugs such as sevoflurane or desflurane It has a minimum alveolar concentration of 105 and a blood gas partition coefficient of 0 46 The use of nitrous oxide in anaesthesia can increase the risk of postoperative nausea and vomiting 27 28 29 Dentists use a simpler machine which only delivers an N2 O O2 mixture for the patient to inhale while conscious but must still be a recognised purpose designed dedicated relative analgesic flowmeter with a minimum 30 of oxygen at all times and a maximum upper limit of 70 nitrous oxide The patient is kept conscious throughout the procedure and retains adequate mental faculties to respond to questions and instructions from the dentist 30 Inhalation of nitrous oxide is used frequently to relieve pain associated with childbirth trauma oral surgery and acute coronary syndrome including heart attacks Its use during labour has been shown to be a safe and effective aid for birthing women 31 Its use for acute coronary syndrome is of unknown benefit 32 In Britain and Canada Entonox and Nitronox are used commonly by ambulance crews including unregistered practitioners as rapid and highly effective analgesic gas Fifty percent nitrous oxide can be considered for use by trained non professional first aid responders in prehospital settings given the relative ease and safety of administering 50 nitrous oxide as an analgesic The rapid reversibility of its effect would also prevent it from precluding diagnosis 33 Recreational use edit Main article Recreational use of nitrous oxide nbsp Aquatint depiction of a laughing gas party in the nineteenth century by Thomas Rowlandson nbsp Street sign indicating ban of nitrous oxide use near the Poelestraat in Groningen nbsp Whippit remnants the small steel canisters of recreational drug use the Netherlands 2017Recreational inhalation of nitrous oxide with the purpose of causing euphoria and or slight hallucinations began as a phenomenon for the British upper class in 1799 known as laughing gas parties 34 Starting in the 19th century the widespread availability of the gas for medical and culinary purposes allowed for recreational use to expand greatly globally In the UK as of 2014 nitrous oxide was estimated to be used by almost half a million young people at nightspots festivals and parties 35 Widespread recreational use of the drug throughout the UK was featured in the 2017 Vice documentary Inside The Laughing Gas Black Market in which journalist Matt Shea met with dealers of the drug who stole it from hospitals 36 A significant issue cited in London s press is the effect of nitrous oxide canister littering which is highly visible and causes significant complaints from communities 37 Prior to 8 November 2023 nitrous oxide was subject to the Psychoactive Substances Act 2016 in the UK It was already illegal to produce supply import or export nitrous oxide for recreational use However the UK government updated the law on 8th November 2023 to include possession of nitrous oxide by classifying it as a Class C drug under the Misuse of Drugs Act 1971 38 While casual use of nitrous oxide is understood by most recreational users to be a route to a safe high many are unaware that excessive consumption has the potential to cause neurological harm which if left untreated can result in permanent neurological damage 39 In Australia recreation use became a public health concern following a rise in reported cases of neurotoxicity and a rise in emergency room admissions and in the state of South Australia legislation was passed in 2020 to restrict canister sales 40 Safety editNitrous oxide is a significant occupational hazard for surgeons dentists and nurses Because nitrous oxide is minimally metabolised in humans with a rate of 0 004 it retains its potency when exhaled into the room by the patient and can pose an intoxicating and prolonged exposure hazard to the clinic staff if the room is poorly ventilated Where nitrous oxide is administered a continuous flow fresh air ventilation system or N2 O scavenger system is used to prevent a waste gas buildup citation needed The National Institute for Occupational Safety and Health recommends that workers exposure to nitrous oxide should