NITROUS OXIDE
HAZARDTEXT ®
Information to help in the initial response for evaluating chemical incidents
-IDENTIFICATION
SYNONYMS
NITROUS OXIDE DINITROGEN MONOXIDE DINITROGEN OXIDE FACTITIOUS AIR HYPONITROUS ACID ANHYDRIDE LAUGHING GAS NITROGEN HYPOXIDE NITROGEN MONOXIDE NITROGEN OXIDE NITROUS OXIDE, COMPRESSED NITROUS OXIDE, CRYOGENIC LIQUID NITROUS OXIDE, REFRIGERATED LIQUID STICKDIOXYD (German) AZOTO PROTOSSIDO (ITALIAN) DISTICKSTOFF MONOXID (GERMAN) OXYDE NITREUX OXYDUM NITROSUM PROTOXYDE D'AZOTE (FRENCH) STICKOXYDUL (GERMAN) WHIPPETS (SLANG FOR WHIPPED-CREAM DISPENSER CHARGER) (GENERAL FORMULATION)
IDENTIFIERS
1070-Nitrous oxide, compressed 1070-Nitrous oxide 2201-Nitrous oxide, refrigerated liquid
SYNONYM REFERENCE
USES/FORMS/SOURCES
It is utilized as anesthetic in dentistry and surgery; propellant gas in food aerosols (i.e., foaming agent for whipped cream); for leak detection; used in rocket fuels (Lewis, 1993; Hathaway et al, 1996). It is also used to oxidize organic compounds at temperatures above 300 degrees C and to make nitrites from alkali metals at their boiling points (Budavari, 1996). The liquid nitrous oxide is used to freeze foods and to manufacture other chemicals (AAR, 1992). Also found in many common products as a propellant. Consumer cans of whipped cream have been reported to release up to 1.5 L of nitrous oxide. High concentrations of carbon dioxide and fluorocarbons may also be released. "Whippet" is a slang term for a cylinder or cartridge designed to charge whipped cream dispensers (Anon, 1979). The term "nanging" has also been used to describe the recreational use of this agent via cartridges of nitrous oxide (Lai et al, 1997). Widespread abuse of this agent has been reported in the United States (Lai et al, 1997). These cylinders dispense 4.3 to 5 L of 93 to 98% nitrous oxide (O'Donoghue, 1985). These cartridges may be commercially available in supermarkets (Australia), adult bookstores, bar supply shops, and by mail order (Schwartz, 1989; Lai et al, 1997).
An inorganic colorless gas used in clinical anesthesia which has a slightly sweet odor (Hathaway et al, 1996). Nitrous oxide is also used as a foaming agent for whipped cream, to make nitrates from alkali metals, as an oxidant for organic compounds, and in some rocket fuel combinations. Nitrous oxide is abundant in the atmosphere as a result of bacterial decomposition of organic nitrogen compounds in soil (Clayton & Clayton, 1994).
-CLINICAL EFFECTS
GENERAL CLINICAL EFFECTS
- USES: Nitrous oxide, an inorganic gas that has a slightly sweet odor, is used in clinical anesthesia and dentistry. It is also utilized as a propellant gas in food aerosols (ie, foaming agent for whipped cream dispensers), for leak detection in industry, as a propellant in many common household products (eg, commercial cans of whipped cream, cooking oil) and used in some rocket fuel combinations. ABUSE: "Whippet" is a slang term for a cylinder or cartridge designed to charge whipped cream dispensers. The term "nanging" has also been used to describe the recreational use of this agent via cartridges of nitrous oxide. ENVIRONMENT: Nitrous oxide is abundant in the atmosphere as a result of bacterial decomposition of organic nitrogen compounds in soil.
- TOXICOLOGY: Nitrous oxide is a gas that acts as a central nervous system depressant and can cause asphyxiation by oxygen displacement. Inhalation may produce marked excitation, which may progress to respiratory depression. Nitrous oxide has been shown to be a partial agonist at mu, kappa, and sigma receptors of the endogenous opioid system. This may explain the emetic and addictive properties of nitrous oxide. It also oxidizes cobalt in vitamin B12, rendering it biologically inactive resulting in a deficiency in available active B12 that mimics a B12 deprivation state.
- EPIDEMIOLOGY: Deaths have occurred following intentional exposure. Widespread abuse of this agent has been reported in the United States.
OVERDOSE: SUMMARY: Nitrous oxide produces euphoria and anxiolytic effects. Inhalation of 40% nitrous oxide in air can cause confusion and sedation, while an 80% level causes unconscious in most individuals. Asphyxiation leading to death has been reported following intentional inhalation of nitrous oxide. ACUTE EFFECTS: Household propellant (eg, whipping cream) abuse occurs when the gas emitted from the nozzle is sprayed into a plastic bag and breathed or sniffed directly. Acute effects are usually due to asphyxia (ie, headache, dizziness, seizures, and possibly death). Acute neurologic effects of poisoning are primarily due to asphyxia. Signs and symptoms may include excitation and euphoria that can progress to CNS depression, loss of consciousness and even death. Asphyxia can also lead to cardiac dysrhythmias and hypotension. CHRONIC EFFECTS: CNS: Chronic abuse can cause myeloneuropathy. Findings may include numbness and tingling of the hands and legs, ataxia, peripheral sensory neuropathy, and weakness. In some cases, patients have complained of an electric-shock feeling that starts when the neck is flexed and radiates down the back to the legs. RESPIRATORY: Respiratory irritation may be noted. Interstitial emphysema and pneumomediastinum have been reported following inhalation from whipped cream dispensers. HEMATOLOGIC: Hematologic effects (ie, leukopenia, thrombocytopenia, severe megaloblastic anemia, myelosuppression) and neuropathy can follow chronic inhalation. OTHER: Vitamin B12 deficiency may have a role in toxicity.
- POTENTIAL HEALTH HAZARDS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 122 (ERG, 2004)
Vapors may cause dizziness or asphyxiation without warning. Contact with gas or liquefied gas may cause burns, severe injury and/or frostbite. Fire may produce irritating and/or toxic gases.
ACUTE CLINICAL EFFECTS
TOXICOLOGY: Nitrous oxide is a gas that acts as a central nervous system depressant and can cause asphyxiation by oxygen displacement. Inhalation may produce marked excitation, which may progress to respiratory depression. Nitrous oxide has been shown to be a partial agonist at mu, kappa, and sigma receptors of the endogenous opioid system. This may explain the emetic and addictive properties of nitrous oxide. It also oxidizes cobalt in vitamin B12, rendering it biologically inactive resulting in a deficiency in available active B12 that mimics a B12 deprivation state. EPIDEMIOLOGY: Deaths have occurred following intentional exposure. Widespread abuse of this agent has been reported in the United States.
Homemade nitrous oxide, using ammonium nitrate fertilizer as a reagent, may be contaminated with nitrogen dioxide which can cause reversible bronchiolitis when inhaled (Messina & Wynne, 1982). The direct inhalation of nitrous oxide from the nozzle of an empty whipped cream dispenser has been reported to result in interstitial emphysema and pneumomediastinum (LiPuma et al, 1982). Bone marrow depression with resultant leukopenia, thrombocytopenia, and severe megaloblastic anemia has been noted following chronic or intermittent nitrous oxide inhalation (Anon, 1982; Amess et al, 1978; Nunn et al, 1982; Sweeney et al, 1985). A patient who inhaled the contents of a 20 pound canister of N2O over a 4-day period experienced transient signs of acute mood disorder, including sleep deprivation, overactivity, dysphoria, and "hypnotic suggestions" occupying his mind (Grigg, 1988). Bone marrow depression with resultant leukopenia, thrombocytopenia, and severe megaloblastic anemia has been noted following chronic or intermittent nitrous oxide inhalation (Anon, 1982; Amess et al, 1978; Nunn et al, 1982; Sweeney et al, 1985). Neurobehavioral effects have been seen in operating room personnel exposed to over 500 ppm nitrous oxide in combination with other gaseous (haloether) anesthetics. Slower reaction times were seen in personnel exposed to approximately 50 ppm, compared with workers exposed to nongaseous anesthesia and unexposed controls (Lucchini et al, 1996). Exposure to the escaping liquefied gas has resulted in frostbite injury (Hwang et al, 1996).
Many of the neurological and hematopoietic effects of N2O may be due to selective inactivation of vitamin B12 (Deacon et al, 1978; Brodsky, 1983; Brodsky & Cohen, 1987). A 15-year-old adolescent given nitrous oxide anesthesia after being treated prophylactically with oral dantrolene experienced malignant hyperthermia which was successfully treated. Future anesthetics omitting N2O did not cause malignant hyperthermia (Waite et al, 1985). In volunteers breathing nitrous oxide at concentrations of 14 to 28%, the velocity gain of pursuit eye movements and frequency of voluntary saccades were decreased (Magnusson et al, 1989). Nitrous oxide has been reported to cause hypotension (Gilman et al, 1985). Cardiac arrhythmias may occur, and may result from hypoxia (Fisch et al, 1969). A study of 100 patients receiving isoflurane anesthesia and epinephrine/lidocaine hemostasis during hypophysectomy found a significantly higher incidence of isorhythmic AV dissociation among those also receiving N2O (Lampe et al, 1990a). The main complications following the use of nitrous oxide are due to hypoxia and asphyxia and may include headache, dizziness, confusion, central nervous system (CNS) excitation, and CNS depression. Intracranial pressure may be elevated. Anxiolytic, euphoric, and analgesic effects and central nervous system depression may occur (Reynolds, 1982; Kunkel, 1987) (Zacny et al, 1994). Nausea and vomiting may occur. In one study of the anesthetic use of 70 percent nitrous oxide and 30 percent oxygen, 3/124 patients had nausea, but only 1/124 vomited (Nieto & Rosen, 1980). Emesis has occurred more frequently in persons exposed to nitrous oxide anesthetic than with other methods in analyses of published studies (Hartung, 1996; Divatia et al, 1996). Tolerance to both cold-induced pain and hedonic subjective effects occurred during a 120-minute exposure to nitrous oxide in healthy volunteers, while psychomotor effects and other subjective effects did not exhibit a tolerance effect. This result implies that the different effects of nitrous oxide may be mediated by different mechanisms (Zacny et al, 1996). In volunteers breathing nitrous oxide at concentrations of 14 to 28%, the velocity gain of pursuit eye movements and frequency of voluntary saccades were decreased (Magnusson et al, 1989).
One study found several defects of cobalamin metabolism in rats administered N2O (Kondo et al, 1981). Malignant hyperthermia has occurred in experimental animals (HSDB, 1996).
CHRONIC CLINICAL EFFECTS
In repeated brief exposures of approximately 1.5 minutes, nitrous oxide concentrations of 20 to 80 percent in oxygen had psychoactive effects and dose-related subjective effects. It did not act as a reinforcer when exposed by choice (Zacny et al, 1996a). Nitrous oxide abuse most commonly occurs among medical professionals and adolescents (Schwartz, 1989). Abuse in the medical setting can reportedly be monitored by noting the frequency at which the sodasorb must be changed in anesthetic machines (Yudenfreund-Sujka, 1990), although this has been disputed (Lang, 1991). Diseases of the liver and kidneys have been associated with chronic N2O exposure (Clayton & Clayton, 1994). Intentional inhalation of nitrous oxide has been reported since the 19th century (Rosenberg et al, 1979). At least 11 deaths reported to OSHA and the Consumer Product Safety Commission (CPSC) were identified during a 3-year time period (Suruda & McGlothlin, 1990). Chronic N2O inhalation can produce symptoms similar to those of vitamin B12 deficiency but with a normal Schilling test and gastric analysis (Blanco & Peters, 1983; Clayton & Clayton, 1994). Symptoms of myelopathy, neuropathy, and subacute delirium may occur and may take several weeks to months to resolve after discontinuation of N2O exposure (Sterman & Coyle, 1983; Heyer et al, 1986). Bone marrow depression with resultant leukopenia, thrombocytopenia, and severe megaloblastic anemia has been noted following chronic or intermittent nitrous oxide inhalation (Anon, 1982; Amess et al, 1978; Nunn et al, 1982; Sweeney et al, 1985). Myeloneuropathy has been reported following chronic N2O exposure (Layzer et al, 1978). Symptom onset may be delayed for 6 months or more following discontinuation of extensive usage (Heyer et al, 1986). Early sensory complaints include leg weakness, loss of balance, sphincter disturbance, and an electric shock sensation radiating down the back on flexion of the neck (Lhermitte's sign) (Layzer et al, 1978; Hayden et al, 1983). Impotence has been reported as an early sensory complaint associated with nitrous oxide-induced myeloneuropathy (Layzer et al, 1978; Hayden et al, 1983).
In experimental animals, chronic exposure has resulted in spinal cord lesions, demyelination, peripheral neuropathy, and hepatic effects (focal inflammatory lesions) (ACGIH, 1991). Changes in mitogen response and antibody formation have been reported in CD-1 mice exposed by inhalation to 5000 ppm for 2 to 13 weeks (Healy et al, 1990).
-FIRST AID
FIRST AID AND PREHOSPITAL TREATMENT
- INGESTION: Gastrointestinal decontamination is not indicated.
- INHALATION: Move patient to fresh air. Administer oxygen and assist ventilation as required. Monitor pulse oximetry. Monitor for respiratory distress. If cough or difficulty breathing develops, evaluate for respiratory tract irritation, bronchitis, or pneumonitis. Administer oxygen and assist ventilation as required. Treat bronchospasm with an inhaled beta2-adrenergic agonist.
-MEDICAL TREATMENT
LIFE SUPPORT
- Support respiratory and cardiovascular function.
SUMMARY
- FIRST AID - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 122 (ERG, 2004)
Move victim to fresh air. Call 911 or emergency medical service. Give artificial respiration if victim is not breathing. Administer oxygen if breathing is difficult. Remove and isolate contaminated clothing and shoes. Clothing frozen to the skin should be thawed before being removed. In case of contact with liquefied gas, thaw frosted parts with lukewarm water. Keep victim warm and quiet. Ensure that medical personnel are aware of the material(s) involved and take precautions to protect themselves.
Toxicity is usually the result of inhalation exposure. Assure adequate ventilatory support. There is no specific antidote. Treatment is symptomatic and supportive. Chronic exposure may produce bone marrow depression and/or neuropathy. Hematologic changes usually resolve after discontinuation of exposure. Hematologic changes may reoccur upon reexposure. Monitor patient for signs of bleeding and infection during leukopenic phase.
-RANGE OF TOXICITY
MINIMUM LETHAL EXPOSURE
Nitrous oxide poisonings resulting in death have been reported (Al-Shanableh & Sarreef, 1987) (Naruse et al, 1988; Enticknap, 1961; Chadly et al, 1989). Suruda & McGlothlin (1990) identified 11 deaths related to abuse of nitrous oxide while on the job in 1984 to 1987 from data on file with the Occupational Safety and Health Administration and the Consumer Product Safety Commission. The 11 deaths involved recreational inhalation of nitrous oxide by young male employees from tanks or cylinders normally used for legitimate business purposes. In six cases, the victims worked in food serving establishments and inhaled nitrous oxide that was used to power whipped cream dispensers. A case of an autoerotic asphyxial death was reported in a 60-year-old man who used nitrous oxide to induce cerebral hypoxia. Ethanol and nitrous oxide were detected in the blood, and thrombosis was found in the distal right coronary artery; cause of death was hypoxia due to nitrous oxide inhalation (Leadbetter, 1988). A 38-year-old nurse with a history of suicide attempts was found dead with a mask over his face connected to a nitrous oxide pipe. No evidence of chronic abuse was found; death was ruled as suicide (Chadly et al, 1989).
MAXIMUM TOLERATED EXPOSURE
Inhalation of 40% nitrous oxide in air can cause confusion and sedation, while an 80% level causes unconscious in most individuals (Baselt, 2000). The lowest published toxic dose for humans (inhalation route) is 24 mg/kg/2H. TOXIC EFFECTS: BEHAVIORAL: General anesthetic; CARDIAC: Pulse rate; NUTRITIONAL AND GROSS METABOLIC: Body temperature decreased (RTECS , 2001). Acute exposure to levels of 200,000 ppm and above causes deterioration of performance on tests of reaction time. It has been suggested that the threshold at which nitrous oxide starts to affect performance lies between 80,000 and 120,000 ppm (Hathaway et al, 1996). Other studies have examined the effects of trace levels (50 ppm) of nitrous oxide on performance tests, with conflicting results (Hathaway et al, 1996).
INHALATION: A 22-year-old man, who had abused nitrous oxide (up to 20 to 30 canisters daily) for a month, developed progressive gait instability, numbness of the feet, and buckling at the knees resulting in episodes of falling 2 to 3 times daily. Physical examination included mild distal loss of vibration and proprioception, diminished ankle and extensor plantar reflexes, a Romberg sign and normal strength. An initial vitamin B12 level was 138 pg/mL (reference range, 250 to 900 pg/mL) and an elevated homocysteine level of 113.1 micromol/L (reference range, 0 to 14 micromol/L). Other laboratory studies were essentially within normal limits and a MRI of the spine was normal. Treatment included vitamin B12 (1000 mcg daily for 7 days, followed by 1000 mcg orally weekly) repletion along with thiamine and a multivitamin daily. Symptoms improved but 3 weeks (4 weeks after discontinuation of nitrous oxide) later the patient developed a new onset of progressive weakness in the lower extremities; physical exam was consistent with symptoms. Vitamin B12 and homocysteine levels were normal. Over the next 7 months, the patient's motor strength and reflexes gradually improved. The delayed motor deterioration in this patient may suggest that nitrous oxide may produce severe motor neuropathy or neuronopathy separate from vitamin B12 deficiency dorsal column myelopathy (Morris et al, 2015). INHALATION: A woman in her 20s with a history of intravenous drug use had been inhaling nitrous oxide from whipped-cream bulbs for 10 days for pain secondary to a sprained ankle and was found living in a car for over 3 days prior to admission. An estimated 60 empty "bulbs" were found on the floor of the car. The patient was alert and oriented with 1/5 flaccid proximal weakness of the lower limbs. Neurological exam included an absent plantar and knee-jerk reflexes, with an intermittent sensory level to T10. A proprioception deficit to her feet, knees, and hips was also present bilaterally. Laboratory evidence of rhabdomyolysis (creatine kinase 9000 Units/L), acute renal failure and vitamin B12 deficiency (level of 124 pmol/L (reference range: >210 pmol/l) were also reported. Her clinical course was complicated by a cardiopulmonary arrest (secondary to dehydration) and bilateral deep venous thrombosis (DVT) to the level of the femoral arteries. Following successful resuscitation, the patient was treated with vitamin B12 replacement therapy, methionine and anticoagulation therapy. Over the next 5 months, the patient gradually regained partial motor function of her limbs and normal sensory levels. She was discharged after 2 months of rehabilitation and was able to walk short distances with a walking frame, but continued to have residual neurological deficits affecting the distal lower limb muscle groups (Cartner et al, 2007). A 23-year-old burn patient developed myeloneuropathy temporally related with unlimited access to a total volume of 40,000 L of a mixture of 50% nitrous oxide and 50% oxygen over a 3 month period (Hayden et al, 1983). The velocity gain of pursuit eye movements and frequency of voluntary saccades were decreased in volunteers breathing nitrous oxide at concentrations of 14% to 28% (Magnusson et al, 1989). CASE SERIES: Thirteen patients who underwent a 10-hour surgery and received 50% to 60% nitrous oxide experienced no more adverse effects than their counterparts who received no nitrous oxide (Lampe et al, 1990).
- Carcinogenicity Ratings for CAS10024-97-2 :
ACGIH (American Conference of Governmental Industrial Hygienists, 2010): A4 ; Listed as: Nitrous oxide EPA (U.S. Environmental Protection Agency, 2011): Not Listed IARC (International Agency for Research on Cancer (IARC), 2016; International Agency for Research on Cancer, 2015; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2010; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2010a; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2008; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2007; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2006; IARC, 2004): Not Listed NIOSH (National Institute for Occupational Safety and Health, 2007): Not Listed ; Listed as: Nitrous oxide MAK (DFG, 2002): Not Listed NTP (U.S. Department of Health and Human Services, Public Health Service, National Toxicology Project ): Not Listed
TOXICITY AND RISK ASSESSMENT VALUES
- EPA Risk Assessment Values for CAS10024-97-2 (U.S. Environmental Protection Agency, 2011):
-STANDARDS AND LABELS
WORKPLACE STANDARDS
- ACGIH TLV Values for CAS10024-97-2 (American Conference of Governmental Industrial Hygienists, 2010):
Editor's Note: The listed values are recommendations or guidelines developed by ACGIH(R) to assist in the control of health hazards. They should only be used, interpreted and applied by individuals trained in industrial hygiene. Before applying these values, it is imperative to read the introduction to each section in the current TLVs(R) and BEI(R) Book and become familiar with the constraints and limitations to their use. Always consult the Documentation of the TLVs(R) and BEIs(R) before applying these recommendations and guidelines.