be controlled during the administration of anaesthetic gas in medical dental and veterinary operators 41 It set a recommended exposure limit REL of 25 ppm 46 mg m3 to escaped anaesthetic 42 Mental and manual impairment edit Exposure to nitrous oxide causes short term decreases in mental performance audiovisual ability and manual dexterity 43 These effects coupled with the induced spatial and temporal disorientation could result in physical harm to the user from environmental hazards 44 Neurotoxicity and neuroprotection edit Nitrous oxide is neurotoxic and there is evidence that medium or long term habitual consumption of significant quantities can cause neurological harm with the potential for permanent damage if left untreated 40 45 Like other NMDA receptor antagonists it has been suggested that N2 O produces neurotoxicity in the form of Olney s lesions in rodents upon prolonged several hour exposure 46 47 48 49 It has been argued that because N2 O is rapidly expelled from the body under normal circumstances it is less likely to be neurotoxic than other NMDAR antagonists 50 Indeed in rodents short term exposure results in only mild injury that is rapidly reversible and neuronal death occurs only after constant and sustained exposure 46 Nitrous oxide also may cause neurotoxicity after extended exposure because of hypoxia This is especially true of non medical formulations such as whipped cream chargers also known as whippets or nangs 51 which never contain oxygen since oxygen makes cream rancid 52 In heavy 400 g or 200 L of N2O gas in one session or frequent regular i e daily or weekly users reported to poison control centers signs of peripheral neuropathy have been noted the presence of ataxia gait abnormalities or paresthesia perception of abnormal sensations e g tingling numbness prickling mostly in the extremities These are considered an early sign of neurological damage and indicates chronic toxicity 53 Nitrous oxide at 75 by volume reduces ischemia induced neuronal death induced by occlusion of the middle cerebral artery in rodents and decreases NMDA induced Ca2 influx in neuronal cell cultures a critical event involved in excitotoxicity 50 DNA damage edit Occupational exposure to ambient nitrous oxide has been associated with DNA damage due to interruptions in DNA synthesis 54 This correlation is dose dependent 55 56 and does not appear to extend to casual recreational use however further research is needed to confirm the duration and quantity of exposure needed to cause damage Oxygen deprivation edit If pure nitrous oxide is inhaled without oxygen oxygen deprivation can occur resulting in low blood pressure fainting and even heart attacks This can occur if the user inhales large quantities continuously as with a strap on mask connected to a gas canister It can also happen if the user engages in excessive breath holding or uses any other inhalation system that cuts off a supply of fresh air 57 Vitamin B12 deficiency edit Long term exposure to nitrous oxide may cause vitamin B12 deficiency This can cause serious neurotoxicity if the user has preexisting vitamin B12 deficiency 58 It inactivates the cobalamin form of vitamin B12 by oxidation Symptoms of vitamin B12 deficiency including sensory neuropathy myelopathy and encephalopathy may occur within days or weeks of exposure to nitrous oxide anaesthesia in people with subclinical vitamin B12 deficiency Symptoms are treated with high doses of vitamin B12 but recovery can be slow and incomplete 59 People with normal vitamin B12 levels have stores to make the effects of nitrous oxide insignificant unless exposure is repeated and prolonged nitrous oxide abuse Vitamin B12 levels should be checked in people with risk factors for vitamin B12 deficiency prior to using nitrous oxide anaesthesia 60 Prenatal development edit Several experimental studies in rats indicate that chronic exposure of pregnant females to nitrous oxide may have adverse effects on the developing fetus 61 62 63 Chemical physical risks edit At room temperature 20 C 68 F the saturated vapour pressure is 50 525 bar rising up to 72 45 bar at 36 4 C 97 5 F the critical temperature The pressure curve is thus