- AIHA WEEL Values for CAS10024-97-2 (AIHA, 2006):
- NIOSH REL and IDLH Values for CAS10024-97-2 (National Institute for Occupational Safety and Health, 2007):
Listed as: Nitrous oxide REL: TWA: 25 ppm (46 mg/m(3)) (over the time exposed) STEL: Ceiling: Carcinogen Listing: (Not Listed) Not Listed Skin Designation: Not Listed Note(s): [*Note: REL for exposure to waste anesthetic gas.]
IDLH: Not Listed
- OSHA PEL Values for CAS10024-97-2 (U.S. Occupational Safety, and Health Administration (OSHA), 2010):
- OSHA List of Highly Hazardous Chemicals, Toxics, and Reactives for CAS10024-97-2 (U.S. Occupational Safety and Health Administration, 2010):
ENVIRONMENTAL STANDARDS
- EPA CERCLA, Hazardous Substances and Reportable Quantities for CAS10024-97-2 (U.S. Environmental Protection Agency, 2010):
- EPA CERCLA, Hazardous Substances and Reportable Quantities, Radionuclides for CAS10024-97-2 (U.S. Environmental Protection Agency, 2010):
- EPA RCRA Hazardous Waste Number for CAS10024-97-2 (U.S. Environmental Protection Agency, 2010b):
- EPA SARA Title III, Extremely Hazardous Substance List for CAS10024-97-2 (U.S. Environmental Protection Agency, 2010):
- EPA SARA Title III, Community Right-to-Know for CAS10024-97-2 (40 CFR 372.65, 2006; 40 CFR 372.28, 2006):
- DOT List of Marine Pollutants for CAS10024-97-2 (49 CFR 172.101 - App. B, 2005):
- EPA TSCA Inventory for CAS10024-97-2 (EPA, 2005):
SHIPPING REGULATIONS
- DOT -- Table of Hazardous Materials and Special Provisions for UN/NA Number 1070 (49 CFR 172.101, 2005):
- DOT -- Table of Hazardous Materials and Special Provisions for UN/NA Number 2201 (49 CFR 172.101, 2005):
- ICAO International Shipping Name for UN1070 (ICAO, 2002):
- ICAO International Shipping Name for UN2201 (ICAO, 2002):
LABELS
- NFPA Hazard Ratings for CAS10024-97-2 (NFPA, 2002):
-HANDLING AND STORAGE
STORAGE
- ROOM/CABINET RECOMMENDATIONS
Materials which are toxic as stored or which can decompose into toxic components should be stored in a cool, well-ventilated place, out of the direct rays of the sun, and away from areas of high fire hazard. Store apart from sources of ignition and heat. They should be periodically inspected (HSDB , 1994; ITI, 1988).
Nitrous oxide is very stable and rather inert chemically at room temperatures. Dissociation begins above 300 degrees C when the gas becomes a strong oxidizing agent (Budavari, 1989). Keep away from explosives, poisons, radioactive materials, organic peroxides, and hydrogen (ITI, 1988). Incompatible materials should be isolated (HSDB , 1994).
-PERSONAL PROTECTION
SUMMARY
- RECOMMENDED PROTECTIVE CLOTHING - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 122 (ERG, 2004)
Wear positive pressure self-contained breathing apparatus (SCBA). Wear chemical protective clothing that is specifically recommended by the manufacturer. It may provide little or no thermal protection. Structural firefighters' protective clothing provides limited protection in fire situations ONLY; it is not effective in spill situations where direct contact with the substance is possible. Always wear thermal protective clothing when handling refrigerated/cryogenic liquids.
RESPIRATORY PROTECTION
- Refer to "Recommendations for respirator selection" in the NIOSH Pocket Guide to Chemical Hazards on TOMES Plus(R) for respirator information.
PROTECTIVE CLOTHING
- CHEMICAL PROTECTIVE CLOTHING. Search results for CAS 10024-97-2.
-PHYSICAL HAZARDS
FIRE HAZARD
POTENTIAL FIRE OR EXPLOSION HAZARDS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 122 (ERG, 2004) Substance does not burn but will support combustion. Some may react explosively with fuels. May ignite combustibles (wood, paper, oil, clothing, etc.). Vapors from liquefied gas are initially heavier than air and spread along ground. Runoff may create fire or explosion hazard. Containers may explode when heated. Ruptured cylinders may rocket.
Nitrous oxide does not burn but is flammable by chemical reaction and supports combustion (Lewis, 1992). Under fire conditions, cylinders of nitrous oxide may rupture violently or rocket (AAR, 1992).
- FLAMMABILITY CLASSIFICATION
- NFPA Flammability Rating for CAS10024-97-2 (NFPA, 2002):
- FIRE CONTROL/EXTINGUISHING AGENTS
- FIRE PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 122 (ERG, 2004)
- SMALL FIRE PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 122 (ERG, 2004)
- LARGE FIRE PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 122 (ERG, 2004)
Water spray, fog or regular foam. Move containers from fire area if you can do it without risk. Damaged cylinders should be handled only by specialists.
- TANK FIRE PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 122 (ERG, 2004)
Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. Cool containers with flooding quantities of water until well after fire is out. Do not direct water at source of leak or safety devices; icing may occur. Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. ALWAYS stay away from tanks engulfed in fire. For massive fire, use unmanned hose holders or monitor nozzles; if this is impossible, withdraw from area and let fire burn.
- NFPA Extinguishing Methods for CAS10024-97-2 (NFPA, 2002):
- Do not use water. Cool all affected containers with flooding quantities of water. Apply water from as far a distance as possible (AAR, 1992).
- Use alcohol foam to extinguish fire (OHM/TADS , 1994).
EXPLOSION HAZARD
- Nitrous oxide is a moderate explosion hazard. It can form an explosive mixture with air (Lewis, 1992).
- Nitrous oxide self-explodes at high temperatures (Lewis, 1992).
- Explosions have occurred with ether-nitrous oxide mixtures (HSDB , 1994).
DUST/VAPOR HAZARD
- Vapors are nonirritating to eyes and throat. If inhaled, vapors may cause dizziness, difficult breathing, or loss of consciousness (CHRIS , 1994).
REACTIVITY HAZARD
- Nitrous oxide forms violent reactions with the following (Lewis, 1992):
- Nitrous oxide does not burn but is flammable by chemical reaction and supports combustion (Lewis, 1992).
- Nitrous oxide is a moderate explosion hazard. It can form an explosive mixture with air (Lewis, 1992).
- Nitrous oxide self-explodes at high temperatures (Lewis, 1992).
- Explosions have occurred with ether-nitrous oxide mixtures (HSDB , 1994).
- It is very stable and rather inert chemically at room temperatures. Dissociation begins above 300 degrees C when the gas becomes a strong oxidizing agent (Budavari, 1989).
- Amorphous boron ignites when heated in dry nitrous oxide (NFPA, 1991).
- Spontaneous ignition occurs when nitrous oxide and lithium hydride or hydrazine are mixed (NFPA, 1991).
- The reaction of phenyl lithium with nitrous oxide produces unstable lithium phenylazoxide (NFPA, 1991).
- A mixture of nitrous oxide and phosphine can be exploded by a spark (NFPA, 1991).
EVACUATION PROCEDURES
- Editor's Note: This material is not listed in the Table of Initial Isolation and Protective Action Distances.
- LARGE SPILL - PUBLIC SAFETY EVACUATION DISTANCES - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 122 (ERG, 2004)
- FIRE - PUBLIC SAFETY EVACUATION DISTANCES - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 122 (ERG, 2004)
If tank, rail car or tank truck is involved in a fire, ISOLATE for 800 meters (1/2 mile) in all directions; also, consider initial evacuation for 800 meters (1/2 mile) in all directions.
- PUBLIC SAFETY MEASURES - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 122 (ERG, 2004)
CALL Emergency Response Telephone Number on Shipping Paper first. If Shipping Paper not available or no answer, refer to appropriate telephone number: MEXICO: SETIQ: 01-800-00-214-00 in the Mexican Republic; For calls originating in Mexico City and the Metropolitan Area: 5559-1588; For calls originating elsewhere, call: 011-52-555-559-1588.
CENACOM: 01-800-00-413-00 in the Mexican Republic; For calls originating in Mexico City and the Metropolitan Area: 5550-1496, 5550-1552, 5550-1485, or 5550-4885; For calls originating elsewhere, call: 011-52-555-550-1496, or 011-52-555-550-1552; 011-52-555-550-1485, or 011-52-555-550-4885.
ARGENTINA: CIQUIME: 0-800-222-2933 in the Republic of Argentina; For calls originating elsewhere, call: +54-11-4613-1100.
BRAZIL: PRÓ-QUÍMICA: 0-800-118270 (Toll-free in Brazil); For calls originating elsewhere, call: +55-11-232-1144 (Collect calls are accepted).
COLUMBIA: CISPROQUIM: 01-800-091-6012 in Colombia; For calls originating in Bogotá, Colombia, call: 288-6012; For calls originating elsewhere, call: 011-57-1-288-6012.
CANADA: UNITED STATES:
For additional details see the section entitled "WHO TO CALL FOR ASSISTANCE" under the ERG Instructions. As an immediate precautionary measure, isolate spill or leak area for at least 100 meters (330 feet) in all directions. Keep unauthorized personnel away. Stay upwind. Many gases are heavier than air and will spread along ground and collect in low or confined areas (sewers, basements, tanks). Keep out of low areas. Ventilate closed spaces before entering.
- If material is leaking (not on fire), consider evacuation from downwind area based on amount of material spilled, location, and weather conditions (AAR, 1992).
- AIHA ERPG Values for CAS10024-97-2 (AIHA, 2006):
- DOE TEEL Values for CAS10024-97-2 (U.S. Department of Energy, Office of Emergency Management, 2010):
Listed as Nitrous oxide TEEL-0 (units = ppm): 50 TEEL-1 (units = ppm): 150 TEEL-2 (units = ppm): 10,000 TEEL-3 (units = ppm): 20,000 Definitions: TEEL-0: The threshold concentration below which most people will experience no adverse health effects. TEEL-1: The airborne concentration (expressed as ppm [parts per million] or mg/m(3) [milligrams per cubic meter]) of a substance above which it is predicted that the general population, including susceptible individuals, could experience notable discomfort, irritation, or certain asymptomatic, nonsensory effects. However, these effects are not disabling and are transient and reversible upon cessation of exposure. TEEL-2: The airborne concentration (expressed as ppm or mg/m(3)) of a substance above which it is predicted that the general population, including susceptible individuals, could experience irreversible or other serious, long-lasting, adverse health effects or an impaired ability to escape. TEEL-3: The airborne concentration (expressed as ppm or mg/m(3)) of a substance above which it is predicted that the general population, including susceptible individuals, could experience life-threatening adverse health effects or death.
- AEGL Values for CAS10024-97-2 (National Research Council, 2010; National Research Council, 2009; National Research Council, 2008; National Research Council, 2007; NRC, 2001; NRC, 2002; NRC, 2003; NRC, 2004; NRC, 2004; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; United States Environmental Protection Agency Office of Pollution Prevention and Toxics, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; 62 FR 58840, 1997; 65 FR 14186, 2000; 65 FR 39264, 2000; 65 FR 77866, 2000; 66 FR 21940, 2001; 67 FR 7164, 2002; 68 FR 42710, 2003; 69 FR 54144, 2004):
- NIOSH IDLH Values for CAS10024-97-2 (National Institute for Occupational Safety and Health, 2007):
CONTAINMENT/WASTE TREATMENT OPTIONS
SPILL OR LEAK PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 122 (ERG, 2004) Keep combustibles (wood, paper, oil, etc.) away from spilled material. Do not touch or walk through spilled material. Stop leak if you can do it without risk. If possible, turn leaking containers so that gas escapes rather than liquid. Do not direct water at spill or source of leak. Use water spray to reduce vapors or divert vapor cloud drift. Avoid allowing water runoff to conact spilled material. Prevent entry into waterways, sewers, basements or confined areas. Allow substance to evaporate. Isolate area until gas has dispersed. CAUTION: When in contact with refrigerated/cryogenic liquids, many materials become brittle and are likely to break without warning.
RECOMMENDED PROTECTIVE CLOTHING - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 122 (ERG, 2004) Wear positive pressure self-contained breathing apparatus (SCBA). Wear chemical protective clothing that is specifically recommended by the manufacturer. It may provide little or no thermal protection. Structural firefighters' protective clothing provides limited protection in fire situations ONLY; it is not effective in spill situations where direct contact with the substance is possible. Always wear thermal protective clothing when handling refrigerated/cryogenic liquids.
At the time of this review, criteria for land treatment or burial (sanitary landfill) disposal practices are subject to significant revision. Prior to implementing land disposal of waste residue (including waste sludge), consult with environmental regulatory agencies for guidance on acceptable disposal practices (HSDB , 1994). The following information is for NITROGEN OXIDES in general: Nitrogen oxides (up to 1 g/m(3)) are formed during the burning of waste gas from ammonia plants. Ninety to 95% of the nitrogen oxides can be eliminated by injecting a mixture of ammonia and water into the stream of combustion products. The ammonia reacts with nitrogen oxides to give nitrogen and water. Residual ammonia in the exhaust gas amounts to only 0 to 10 mg/m(3) (Kulis & Ohotskij, 1988).
-ENVIRONMENTAL HAZARD MANAGEMENT
POLLUTION HAZARD
- Nitrous oxide can be found in the ambient environment at concentrations of about 0.25 to 0.29 ppm, arising from the bacterial decomposition of organic nitrogen compounds in soil (ACGIH, 1991).
- In a study designed to determine to what degree medically-used nitrous oxide contributes to ozone loss, it was concluded that nitrous oxide and halogenated anesthetics (halothane, enflurane, and isoflurane) are responsible for only 0.0005% of the ozone destruction (as of 1991). It was also calculated that nitrous oxide used for medical purposes comprises less than 2% of all the nitrous oxide produced (Radke & Fabian, 1991).
- Another study estimated that the total amount of nitrous oxide released from anesthetics accounts for 0.05% of the greenhouse effect (Dale & Dale, 1991).
ABIOTIC DEGRADATION
- No information found at the time of this review.
ENVIRONMENTAL TOXICITY
- Nitrous oxide is not harmful to aquatic life (CHRIS , 1994).
-PHYSICAL/CHEMICAL PROPERTIES
MOLECULAR WEIGHT
DESCRIPTION/PHYSICAL STATE
- Nitrous oxide is a colorless gas with a slightly sweetish odor and taste (Budavari, 1996). May also exist in the form of a liquid or cubic crystals (Lewis, 1992).
- Nitrous oxide comprises about 0.00005% of the earth's atmosphere by volume (Budavari, 1996).
- The chief impurity of the commercial product is N2, although NO2, N, O2, and CO2 may also be present (Budavari, 1996).
- While in the steel cylinder, nitrous oxide is compressed to the form of gas over liquid and has a pressure of about 800 lb/inch(2) at room temperature (Budavari, 1996).
PH
VAPOR PRESSURE
- approximately 50 atm at room temperature (HSDB , 1994)
DENSITY
- STANDARD TEMPERATURE AND PRESSURE
- OTHER TEMPERATURE AND/OR PRESSURE
FREEZING/MELTING POINT
BOILING POINT
- -88.46 degrees C (at 760 mmHg) (Budavari, 1996)
SOLUBILITY
OTHER/PHYSICAL
-REFERENCES
GENERAL BIBLIOGRAPHY- 40 CFR 372.28: Environmental Protection Agency - Toxic Chemical Release Reporting, Community Right-To-Know, Lower thresholds for chemicals of special concern. National Archives and Records Administration (NARA) and the Government Printing Office (GPO). Washington, DC. Final rules current as of Apr 3, 2006.
- 40 CFR 372.65: Environmental Protection Agency - Toxic Chemical Release Reporting, Community Right-To-Know, Chemicals and Chemical Categories to which this part applies. National Archives and Records Association (NARA) and the Government Printing Office (GPO), Washington, DC. Final rules current as of Apr 3, 2006.
- 49 CFR 172.101 - App. B: Department of Transportation - Table of Hazardous Materials, Appendix B: List of Marine Pollutants. National Archives and Records Administration (NARA) and the Government Printing Office (GPO), Washington, DC. Final rules current as of Aug 29, 2005.
- 49 CFR 172.101: Department of Transportation - Table of Hazardous Materials. National Archives and Records Administration (NARA) and the Government Printing Office (GPO), Washington, DC. Final rules current as of Aug 11, 2005.
- 62 FR 58840: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 1997.
- 65 FR 14186: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 2000.
- 65 FR 39264: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 2000.
- 65 FR 77866: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 2000.
- 66 FR 21940: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 2001.
- 67 FR 7164: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 2002.
- 68 FR 42710: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 2003.
- 69 FR 54144: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 2004.
- AAR: Emergency Handling of Hazardous Materials in Surface Transportation, Bureau of Explosives, Association of American Railroads, Washington, DC, 1992.
- ACGIH: Documentation of the Threshold Limit Values and Biological Exposure Indices, Vol 1, 6th ed, Am Conference of Govt Ind Hyg, Inc, Cincinnati, OH, 1991.
- AIHA: 2006 Emergency Response Planning Guidelines and Workplace Environmental Exposure Level Guides Handbook, American Industrial Hygiene Association, Fairfax, VA, 2006.
- Adonato BT: Nitrous oxide and vitamin B12 (Letter). Lancet 1978; 2:1318.
- Ahlborg G, Axelsson G, & Bodin L: Shift work, nitrous oxide exposure and subfertility among Swedish midwives. Internat J Epidemiol 1996; 25:783-790.
- American Conference of Governmental Industrial Hygienists : ACGIH 2010 Threshold Limit Values (TLVs(R)) for Chemical Substances and Physical Agents and Biological Exposure Indices (BEIs(R)), American Conference of Governmental Industrial Hygienists, Cincinnati, OH, 2010.
- Amess JAL, Burman JF, & Rees GM: Megaloblastic haemopoiesis in patients receiving nitrous oxide. Lancet 1978; 2:339-342.
- Anon: Here's the topper: whipped-cream cans may be fatal to N2O abusers. Medical World News (April 16), 1979.
- Anon: Nitrous oxide and acute marrow failure. Lancet 1982; 2:856.
- Ansell-Edmont: SpecWare Chemical Application and Recommendation Guide. Ansell-Edmont. Coshocton, OH. 2001. Available from URL: http://www.ansellpro.com/specware. As accessed 10/31/2001.
- Aston R: Drug abuse. Its relationship to dental practice. Den Clin North Am 1984; 28:595-610.
- Atkinson RM & Green JD: Personality, prior drug use, and introspective experience during nitrous oxide intoxication. Internat J Addict 1983; 18:717-738.
- Baden JM & Fujinaga M: Effects of nitrous oxide on day 9 rat embryos grown in culture. Br J Anaesth 1991; 66:500-503.
- Baden JM, Kundomal YR, & Luttropp ME: Carcinogen bioassay of nitrous oxide in mice. Anesthesiology 1986; 64:747-750.
- Baselt RC: Disposition of Toxic Drugs and Chemicals in Man, 5th ed, Chemical Toxicology Institute, Foster City, CA, 2000.
- Baselt RC: Unpublished results, 1976.
- Bata Shoe Company: Industrial Footwear Catalog, Bata Shoe Company, Belcamp, MD, 1995.
- Berger JJ, Modell JH, & Sypert GW: Megaloblastic anemia and brief exposure to nitrous oxide -- A cause/relationship?. Anesth Anal 1988; 67:197-198.
- Best Manufacturing: ChemRest Chemical Resistance Guide. Best Manufacturing. Menlo, GA. 2002. Available from URL: http://www.chemrest.com. As accessed 10/8/2002.
- Best Manufacturing: Degradation and Permeation Data. Best Manufacturing. Menlo, GA. 2004. Available from URL: http://www.chemrest.com/DomesticPrep2/. As accessed 04/09/2004.
- Blanco G & Peters HA: Myeloneuropathy and macrocytosis associated with nitrous oxide abuse. Arch Neurol 1983; 40:416-418.
- Boss Manufacturing Company: Work Gloves, Boss Manufacturing Company, Kewanee, IL, 1998.
- Brodsky JB & Cohen EN: Adverse effects of nitrous oxide. Med Toxicol 1987; 1:362-374.
- Brodsky JB: The toxicity of nitrous oxide. Clin Anesthesiol 1983; 1:455-467.
- Brugnone F, Perbellini L, & Cerpelloni M: Nitrous oxide in blood and urine of operating theatre personnel and the general population. Internat Arch Occup Environ Health 1995; 68:22-26.
- Budavari S: The Merck Index, 11th ed, Merck & Co, Inc, Rahway, NJ, 1989.
- Budavari S: The Merck Index, 12th ed, Merck & Co, Inc, Whitehouse Station, NJ, 1996.