unusually sensitive to temperature 64 As with many strong oxidisers contamination of parts with fuels have been implicated in rocketry accidents where small quantities of nitrous fuel mixtures explode due to water hammer like effects sometimes called dieseling heating due to adiabatic compression of gases can reach decomposition temperatures 65 Some common building materials such as stainless steel and aluminium can act as fuels with strong oxidisers such as nitrous oxide as can contaminants that may ignite due to adiabatic compression 66 There also have been incidents where nitrous oxide decomposition in plumbing has led to the explosion of large tanks 18 Mechanism of action editThe pharmacological mechanism of action of N2 O in medicine is not fully known However it has been shown to directly modulate a broad range of ligand gated ion channels and this likely plays a major role in many of its effects It moderately blocks NMDAR and b2 subunit containing nACh channels weakly inhibits AMPA kainate GABAC and 5 HT3 receptors and slightly potentiates GABAA and glycine receptors 67 68 It also has been shown to activate two pore domain K channels 69 While N2 O affects quite a few ion channels its anaesthetic hallucinogenic and euphoriant effects are likely caused predominantly or fully via inhibition of NMDA receptor mediated currents 67 70 In addition to its effects on ion channels N2 O may act to imitate nitric oxide NO in the central nervous system and this may be related to its analgesic and anxiolytic properties 70 Nitrous oxide is 30 to 40 times more soluble than nitrogen The effects of inhaling sub anaesthetic doses of nitrous oxide have been known to vary based on several factors including settings and individual differences 71 72 however from his discussion Jay 2008 44 suggests that it has been reliably known to induce the following states and sensations Intoxication Euphoria dysphoria Spatial disorientation Temporal disorientation Reduced pain sensitivityA minority of users also will present with uncontrolled vocalisations and muscular spasms These effects generally disappear minutes after removal of the nitrous oxide source 44 Anxiolytic effect edit In behavioural tests of anxiety a low dose of N2 O is an effective anxiolytic and this anti anxiety effect is associated with enhanced activity of GABAA receptors as it is partially reversed by benzodiazepine receptor antagonists Mirroring this animals that have developed tolerance to the anxiolytic effects of benzodiazepines are partially tolerant to N2 O 73 Indeed in humans given 30 N2 O benzodiazepine receptor antagonists reduced the subjective reports of feeling high but did not alter psychomotor performance in human clinical studies 74 75 Analgesic effect edit The analgesic effects of N2 O are linked to the interaction between the endogenous opioid system and the descending noradrenergic system When animals are given morphine chronically they develop tolerance to its pain killing effects and this also renders the animals tolerant to the analgesic effects of N2 O 76 Administration of antibodies that bind and block the activity of some endogenous opioids not b endorphin also block the antinociceptive effects of N2 O 77 Drugs that inhibit the breakdown of endogenous opioids also potentiate the antinociceptive effects of N2 O 77 Several experiments have shown that opioid receptor antagonists applied directly to the brain block the antinociceptive effects of N2 O but these drugs have no effect when injected into the spinal cord Apart from an indirect action nitrous oxide like morphine 78 also interacts directly with the endogenous opioid system by binding at opioid receptor binding sites 79 80 Conversely a2 adrenoceptor antagonists block the pain reducing effects of N2 O when given directly to the spinal cord but not when applied directly to the brain 81 Indeed a2B adrenoceptor knockout mice or animals depleted in norepinephrine are nearly completely resistant to the antinociceptive effects of N2 O 82 Apparently N2 O induced release of endogenous opioids causes disinhibition of brainstem noradrenergic neurons which release norepinephrine into the spinal cord and inhibit pain