- CHRIS : CHRIS Hazardous Chemical Data. US Department of Transportation, US Coast Guard. Washington, DC (Internet Version). Edition expires 1994; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- CHRIS : CHRIS Hazardous Chemical Data. US Department of Transportation, US Coast Guard. Washington, DC (Internet Version). Edition expires 2002; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- Canfield DW, Reiber K, & Bennett CR: Oversedation in a pediatric patient: a case report. Pediatr Dentist 1987; 9:229-231.
- Cartner M, Sinnott M, & Silburn P: Paralysis caused by "nagging". Med J Aust 2007; 187(6):366-367.
- Chadly A, Marc B, & Barres D: Suicide by nitrous oxide poisoning. Am J Forens Med Pathol 1989; 10:330-331.
- Chang WP, Lee SR, & Tu JR: Increased micronucleus formation in nurses with occupational nitrous oxide exposure in operating theaters. Environ Mol Mutagen 1996; 27:93-97.
- ChemFab Corporation: Chemical Permeation Guide Challenge Protective Clothing Fabrics, ChemFab Corporation, Merrimack, NH, 1993.
- Chiodi H, Collier C, & Mohler J: In vitro methemoglobin formation in human blood exposed to NO2. Environ Res 1983; 30:9-15.
- Clayton GD & Clayton FE: Patty's Industrial Hygiene and Toxicology, Vol 2F, Toxicology, 4th ed, John Wiley & Sons, New York, NY, 1994.
- Clutton-Brock J: Two cases of poisoning by contamination of nitrous oxide with higher oxides of nitrogen during anaesthesia. Br J Anaesth 1967; 39:388-392.
- Cohen EN: Occupational disease in dentistry and chronic exposure to trace anesthetic gases. J Am Dent Assoc 1980; 101:21.
- Comasec Safety, Inc.: Chemical Resistance to Permeation Chart. Comasec Safety, Inc.. Enfield, CT. 2003. Available from URL: http://www.comasec.com/webcomasec/english/catalogue/mtabgb.html. As accessed 4/28/2003.
- Comasec Safety, Inc.: Product Literature, Comasec Safety, Inc., Enfield, CT, 2003a.
- Corbett TH, Cornell RG, & Endres JL: Effects of low concentrations of nitrous oxide on rat pregnancy. Anesthesiology 1973; 39:299-301.
- Crawford JS & Lewis M: Nitrous oxide in early human pregnancy. Anaesthesia 1986; 41:900-905.
- DFG: List of MAK and BAT Values 2002, Report No. 38, Deutsche Forschungsgemeinschaft, Commission for the Investigation of Health Hazards of Chemical Compounds in the Work Area, Wiley-VCH, Weinheim, Federal Republic of Germany, 2002.
- Dale O & Dale T: [Anesthetic gases, the ozone layer and the greenhouse effect. How harmful are the anesthetic emissions for the global environment?] (Norwegian). Tidsskr-Nor-Laegeforen 1991; 111:2115-2117.
- Deacon R, Lumb M, & Perry J: Selective inactivation of vitamin B12 in rats by nitrous oxide. Lancet 1978; 2:1023-1024.
- DiMaio VJM & Garriott JC: Four deaths resulting from abuse of nitrous oxide. J Forens Sci 1978; 23:169-172.
- Divatia JV, Vaidya JS, & Badwe RA: Omission of nitrous oxide during anesthesia reduces the incidence of postoperative nausea and vomiting -- a meta-analysis. Anesthesiol 1996; 85:1055-1062.
- DuPont: DuPont Suit Smart: Interactive Tool for the Selection of Protective Apparel. DuPont. Wilmington, DE. 2002. Available from URL: http://personalprotection.dupont.com/protectiveapparel/suitsmart/smartsuit2/na_english.asp. As accessed 10/31/2002.
- DuPont: Permeation Guide for DuPont Tychem Protective Fabrics. DuPont. Wilmington, DE. 2003. Available from URL: http://personalprotection.dupont.com/en/pdf/tyvektychem/pgcomplete20030128.pdf. As accessed 4/26/2004.
- DuPont: Permeation Test Results. DuPont. Wilmington, DE. 2002a. Available from URL: http://www.tyvekprotectiveapprl.com/databases/default.htm. As accessed 7/31/2002.
- Dunipace AJ, Beaven R, Noblitt T, et al: Mutagenic potential of toluidine blue evaluated in the Ames test. Mutat Res 1992; 279(4):255-259.
- EPA: Search results for Toxic Substances Control Act (TSCA) Inventory Chemicals. US Environmental Protection Agency, Substance Registry System, U.S. EPA's Office of Pollution Prevention and Toxics. Washington, DC. 2005. Available from URL: http://www.epa.gov/srs/.
- ERG: Emergency Response Guidebook. A Guidebook for First Responders During the Initial Phase of a Dangerous Goods/Hazardous Materials Incident, U.S. Department of Transportation, Research and Special Programs Administration, Washington, DC, 2004.
- Enticknap JB: A case of fatal accidental nitrous oxide poisoning. Med Sci Law 1961; 1:404-409.
- Felmet K, Robins B, & Tilford D: acute neurologic decompensation in an infant with cobalamin deficiency exposed to nitrous oxide. J Pediatr 2000; 137:427-428.
- Fink BR, Shepard TH, & Blandau RJ: Teratogenic activity of nitrous oxide. Nature 1967; 214:146-148.
- Fisch C, Oehler RC, & Miller JR: Cardiac arrhythmia during oral surgery with halothane-nitrous-oxide-oxygen anesthesia. JAMA 1969; 208:1839-1842.
- Fujinaga M, Baden J, & Mazze R: Susceptible period of nitrous oxide teratogenicity in Sprague-Dawley rats. Teratology 1989; 40:439-444.
- Fujinaga M, Baden JM, & Shepard TH: Nitrous oxide alters body laterality in rats. Teratology 1990; 41:131-135.
- Gilman AG, Goodman LS, & Rall TW: The Pharmacologic Basis of Therapeutics, 7th ed, The MacMillan Company, New York, NY, 1985.
- Gilman AG, Rall TW, & Nies AS: Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed, Pergamon Press, New York, NY, 1990.
- Grigg JR: Nitrous oxide mood disorder. J Psychoactive Drugs 1988; 20:449-450.
- Guardian Manufacturing Group: Guardian Gloves Test Results. Guardian Manufacturing Group. Willard, OH. 2001. Available from URL: http://www.guardian-mfg.com/guardianmfg.html. As accessed 12/11/2001.
- HSDB : Hazardous Substances Data Bank. National Library of Medicine. Bethesda, MD (Internet Version). Edition expires 1994; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- Hardman JG, Limbird LE, & Molinoff PB: Goodman & Gilman's The Pharmacological Basis of Therapeutics 9th Ed, McGraw-Hill, New York, NY, 1996.
- Hartung J: Twenty-four of twenty-seven studies show a greater incidence of emesis associated with nitrous oxide than with alternative anesthetics. Anesth Analg 1996; 83:114-116.
- Hathaway GJ, Proctor NH, & Hughes JP: Chemical Hazards of the Workplace, 4th ed, Van Nostrand Reinhold Co, New York, NY, 1996.
- Hayden PJ, Hartemink RJ, & Nicholson GA: Myeloneuropathy due to nitrous oxide. Burns 1983; 9:267-270.
- Healy CE, Drown DB, & Sharma RP: Short term toxicity of nitrous oxide on the immune, hemopoietic, and endocrine systems in CD-1 mice. Toxicol Ind Health 1990; 6:57-70.
- Herman MI, Chyka PA, & Butlse AY: Methylene blue by intraosseous infusion for methemoglobinemia. Ann Emerg Med 1999; 33:111-113.
- Heyer EJ, Simpson DM, & Bodis-Wollner I: Nitrous oxide: clinical and electrophysiologic investigation of neurologic complications. Neurol 1986; 36:1618-1622.
- Hix WR & Wilson WR: Toluidine blue staining of the esophagus: a useful adjunct in the panendoscopic evaluation of patients with squamous cell carcinoma of the head and neck. Arch Otolaryngol Head Neck Surg 1987; 113(8):864-865.
- Hjelt K, Lund JT, Scherling B, et al: Methaemoglobinaemia among neonates in a neonatal intensive care unit. Acta Paediatr 1995; 84(4):365-370.
- Holson RR, Bates HK, & LaBorde JB: Behavioral teratology and dominant lethal evaluation of nitrous oxide exposure in rats. Neurotoxicol Teratol 1995; 17:583-592.
- Howland MA: Antidotes in Depth. In: Goldfrank LR, Flomenbaum N, Hoffman RS, et al, eds. Goldfrank's Toxicologic Emergencies. 8th ed., 8th ed. McGraw-Hill, New York, NY, 2006, pp 826-828.
- Hsu CK, Chen YQ, Lung VZ, et al: Myelopathy and polyneuropathy caused by nitrous oxide toxicity: a case report. Am J Emerg Med 2012; 30(6):1016-1016.
- Hwang JCF, Himel HN, & Edlich RF: Frostbite of the face after recreational misuse of nitrous oxide. Burns 1996; 22:152-153.
- IARC Working Group on the Evaluation of Carcinogenic Risks to Humans : IARC Monographs on the Evaluation of Carcinogenic Risks to Humans: 1,3-Butadiene, Ethylene Oxide and Vinyl Halides (Vinyl Fluoride, Vinyl Chloride and Vinyl Bromide), 97, International Agency for Research on Cancer, Lyon, France, 2008.
- IARC Working Group on the Evaluation of Carcinogenic Risks to Humans : IARC Monographs on the Evaluation of Carcinogenic Risks to Humans: Formaldehyde, 2-Butoxyethanol and 1-tert-Butoxypropan-2-ol, 88, International Agency for Research on Cancer, Lyon, France, 2006.
- IARC Working Group on the Evaluation of Carcinogenic Risks to Humans : IARC Monographs on the Evaluation of Carcinogenic Risks to Humans: Household Use of Solid Fuels and High-temperature Frying, 95, International Agency for Research on Cancer, Lyon, France, 2010a.
- IARC Working Group on the Evaluation of Carcinogenic Risks to Humans : IARC Monographs on the Evaluation of Carcinogenic Risks to Humans: Smokeless Tobacco and Some Tobacco-specific N-Nitrosamines, 89, International Agency for Research on Cancer, Lyon, France, 2007.
- IARC Working Group on the Evaluation of Carcinogenic Risks to Humans : IARC Monographs on the Evaluation of Carcinogenic Risks to Humans: Some Non-heterocyclic Polycyclic Aromatic Hydrocarbons and Some Related Exposures, 92, International Agency for Research on Cancer, Lyon, France, 2010.
- IARC: List of all agents, mixtures and exposures evaluated to date - IARC Monographs: Overall Evaluations of Carcinogenicity to Humans, Volumes 1-88, 1972-PRESENT. World Health Organization, International Agency for Research on Cancer. Lyon, FranceAvailable from URL: http://monographs.iarc.fr/monoeval/crthall.html. As accessed Oct 07, 2004.
- ICAO: Technical Instructions for the Safe Transport of Dangerous Goods by Air, 2003-2004. International Civil Aviation Organization, Montreal, Quebec, Canada, 2002.
- ILC Dover, Inc.: Ready 1 The Chemturion Limited Use Chemical Protective Suit, ILC Dover, Inc., Frederica, DE, 1998.
- ILO: Encyclopaedia of Occupational Health and Safety, 3rd ed, Vol 1, Parmeggiani L (Ed), International Labour Organization, Geneva, Switzerland, 1983.
- ITI: Toxic and Hazardous Industrial Chemicals Safety Manual, The International Technical Information Institute, Tokyo, Japan, 1988, pp 382.
- Imbriani M, Ghittori S, & Pezzagno G: Nitrous oxide in urine as biological index of exposure in operating room personnel. Appl Ind Hyg 1988; 3:223-227.
- International Agency for Research on Cancer (IARC): IARC monographs on the evaluation of carcinogenic risks to humans: list of classifications, volumes 1-116. International Agency for Research on Cancer (IARC). Lyon, France. 2016. Available from URL: http://monographs.iarc.fr/ENG/Classification/latest_classif.php. As accessed 2016-08-24.
- International Agency for Research on Cancer: IARC Monographs on the Evaluation of Carcinogenic Risks to Humans. World Health Organization. Geneva, Switzerland. 2015. Available from URL: http://monographs.iarc.fr/ENG/Classification/. As accessed 2015-08-06.
- Jevtovic-Todorovic V, Beals J, Benshoff N, et al: Prolonged exposure to inhalational anesthetic nitrous oxide kills neurons in adult rat brain. Neuroscience 2003; 122:609-616.
- Johnson EB: Detection of contaminated nitrous oxide (Letter). Anesthesiology 1987; 66:257.
- Kappler, Inc.: Suit Smart. Kappler, Inc.. Guntersville, AL. 2001. Available from URL: http://www.kappler.com/suitsmart/smartsuit2/na_english.asp?select=1. As accessed 7/10/2001.
- Kiese M , Lorcher W , Weger N , et al: Comparative studies on the effects of toluidine blue and methylene blue on the reduction of ferrihaemoglobin in man and dog. Eur J Clin Pharmacol 1972; 4(2):115-118.
- Kimberly-Clark, Inc.: Chemical Test Results. Kimberly-Clark, Inc.. Atlanta, GA. 2002. Available from URL: http://www.kc-safety.com/tech_cres.html. As accessed 10/4/2002.
- Kleinman ME, Chameides L, Schexnayder SM, et al: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Part 14: pediatric advanced life support. Circulation 2010; 122(18 Suppl.3):S876-S908.
- Kondo H, Osborne ML, & Kolhouse JF: Nitrous oxide has multiple deleterious effects on cobalamin metabolism and causes decreases in activities of both mammalian cobalamin-dependent enzymes in rats. J Clin Invest 1981; 67:1270-1283.
- Koren G & Sloan I: The pharmacokinetics of inhaled N2O in children. Res Commun Chem Pathol Pharmacol 1985; 49:95-108.
- Kripke BJ, Kelman AD, & Shah NK: Testicular reaction to prolonged exposure to nitrous oxide. Anesthesiology 1976; 44:104-113.
- Kulis ON & Ohotskij SM: [Use of a homogeneous method for the removal of nitrogen oxides from industrial effluents] (Russian). Himiceskaja-Promyslennost 1988; 1:36-37.
- Kunkel DB: Nitrous oxide: not a laughing matter anymore. Emerg Med 1987; 19:79-84.
- LaCrosse-Rainfair: Safety Products, LaCrosse-Rainfair, Racine, WI, 1997.
- Lai NY, Silbert PL, & Erber WN: "Nanging": another cause of nitrous oxide neurotoxicity (letter). Med J Aust 1997; 166:166.
- Lampe GH, Donegan JH, & Rupp SM: Nitrous oxide and epinephrine-induced arrhythmias. Anesth Analg 1990a; 71:602-605.
- Lampe GH, Wauk LZ, & Donegan JH: Effect on outcome of prolonged exposure of patients to nitrous oxide. Anesth Analg 1990; 71:586-590.
- Lang JB: Nitrous oxide abuse presenting as premature exhaustion of Sodasorb. Anesth 1991; 74:382.
- Layzer RB, Fishman RA, & Schafer JA: Neuropathy following abuse of nitrous oxide. Neurology 1978; 28:504-506.
- Leadbetter S: Dental anesthetic death. Am J Forens Med Pathol 1988; 9:60-63.
- Lewinska D, Stepnik M, Krajewski W, et al: Increased incidence of micronuclei assessed with the micronucleus assay and the fluorescence in situ hybridization (FISH) technique in peripheral blood lymphocytes of nurses exposed to nitrous oxide. Mutat Res 2005; 581(1-2):1-9.
- Lewis RJ: Hawley's Condensed Chemical Dictionary, 12th ed, Van Nostrand Reinhold Company, New York, NY, 1993, pp 833.
- Lewis RJ: Sax's Dangerous Properties of Industrial Materials, 8th ed, Van Nostrand Reinhold Company, New York, NY, 1992, pp 2537.
- LiPuma JP, Wellman J, & Stern HP: Nitrous oxide abuse: a new cause for pneumomediastinum. Radiology 1982; 145:602.
- Lin CY, Guo WY, Chen SP, et al: Neurotoxicity of nitrous oxide: multimodal evoked potentials in an abuser. Clin Toxicol (Phila) 2007; 45(1):67-71.
- Lin RJ , Chen HF , Chang YC , et al: Subacute combined degeneration caused by nitrous oxide intoxication: case reports. Acta Neurol Taiwan 2011; 20(2):129-137.
- Lindenmann J, Matzi V, Kaufmann P, et al: Hyperbaric oxygenation in the treatment of life-threatening isobutyl nitrite-induced methemoglobinemia--a case report. Inhal Toxicol 2006; 18(13):1047-1049.
- Link MS, Berkow LC, Kudenchuk PJ, et al: Part 7: Adult Advanced Cardiovascular Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015; 132(18 Suppl 2):S444-S464.
- Louis-Ferdinand RT: Myelotoxic, neurotoxic and reproductive adverse effects of nitrous oxide. Adverse Drug React Toxicol Rev 1994; 13:193-206.
- Lucchini R, Placidi D, & Toffoletto F: Neurotoxicity in operating room personnel working with gaseous and nongaseous anesthesia. Internat Arch Occup Environ Health 1996; 68:188-192.
- MAPA Professional: Chemical Resistance Guide. MAPA North America. Columbia, TN. 2003. Available from URL: http://www.mapaglove.com/pro/ChemicalSearch.asp. As accessed 4/21/2003.
- MAPA Professional: Chemical Resistance Guide. MAPA North America. Columbia, TN. 2004. Available from URL: http://www.mapaglove.com/ProductSearch.cfm?id=1. As accessed 6/10/2004.
- Magnusson M, Padoan S, & Ornhagen H: Evaluation of smooth pursuit and voluntary saccades in nitrous oxide-induced narcosis. Aviat Space Environ Med 1989; 60:977-982.
- Mar-Mac Manufacturing, Inc: Product Literature, Protective Apparel, Mar-Mac Manufacturing, Inc., McBee, SC, 1995.
- Marigold Industrial: US Chemical Resistance Chart, on-line version. Marigold Industrial. Norcross, GA. 2003. Available from URL: www.marigoldindustrial.com/charts/uschart/uschart.html. As accessed 4/14/2003.
- Marquez A & Todd M: Acute hemolytic anemia and agranulocytosis following intravenous administration of toluidine blue. Am Pract 1959; 10:1548-1550.
- McDermott R, Tsang K, Hamilton N, et al: Recreational nitrous oxide inhalation as a rare cause of spontaneous pneumomediastinum. BMJ Case Rep 2015; 2015:1.
- Memphis Glove Company: Permeation Guide. Memphis Glove Company. Memphis, TN. 2001. Available from URL: http://www.memphisglove.com/permeation.html. As accessed 7/2/2001.
- Messina FV & Wynne JW: Homemade nitrous oxide: no laughing matter. Ann Intern Med 1982; 96:333-334.
- Miller MA, Martinez V, & Patel MM: Nitrous oxide "whippit" abuse presenting as clinical B12 deficiency and ataxia. Am J Emerg Med 2004; 22:124.
- Miller MA, Martinez V, McCarthy R, et al: Nitrous oxide "whippit" abuse presenting as clinical B12 deficiency and ataxia. Am J Emerg Med 2004a; 22:124.
- Montgomery Safety Products: Montgomery Safety Products Chemical Resistant Glove Guide, Montgomery Safety Products, Canton, OH, 1995.
- Morris N, Lynch K, & Greenberg SA: Severe motor neuropathy or neuronopathy due to nitrous oxide toxicity after correction of vitamin B12 deficiency. Muscle Nerve 2015; 51(4):614-616.
- NFPA: Fire Protection Guide to Hazardous Materials, 10th ed, National Fire Protection Association, Quincy, MA, 1991.
- NFPA: Fire Protection Guide to Hazardous Materials, 13th ed., National Fire Protection Association, Quincy, MA, 2002.
- NRC: Acute Exposure Guideline Levels for Selected Airborne Chemicals - Volume 1, Subcommittee on Acute Exposure Guideline Levels, Committee on Toxicology, Board on Environmental Studies and Toxicology, Commission of Life Sciences, National Research Council. National Academy Press, Washington, DC, 2001.
- NRC: Acute Exposure Guideline Levels for Selected Airborne Chemicals - Volume 2, Subcommittee on Acute Exposure Guideline Levels, Committee on Toxicology, Board on Environmental Studies and Toxicology, Commission of Life Sciences, National Research Council. National Academy Press, Washington, DC, 2002.
- NRC: Acute Exposure Guideline Levels for Selected Airborne Chemicals - Volume 3, Subcommittee on Acute Exposure Guideline Levels, Committee on Toxicology, Board on Environmental Studies and Toxicology, Commission of Life Sciences, National Research Council. National Academy Press, Washington, DC, 2003.
- NRC: Acute Exposure Guideline Levels for Selected Airborne Chemicals - Volume 4, Subcommittee on Acute Exposure Guideline Levels, Committee on Toxicology, Board on Environmental Studies and Toxicology, Commission of Life Sciences, National Research Council. National Academy Press, Washington, DC, 2004.