signalling 83 Exactly how N2 O causes the release of endogenous opioid peptides remains uncertain Properties and reactions editNitrous oxide is a colourless gas with a faint sweet odour Nitrous oxide supports combustion by releasing the dipolar bonded oxygen radical and can thus relight a glowing splint N2 O is inert at room temperature and has few reactions At elevated temperatures its reactivity increases For example nitrous oxide reacts with NaNH2 at 460 K 187 C to give NaN3 2 NaNH 2 N 2 O NaN 3 NaOH NH 3 displaystyle ce 2 NaNH2 N2O gt NaN3 NaOH NH3 nbsp The above reaction is the route adopted by the commercial chemical industry to produce azide salts which are used as detonators 84 History editThe gas was first synthesised in 1772 by English natural philosopher and chemist Joseph Priestley who called it dephlogisticated nitrous air see phlogiston theory 85 or inflammable nitrous air 86 Priestley published his discovery in the book Experiments and Observations on Different Kinds of Air 1775 where he described how to produce the preparation of nitrous air diminished by heating iron filings dampened with nitric acid 87 Early use edit nbsp Living Made Easy A satirical print from 1830 depicting Humphry Davy administering a dose of laughing gas to a womanThe first important use of nitrous oxide was made possible by Thomas Beddoes and James Watt who worked together to publish the book Considerations on the Medical Use and on the Production of Factitious Airs 1794 This book was important for two reasons First James Watt had invented a novel machine to produce factitious airs including nitrous oxide and a novel breathing apparatus to inhale the gas Second the book also presented the new medical theories by Thomas Beddoes that tuberculosis and other lung diseases could be treated by inhalation of Factitious Airs 25 nbsp Sir Humphry Davy s Researches chemical and philosophical chiefly concerning nitrous oxide 1800 pages 556 and 557 right outlining potential anaesthetic properties of nitrous oxide in relieving pain during surgeryThe machine to produce Factitious Airs had three parts a furnace to burn the needed material a vessel with water where the produced gas passed through in a spiral pipe for impurities to be washed off and finally the gas cylinder with a gasometer where the gas produced air could be tapped into portable air bags made of airtight oily silk The breathing apparatus consisted of one of the portable air bags connected with a tube to a mouthpiece With this new equipment being engineered and produced by 1794 the way was paved for clinical trials clarification needed which began in 1798 when Thomas Beddoes established the Pneumatic Institution for Relieving Diseases by Medical Airs in Hotwells Bristol In the basement of the building a large scale machine was producing the gases under the supervision of a young Humphry Davy who was encouraged to experiment with new gases for patients to inhale 25 The first important work of Davy was examination of the nitrous oxide and the publication of his results in the book Researches Chemical and Philosophical 1800 In that publication Davy notes the analgesic effect of nitrous oxide at page 465 and its potential to be used for surgical operations at page 556 88 Davy coined the name laughing gas for nitrous oxide 89 Despite Davy s discovery that inhalation of nitrous oxide could relieve a conscious person from pain another 44 years elapsed before doctors attempted to use it for anaesthesia The use of nitrous oxide as a recreational drug at laughing gas parties primarily arranged for the British upper class became an immediate success beginning in 1799 While the effects of the gas generally make the user appear stuporous dreamy and sedated some people also get the giggles in a state of euphoria and frequently erupt in laughter 90 One of the earliest commercial producers in the U S was George Poe cousin of the poet Edgar Allan Poe who also was the first to liquefy the gas 91 Anaesthetic use edit Further information Nitrous oxide medication The first time nitrous oxide was used as an anaesthetic drug in the treatment of a patient was when dentist Horace Wells with assistance by