- Naruse T, Nakamura I, & Fugifura T: An autopsy case of the lethal anesthetic accident caused by nitrous oxide mis-inhalation. Nippon Hoigaku Zasshi 1988; 42:397-402.
- Nat-Wear: Protective Clothing, Hazards Chart. Nat-Wear. Miora, NY. 2001. Available from URL: http://www.natwear.com/hazchart1.htm. As accessed 7/12/2001.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 1,2,3-Trimethylbenzene (Proposed). United States Environmental Protection Agency. Washington, DC. 2006k. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d68a&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 1,2,4-Trimethylbenzene (Proposed). United States Environmental Protection Agency. Washington, DC. 2006m. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d68a&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 1,2-Butylene Oxide (Proposed). United States Environmental Protection Agency. Washington, DC. 2008d. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648083cdbb&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 1,2-Dibromoethane (Proposed). United States Environmental Protection Agency. Washington, DC. 2007g. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064802796db&disposition=attachment&contentType=pdf. As accessed 2010-08-18.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 1,3,5-Trimethylbenzene (Proposed). United States Environmental Protection Agency. Washington, DC. 2006l. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d68a&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 2-Ethylhexyl Chloroformate (Proposed). United States Environmental Protection Agency. Washington, DC. 2007b. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648037904e&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Acrylonitrile (Proposed). United States Environmental Protection Agency. Washington, DC. 2007c. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648028e6a3&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Adamsite (Proposed). United States Environmental Protection Agency. Washington, DC. 2007h. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020fd29&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Agent BZ (3-quinuclidinyl benzilate) (Proposed). United States Environmental Protection Agency. Washington, DC. 2007f. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064803ad507&disposition=attachment&contentType=pdf. As accessed 2010-08-18.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Allyl Chloride (Proposed). United States Environmental Protection Agency. Washington, DC. 2008. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648039d9ee&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Aluminum Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005b. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Arsenic Trioxide (Proposed). United States Environmental Protection Agency. Washington, DC. 2007m. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480220305&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Automotive Gasoline Unleaded (Proposed). United States Environmental Protection Agency. Washington, DC. 2009a. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7cc17&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Biphenyl (Proposed). United States Environmental Protection Agency. Washington, DC. 2005j. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064801ea1b7&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Bis-Chloromethyl Ether (BCME) (Proposed). United States Environmental Protection Agency. Washington, DC. 2006n. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648022db11&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Boron Tribromide (Proposed). United States Environmental Protection Agency. Washington, DC. 2008a. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064803ae1d3&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Bromine Chloride (Proposed). United States Environmental Protection Agency. Washington, DC. 2007d. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648039732a&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Bromoacetone (Proposed). United States Environmental Protection Agency. Washington, DC. 2008e. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064809187bf&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Calcium Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005d. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Carbonyl Fluoride (Proposed). United States Environmental Protection Agency. Washington, DC. 2008b. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064803ae328&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Carbonyl Sulfide (Proposed). United States Environmental Protection Agency. Washington, DC. 2007e. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648037ff26&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Chlorobenzene (Proposed). United States Environmental Protection Agency. Washington, DC. 2008c. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064803a52bb&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Cyanogen (Proposed). United States Environmental Protection Agency. Washington, DC. 2008f. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064809187fe&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Dimethyl Phosphite (Proposed). United States Environmental Protection Agency. Washington, DC. 2009. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7cbf3&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Diphenylchloroarsine (Proposed). United States Environmental Protection Agency. Washington, DC. 2007l. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020fd29&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Ethyl Isocyanate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008h. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648091884e&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Ethyl Phosphorodichloridate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008i. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480920347&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Ethylbenzene (Proposed). United States Environmental Protection Agency. Washington, DC. 2008g. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064809203e7&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Ethyldichloroarsine (Proposed). United States Environmental Protection Agency. Washington, DC. 2007j. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020fd29&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Germane (Proposed). United States Environmental Protection Agency. Washington, DC. 2008j. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480963906&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Hexafluoropropylene (Proposed). United States Environmental Protection Agency. Washington, DC. 2006. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064801ea1f5&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Ketene (Proposed). United States Environmental Protection Agency. Washington, DC. 2007. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020ee7c&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Magnesium Aluminum Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005h. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Magnesium Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005g. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Malathion (Proposed). United States Environmental Protection Agency. Washington, DC. 2009k. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064809639df&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Mercury Vapor (Proposed). United States Environmental Protection Agency. Washington, DC. 2009b. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a8a087&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methyl Isothiocyanate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008k. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480963a03&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methyl Parathion (Proposed). United States Environmental Protection Agency. Washington, DC. 2008l. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480963a57&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methyl tertiary-butyl ether (Proposed). United States Environmental Protection Agency. Washington, DC. 2007a. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064802a4985&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methylchlorosilane (Proposed). United States Environmental Protection Agency. Washington, DC. 2005. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5f4&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methyldichloroarsine (Proposed). United States Environmental Protection Agency. Washington, DC. 2007i. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020fd29&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methyldichlorosilane (Proposed). United States Environmental Protection Agency. Washington, DC. 2005a. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c646&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Nitrogen Mustard (HN1 CAS Reg. No. 538-07-8) (Proposed). United States Environmental Protection Agency. Washington, DC. 2006a. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d6cb&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Nitrogen Mustard (HN2 CAS Reg. No. 51-75-2) (Proposed). United States Environmental Protection Agency. Washington, DC. 2006b. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d6cb&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Nitrogen Mustard (HN3 CAS Reg. No. 555-77-1) (Proposed). United States Environmental Protection Agency. Washington, DC. 2006c. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d6cb&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Nitrogen Tetroxide (Proposed). United States Environmental Protection Agency. Washington, DC. 2008n. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648091855b&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Nitrogen Trifluoride (Proposed). United States Environmental Protection Agency. Washington, DC. 2009l. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480963e0c&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Parathion (Proposed). United States Environmental Protection Agency. Washington, DC. 2008o. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480963e32&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Perchloryl Fluoride (Proposed). United States Environmental Protection Agency. Washington, DC. 2009c. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7e268&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Perfluoroisobutylene (Proposed). United States Environmental Protection Agency. Washington, DC. 2009d. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7e26a&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phenyl Isocyanate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008p. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648096dd58&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phenyl Mercaptan (Proposed). United States Environmental Protection Agency. Washington, DC. 2006d. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020cc0c&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phenyldichloroarsine (Proposed). United States Environmental Protection Agency. Washington, DC. 2007k. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020fd29&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phorate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008q. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648096dcc8&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phosgene (Draft-Revised). United States Environmental Protection Agency. Washington, DC. 2009e. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a8a08a&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phosgene Oxime (Proposed). United States Environmental Protection Agency. Washington, DC. 2009f. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7e26d&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Potassium Cyanide (Proposed). United States Environmental Protection Agency. Washington, DC. 2009g. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7cbb9&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Potassium Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005c. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Propargyl Alcohol (Proposed). United States Environmental Protection Agency. Washington, DC. 2006e. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020ec91&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Selenium Hexafluoride (Proposed). United States Environmental Protection Agency. Washington, DC. 2006f. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020ec55&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Silane (Proposed). United States Environmental Protection Agency. Washington, DC. 2006g. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d523&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Sodium Cyanide (Proposed). United States Environmental Protection Agency. Washington, DC. 2009h. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7cbb9&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Sodium Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005i. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Strontium Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005f. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Sulfuryl Chloride (Proposed). United States Environmental Protection Agency. Washington, DC. 2006h. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020ec7a&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Tear Gas (Proposed). United States Environmental Protection Agency. Washington, DC. 2008s. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648096e551&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Tellurium Hexafluoride (Proposed). United States Environmental Protection Agency. Washington, DC. 2009i. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7e2a1&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Tert-Octyl Mercaptan (Proposed). United States Environmental Protection Agency. Washington, DC. 2008r. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648096e5c7&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Tetramethoxysilane (Proposed). United States Environmental Protection Agency. Washington, DC. 2006j. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d632&disposition=attachment&contentType=pdf. As accessed 2010-08-17.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Trimethoxysilane (Proposed). United States Environmental Protection Agency. Washington, DC. 2006i. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d632&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Trimethyl Phosphite (Proposed). United States Environmental Protection Agency. Washington, DC. 2009j. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7d608&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Trimethylacetyl Chloride (Proposed). United States Environmental Protection Agency. Washington, DC. 2008t. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648096e5cc&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Zinc Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005e. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for n-Butyl Isocyanate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008m. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064808f9591&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Heart,Lung,and Blood Institute: Expert panel report 3: guidelines for the diagnosis and management of asthma. National Heart,Lung,and Blood Institute. Bethesda, MD. 2007. Available from URL: http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.pdf.
- National Institute for Occupational Safety and Health: NIOSH Pocket Guide to Chemical Hazards, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Cincinnati, OH, 2007.
- National Research Council : Acute exposure guideline levels for selected airborne chemicals, 5, National Academies Press, Washington, DC, 2007.
- National Research Council: Acute exposure guideline levels for selected airborne chemicals, 6, National Academies Press, Washington, DC, 2008.
- National Research Council: Acute exposure guideline levels for selected airborne chemicals, 7, National Academies Press, Washington, DC, 2009.
- National Research Council: Acute exposure guideline levels for selected airborne chemicals, 8, National Academies Press, Washington, DC, 2010.
- Neese Industries, Inc.: Fabric Properties Rating Chart. Neese Industries, Inc.. Gonzales, LA. 2003. Available from URL: http://www.neeseind.com/new/TechGroup.asp?Group=Fabric+Properties&Family=Technical. As accessed 4/15/2003.
- Nemec K: Antidotes in acute poisoning. Eur J Hosp Pharm Sci Pract 2011; 17(4):53-55.
- Neumar RW , Otto CW , Link MS , et al: Part 8: adult advanced cardiovascular life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010; 122(18 Suppl 3):S729-S767.
- Ng J & Frith R: Nanging. Lancet 2002; 360:384.
- Nieto JM & Rosen P: Nitrous oxide at higher elevations. Ann Emerg Med 1980; 9:610-612.
- North: Chemical Resistance Comparison Chart - Protective Footwear . North Safety. Cranston, RI. 2002. Available from URL: http://www.linkpath.com/index2gisufrm.php?t=N-USA1. As accessed April 30, 2004.
- North: eZ Guide Interactive Software. North Safety. Cranston, RI. 2002a. Available from URL: http://www.northsafety.com/feature1.htm. As accessed 8/31/2002.
- Nunn J, Chanarin I, Tanner A, et al: Megaloblastic bone marrow changes after repeated nitrous oxide anesthesia. Br J Anaesth 1986; 58:1469-1470.