Gardner Quincy Colton and John Mankey Riggs demonstrated insensitivity to pain from a dental extraction on 11 December 1844 92 In the following weeks Wells treated the first 12 to 15 patients with nitrous oxide in Hartford Connecticut and according to his own record only failed in two cases 93 In spite of these convincing results having been reported by Wells to the medical society in Boston in December 1844 this new method was not immediately adopted by other dentists The reason for this was most likely that Wells in January 1845 at his first public demonstration to the medical faculty in Boston had been partly unsuccessful leaving his colleagues doubtful regarding its efficacy and safety 94 The method did not come into general use until 1863 when Gardner Quincy Colton successfully started to use it in all his Colton Dental Association clinics that he had just established in New Haven and New York City 25 Over the following three years Colton and his associates successfully administered nitrous oxide to more than 25 000 patients 26 Today nitrous oxide is used in dentistry as an anxiolytic as an adjunct to local anaesthetic Nitrous oxide was not found to be a strong enough anaesthetic for use in major surgery in hospital settings however Instead diethyl ether being a stronger and more potent anaesthetic was demonstrated and accepted for use in October 1846 along with chloroform in 1847 25 When Joseph Thomas Clover invented the gas ether inhaler in 1876 however it became a common practice at hospitals to initiate all anaesthetic treatments with a mild flow of nitrous oxide and then gradually increase the anaesthesia with the stronger ether or chloroform Clover s gas ether inhaler was designed to supply the patient with nitrous oxide and ether at the same time with the exact mixture being controlled by the operator of the device It remained in use by many hospitals until the 1930s 26 Although hospitals today use a more advanced anaesthetic machine these machines still use the same principle launched with Clover s gas ether inhaler to initiate the anaesthesia with nitrous oxide before the administration of a more powerful anaesthetic As a patent medicine edit Colton s popularisation of nitrous oxide led to its adoption by a number of less than reputable quacksalvers who touted it as a cure for consumption scrofula catarrh and other diseases of the blood throat and lungs Nitrous oxide treatment was administered and licensed as a patent medicine by the likes of C L Blood and Jerome Harris in Boston and Charles E Barney of Chicago 95 96 Production editReviewing various methods of producing nitrous oxide is published 97 Industrial methods edit nbsp Nitrous oxide productionNitrous oxide is prepared on an industrial scale by carefully heating ammonium nitrate 97 at about 250 C which decomposes into nitrous oxide and water vapour 98 NH 4 NO 3 2 H 2 O N 2 O displaystyle ce NH4NO3 gt 2 H2O N2O nbsp The addition of various phosphate salts favours formation of a purer gas at slightly lower temperatures This reaction may be difficult to control resulting in detonation 99 Laboratory methods edit The decomposition of ammonium nitrate is also a common laboratory method for preparing the gas Equivalently it can be obtained by heating a mixture of sodium nitrate and ammonium sulfate 100 2 NaNO 3 NH 4 2 SO 4 Na 2 SO 4 2 N 2 O 4 H 2 O displaystyle ce 2 NaNO3 NH4 2SO4 gt Na2SO4 2 N2O 4 H2O nbsp Another method involves the reaction of urea nitric acid and sulfuric acid 101 2 NH 2 2 CO 2 HNO 3 H 2 SO 4 2 N 2 O 2 CO 2 NH 4 2 SO 4 2 H 2 O displaystyle ce 2 NH2 2CO 2 HNO3 H2SO4 gt 2 N2O 2 CO2 NH4 2SO4 2 H2O nbsp Direct oxidation of ammonia with a manganese dioxide bismuth oxide catalyst has been reported 102 cf Ostwald process 2 NH 3 2 O 2 N 2 O 3 H 2 O displaystyle ce 2 NH3 2 O2 gt N2O 3 H2O nbsp Hydroxylammonium chloride reacts with sodium nitrite to give nitrous oxide If the nitrite is added to the hydroxylamine solution the only remaining by product is salt water If the hydroxylamine solution is added to the nitrite solution nitrite is in excess however then toxic higher oxides of nitrogen also are formed NH 3 OHCl NaNO 2 N 2 O NaCl 2 H 2 O displaystyle ce NH3OHCl NaNO2 gt N2O NaCl 2 H2O nbsp Treating HNO3 with SnCl2 and HCl also has been demonstrated 2 HNO 3 8 HCl 4 SnCl 2 5 H 2 O 4 SnCl 4 N 2 O displaystyle ce 2 HNO3 8 HCl 4 SnCl2 gt 5 H2O 4 SnCl4 N2O nbsp Hyponitrous acid decomposes to N2O and water with a half life of 16 days at 25 C at pH 1 3 103 H 2 N 2 O 2 H 2 O N 2 O displaystyle ce H2N2O2 gt H2O N2O nbsp Atmospheric occurrence edit nbsp Nitrous oxide N2O measured by the Advanced Global Atmospheric Gases Experiment AGAGE in the lower atmosphere troposphere at stations around the world Abundances are given as pollution free monthly mean mole fractions in parts per billion nbsp Nitrous oxide atmospheric concentration since 1978 nbsp Annual growth rate of atmospheric nitrous oxide since 2000 nbsp Earth s nitrous oxide budget from the Global Carbon Project 2020 104 Nitrous oxide is a minor component of Earth s atmosphere and is an active part of the planetary nitrogen cycle Based on analysis of air samples gathered from sites around the world its concentration surpassed 330 ppb in 2017 8 The growth rate of about 1 ppb per year has also accelerated during recent decades 9 Nitrous oxide s atmospheric abundance has grown more than 20 from a base level of about 270 ppb in year 1750 105 Important atmospheric properties of N2 O are summarized in the following table Property ValueOzone depletion potential ODP 0 17 106 CCl3F 1 Global warming potential GWP 100 year 265 107 CO2 1 Atmospheric lifetime 116 9 years 108 In 2022 the IPCC reported that The human perturbation of the natural nitrogen cycle through the use of synthetic fertilizers and manure as well as nitrogen deposition resulting from land based agriculture and fossil fuel burning has been the largest driver of the increase in atmospheric N2O of 31 0 0 5 ppb 10 between 1980 and 2019 108 Emissions by source edit 17 0 12 2 to 23 5 million tonnes total annual average nitrogen in N2 O was emitted in 2007 2016 108 About 40 of N2 O emissions are from humans and the rest are part of the natural nitrogen cycle 109 The N2 O emitted each year by humans has a greenhouse effect equivalent to about 3 billion tonnes of carbon dioxide for comparison humans emitted 37 billion tonnes of actual carbon dioxide in 2019 and methane equivalent to 9 billion tonnes of carbon dioxide 110 Most of the N2 O emitted into the atmosphere from natural and anthropogenic sources is produced by microorganisms such as denitrifying bacteria and fungi in soils and oceans 111 Soils under natural vegetation are an important source of nitrous oxide accounting for 60 of all naturally produced emissions Other natural sources include the oceans 35 and atmospheric chemical reactions 5 112 Wetlands can also be emitters of nitrous oxide 113 114 Emissions from thawing permafrost may be significant but as of 2022 this is not certain 108 The main components of anthropogenic emissions are fertilised agricultural soils and livestock manure 42 runoff and leaching of fertilisers 25 biomass burning 10 fossil fuel combustion and industrial processes 10 biological degradation of other nitrogen containing atmospheric emissions 9 and human sewage 5 115 116 117 118 119 Agriculture enhances nitrous oxide production through soil cultivation the use of nitrogen fertilisers and animal waste handling 120 These activities stimulate naturally occurring bacteria to produce more nitrous oxide Nitrous oxide emissions from soil can be challenging to measure as they vary markedly over time and space 121 and the majority of a year s emissions may occur when conditions are favorable during hot moments 122 123 and or at favorable locations known as hotspots 124 Among industrial emissions the production of nitric acid and adipic acid are the largest sources of nitrous oxide emissions The adipic acid emissions specifically arise from the degradation of the nitrolic acid intermediate derived from the nitration of cyclohexanone 115 125 126 Biological processes edit Natural processes that generate nitrous oxide may be classified as nitrification and denitrification Specifically they include aerobic autotrophic nitrification the stepwise oxidation of ammonia NH3 to nitrite NO 2 and to nitrate NO 3 anaerobic heterotrophic denitrification the stepwise reduction of NO 3 to NO 2 nitric oxide NO N2 O and ultimately N2 where facultative anaerobe bacteria use NO 3 as an electron acceptor in the respiration of organic material in the condition of insufficient oxygen O2 nitrifier denitrification which is carried out by autotrophic NH3 oxidising bacteria and the pathway whereby ammonia NH3 is oxidised to nitrite NO 2 followed by the reduction of NO 2 to nitric oxide NO N2 O and molecular nitrogen N2 heterotrophic nitrification aerobic denitrification by the same heterotrophic nitrifiers fungal denitrification non biological chemodenitrificationThese processes are affected by soil chemical and physical properties such as the availability of mineral nitrogen and organic matter acidity and soil type as well as climate related factors such as soil temperature and water content The emission of the gas to the atmosphere is limited greatly by its consumption inside the cells by a process catalysed by the enzyme nitrous oxide reductase 127 Environmental impact editGreenhouse effect edit nbsp Trends in the atmospheric abundance of long lived greenhouse gasesNitrous oxide has significant global warming potential as a greenhouse gas On a per molecule basis considered over a 100 year period nitrous oxide has 265 times the atmospheric heat trapping ability of carbon dioxide CO2 107 However because of its low concentration less than 1 1 000 of that of CO2 its contribution to the greenhouse effect is less than one third that of carbon dioxide and also less than water vapour and methane 128 On the other hand since about 40 of the N2 O entering the atmosphere is the result of human activity 115 control of nitrous oxide is considered part of efforts to curb greenhouse gas emissions 129 Most human caused nitrous oxide released into the atmosphere is from agriculture when farmers add nitrogen based fertilizers onto the fields and through the breakdown of animal manure Reduction of emissions can be a hot topic in the politics of climate change 130 Nitrous oxide is also released as a by product of burning fossil fuel though the amount released depends on which fuel was used It is also emitted through the manufacture of nitric acid which is used in the synthesis of nitrogen fertilizers The production of adipic acid a precursor to nylon and other synthetic clothing fibres also releases nitrous oxide 131 A rise in atmospheric nitrous oxide concentrations has been implicated as a possible contributor to the extremely intense global warming during the Cenomanian Turonian boundary event 132 Ozone layer depletion edit Nitrous oxide has also been implicated in thinning the ozone layer A 2009 study suggested that N2 O emission was the single most important ozone depleting emission and it was expected to remain the largest throughout the 21st century 10 133 Legality editSee also Recreational use of nitrous oxide Legality In the United States possession of nitrous oxide is legal under federal law and is not subject to DEA purview 134 It is however regulated by the Food and Drug Administration under the Food Drug and Cosmetics Act prosecution is possible under its misbranding clauses prohibiting the sale or distribution of nitrous oxide for the purpose of human consumption Many states have laws regulating the possession sale and distribution of nitrous oxide Such laws usually ban distribution to minors or limit the amount of nitrous oxide that may be sold without special license citation needed For example in the state of California possession for recreational use is prohibited and qualifies as a misdemeanor 135 In August 2015 the Council of the London Borough of Lambeth UK banned the use of the drug for recreational purposes making offenders liable to an on the spot fine of up to 1 000 136 In New Zealand the Ministry of Health has warned that nitrous oxide is a prescription medicine and its sale or possession without a prescription is an offense under the Medicines Act 137 This statement would seemingly prohibit all non medicinal uses of nitrous oxide although it is implied that only recreational use will be targeted legally In India transfer of nitrous oxide from bulk cylinders to smaller more transportable E type 1 590 litre capacity tanks 138 is legal when the intended use of the gas is for medical anaesthesia In September 2023 the UK Government announced that nitrous oxide would be made illegal by the end of the year with possession potentially carrying up to a two year prison sentence or an unlimited fine 139 See also editDayCent Fink effect Nitrous oxide fuel blendPortal nbsp MedicineReferences edit Nitrous oxide Degruyter com Retrieved 24 July 2022 IUPAC nomenclature of inorganic chemistry 2005 PDF p 317 Takahashi Mitsuo Shibasaki Kitakawa Naomi Yokoyama Chiaki Takahashi Shinji 1996 Viscosity of Gaseous Nitrous Oxide from 298 15 K to 398 15 K at Pressures up to 25 MPa Journal of Chemical amp Engineering Data 41 6 1495 1498 doi 10 1021 je960060d ISSN 0021 9568 Tarendash Albert S 2001 Let s review chemistry the physical setting 3rd ed Barron s Educational Series p 44 ISBN 978 0 7641 1664 3 PubChem Nitrous oxide pubchem ncbi nlm nih gov Retrieved 29 March 2022 a b Quax Marcel L J Van Der Steenhoven Timothy J Bronkhorst Martinus W G A Emmink Benjamin L July 2020 Frostbite injury An unknown risk when using nitrous oxide as a party drug Acta Chirurgica Belgica Taylor amp Francis on behalf of the Royal Belgian Society for Surgery 120 1 4 140 143 doi 10 1080 00015458 2020 1782160 ISSN 0001 5458 PMID 32543291 S2CID 219702849 World Health Organization model list of essential medicines 21st list 2019 Geneva World Health Organization 2019 hdl 10665 325771 a b Nitrous Oxide N2O Mole Fraction PDF Massachusetts Institute of Technology Archived PDF from the original on 9 October 2022 Retrieved 15 February 2021 a b Trends in Atmospheric Nitrous Oxide National Oceanic and Atmospheric Administration Earth System Research Laboratories Retrieved 15 February 2021 a b Ravishankara A R Daniel J S Portmann R W 2009 Nitrous Oxide N2O The Dominant Ozone Depleting Substance Emitted in the 21st Century Science 326 5949 123 5 Bibcode 2009Sci 326 123R doi 10 1126 science 1176985 PMID 19713491 S2CID 2100618 Tian Hanqin Xu Rongting Canadell Josep G Thompson Rona L Winiwarter Wilfried Suntharalingam Parvadha Davidson Eric A Ciais Philippe Jackson Robert B Janssens Maenhout Greet et al October 2020 A comprehensive quantification of global nitrous oxide sources and sinks Nature 586 7828 248 256 Bibcode 2020Natur 586 248T doi 10 1038 s41586 020 2780 0 hdl 1871 1 c74d4b68 ecf4 4c6d 890d a1d0aaef01c9 ISSN 1476 4687 PMID 33028999 S2CID 222217027 Archived from the original on 3 December 2020 Retrieved 9 November 2020 a href Template Cite journal html title Template Cite journal cite journal a CS1 maint bot original URL status unknown link Thompson R L Lassaletta L Patra P K et al 2019 Acceleration of global N2O emissions seen from two decades of atmospheric inversion Nat Clim Change 9 12 993 998 Bibcode 2019NatCC 9 993T doi 10 1038 s41558 019 0613 7 hdl 11250 2646484 S2CID 208302708 Chapter 8 AR5 Climate Change 2013 The Physical Science Basis pp 677 678 Nitrous oxide emissions pose an increasing climate threat study finds phys org Retrieved 9 November 2020 Berger Bruno 5 October 2007 Is nitrous oxide safe PDF Swiss Propulsion Laboratory pp 1 2 Archived PDF from the original on 9 October 2022 Self pressurizing Vapor pressure at 20 C is 50 1 bar Nontoxic low reactivity gt rel safe handling General safe Additional energy from decomposition as a monopropellant ISP of 170 s Specific impulse doesn t change much with O F page 2 N2O is a monopropellant as H2O2 or Hydrazine Goddard R H 1914 Rocket apparatus U S patent 1 103 503 Nitrous Oxide Safety Space Propulsion Group 2012 a b Munke Konrad 2 July 2001 Nitrous Oxide Trailer Rupture Report at CGA Seminar Safety and Reliability of Industrial Gases Equipment and Facilities 15 17 October 2001 St Louis Missouri Scaled Composites Safety Guidelines for N2 O PDF Scaled Composites 17 June 2009 Archived from the original PDF on 12 July 2011 Retrieved 29 December 2013 For example N2O flowing at 130 psi in an epoxy composite pipe would not react even with a 2500 J ignition energy input At 600 psi however the required 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