- Nunn JF, Sharer NM, & Gorchein A: Megaloblastic haemopoiesis after multiple short-term exposure to nitrous oxide. Lancet 1982; 1:1379-1381.
- O'Donoghue JL: Neurotoxicity of Industrial and Commercial Chemicals, Vol I, CRC Press, Boca Raton, FL, 1985.
- OHM/TADS : Oil and Hazardous Materials/Technical Assistance Data System. US Environmental Protection Agency. Washington, DC (Internet Version). Edition expires 1994; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- Pema PJ, Horak HA, & Wyatt RH: Myelopathy caused by nitrous oxide toxicity. Am J Neuroradiol 1998; 19:894-896.
- Playtex: Fits Tough Jobs Like a Glove, Playtex, Westport, CT, 1995.
- Polvi HJ, Pirhonen JP, & Erkkola RU: Nitrous oxide inhalation -- effects on maternal and fetal circulations at term. Obstet Gynecol 1996; 87:1045-1048.
- Pope WDB, Halsey MJ, & Lansdown ABG: Fetotoxicity in rats following chronic exposure to halothane, nitrous oxide, or methoxyflurane. Anesthesiology 1978; 48:11-16.
- Potocka-Banas B, Majdanik S, Dutkiewicz G, et al: Death caused by addictive inhalation of nitrous oxide. Hum Exp Toxicol 2011; 30(11):1875-1877.
- Product Information: Cordarone(R) oral tablets, amiodarone HCl oral tablets. Wyeth Pharmaceuticals Inc (per FDA), Philadelphia, PA, 2015.
- Product Information: Lidocaine HCl intravenous injection solution, lidocaine HCl intravenous injection solution. Hospira (per manufacturer), Lake Forest, IL, 2006.
- Product Information: PROVAYBLUE(TM) intravenous injection, methylene blue intravenous injection. American Regent (per FDA), Shirley, NY, 2016.
- Product Information: methylene blue 1% IV injection, methylene blue 1% IV injection. American Regent, Inc (per manufacturer), Shirley, NY, 2011.
- Product Information: methylene blue 1% intravenous injection, methylene blue 1% intravenous injection. Akorn, Inc. (per manufacturer), Lake Forest, IL, 2011.
- Pugliese RS, Slagle EJ, Oettinger GR, et al: Subacute combined degeneration of the spinal cord in a patient abusing nitrous oxide and self-medicating with cyanocobalamin. Am J Health Syst Pharm 2015; 72(11):952-957.
- RTECS : Registry of Toxic Effects of Chemical Substances. National Institute for Occupational Safety and Health. Cincinnati, OH (Internet Version). Edition expires 2001; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- Radke J & Fabian P: [The ozone layer and its modification by N2O and inhalation anesthetics] (German). Anaesthesist 1991; 40(8):429-433.
- Raginsky BB & Bourne W: Cyanosis in nitrous oxide anaesthesia in man. Canad Med Assoc J 1934; 30:518-522.
- Reynolds JEF: Martindale: The Extra Pharmacopoeia, The Pharmaceutical Press, London, UK, 1982.
- Rice SA: Effect of prenatal N2O exposure on startle reflex reactivity. Teratology 1990; 42:373-381.
- River City: Protective Wear Product Literature, River City, Memphis, TN, 1995.
- Rogo EJ & Lupovici EM: Nitrous oxide -- an occupational hazard for dental professionals. Dent Hygiene 1986; 60:508-514.
- Rosenberg H, Orkin FK, & Springstead J: Abuse of nitrous oxide. Anesth Analg 1979; 58:104-106.
- Ross AS, Riekman GA, & Carley BL: Waste nitrous oxide exposure. J Canad Dent Assoc 1984; 7:561-563.
- Rowland AS, Baird DD, & Weinberg CR: Reduced fertility among women employed as dental assistants exposed to high levels of nitrous oxide. N Engl J Med 1992; 327:993-997.
- S Sweetman : Martindale: The Complete Drug Reference. Pharmaceutical Press. London, UK (Internet Version). Edition expires 2001; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- Safety 4: North Safety Products: Chemical Protection Guide. North Safety. Cranston, RI. 2002. Available from URL: http://www.safety4.com/guide/set_guide.htm. As accessed 8/14/2002.
- Sahenk Z, Mendell JR, & Couri D: Polyneuropathy from inhalation of N2O cartridges through a whipped-cream dispenser. Neurology 1978; 28:485-487.
- Schwartz RH: When to suspect inhalant abuse. Patient Care 1989; 23:39-64.
- Servus: Norcross Safety Products, Servus Rubber, Servus, Rock Island, IL, 1995.
- Sethi NK, Mullin P, Torgovnick J, et al: Nitrous oxide "whippit" abuse presenting with cobalamin responsive psychosis. J Med Toxicol 2006; 2(2):71-74.
- Shapiro J, Jersky J, & Katzav S: Anesthetic drugs accelerate the progression of postoperative metastases of mouse tumors. J Clin Invest 1981; 68:678-685.
- Shepherd G & Keyes DC: Methylene blue. In: Dart,RC, ed. Medical Toxicology, 3rd ed. 3rd ed, Philadelphia, PA, 2004, pp -.
- Standard Safety Equipment: Product Literature, Standard Safety Equipment, McHenry, IL, 1995.
- Stanford SC , Stanford BJ , & Gillman PK : Risk of severe serotonin toxicity following co-administration of methylene blue and serotonin reuptake inhibitors: an update on a case report of post-operative delirium. J Psychopharmacol 2010; 24(10):1433-1438.
- Sterman AB & Coyle PK: Subacute toxic delirium following nitrous oxide abuse. Arch Neurol 1983; 40:446-447.
- Suruda AJ & McGlothlin JP: Fatal abuse of nitrous oxide in the workplace. J Occup Med 1990; 32:682-684.
- Sweeney B, Bingham RM, & Amos RJ: Toxicity of bone marrow in dentists exposed to nitrous oxide. Br Med Jr 1985; 291:567-569.
- Teunis BS, Leftwich EI, & Pierce LE: Acute methemoglobinemia and hemolytic anemia due to toluidine blue. Arch Surg 1970; 101:527-531.
- Thompson AG, Leite MI, Lunn MP, et al: Whippits, nitrous oxide and the dangers of legal highs. Pract Neurol 2015; 15(3):207-209.
- Tingley: Chemical Degradation for Footwear and Clothing. Tingley. South Plainfield, NJ. 2002. Available from URL: http://www.tingleyrubber.com/tingley/Guide_ChemDeg.pdf. As accessed 10/16/2002.
- Trelleborg-Viking, Inc.: Chemical and Biological Tests (database). Trelleborg-Viking, Inc.. Portsmouth, NH. 2002. Available from URL: http://www.trelleborg.com/protective/. As accessed 10/18/2002.
- Trelleborg-Viking, Inc.: Trellchem Chemical Protective Suits, Interactive manual & Chemical Database. Trelleborg-Viking, Inc.. Portsmouth, NH. 2001.
- U.S. Department of Energy, Office of Emergency Management: Protective Action Criteria (PAC) with AEGLs, ERPGs, & TEELs: Rev. 26 for chemicals of concern. U.S. Department of Energy, Office of Emergency Management. Washington, DC. 2010. Available from URL: http://www.hss.doe.gov/HealthSafety/WSHP/Chem_Safety/teel.html. As accessed 2011-06-27.
- U.S. Department of Health and Human Services, Public Health Service, National Toxicology Project : 11th Report on Carcinogens. U.S. Department of Health and Human Services, Public Health Service, National Toxicology Program. Washington, DC. 2005. Available from URL: http://ntp.niehs.nih.gov/INDEXA5E1.HTM?objectid=32BA9724-F1F6-975E-7FCE50709CB4C932. As accessed 2011-06-27.
- U.S. Environmental Protection Agency: Discarded commercial chemical products, off-specification species, container residues, and spill residues thereof. Environmental Protection Agency's (EPA) Resource Conservation and Recovery Act (RCRA); List of hazardous substances and reportable quantities 2010b; 40CFR(261.33, e-f):77-.
- U.S. Environmental Protection Agency: Integrated Risk Information System (IRIS). U.S. Environmental Protection Agency. Washington, DC. 2011. Available from URL: http://cfpub.epa.gov/ncea/iris/index.cfm?fuseaction=iris.showSubstanceList&list_type=date. As accessed 2011-06-21.
- U.S. Environmental Protection Agency: List of Radionuclides. U.S. Environmental Protection Agency. Washington, DC. 2010a. Available from URL: http://www.gpo.gov/fdsys/pkg/CFR-2010-title40-vol27/pdf/CFR-2010-title40-vol27-sec302-4.pdf. As accessed 2011-06-17.
- U.S. Environmental Protection Agency: List of hazardous substances and reportable quantities. U.S. Environmental Protection Agency. Washington, DC. 2010. Available from URL: http://www.gpo.gov/fdsys/pkg/CFR-2010-title40-vol27/pdf/CFR-2010-title40-vol27-sec302-4.pdf. As accessed 2011-06-17.
- U.S. Environmental Protection Agency: The list of extremely hazardous substances and their threshold planning quantities (CAS Number Order). U.S. Environmental Protection Agency. Washington, DC. 2010c. Available from URL: http://www.gpo.gov/fdsys/pkg/CFR-2010-title40-vol27/pdf/CFR-2010-title40-vol27-part355.pdf. As accessed 2011-06-17.
- U.S. Food and Drug Administration: FDA Drug Safety Communication: Serious CNS reactions possible when methylene blue is given to patients taking certain psychiatric medications. U.S. Food and Drug Administration. Silver Spring, MD. 2011. Available from URL: http://www.fda.gov/Drugs/DrugSafety/ucm263190.htm. As accessed 2011-07-26.
- U.S. Occupational Safety and Health Administration: Part 1910 - Occupational safety and health standards (continued) Occupational Safety, and Health Administration's (OSHA) list of highly hazardous chemicals, toxics and reactives. Subpart Z - toxic and hazardous substances. CFR 2010 2010; Vol6(SEC1910):7-.
- U.S. Occupational Safety, and Health Administration (OSHA): Process safety management of highly hazardous chemicals. 29 CFR 2010 2010; 29(1910.119):348-.
- United States Environmental Protection Agency Office of Pollution Prevention and Toxics: Acute Exposure Guideline Levels (AEGLs) for Vinyl Acetate (Proposed). United States Environmental Protection Agency. Washington, DC. 2006. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d6af&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- Vanden Hoek TL, Morrison LJ, Shuster M, et al: Part 12: cardiac arrest in special situations: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010; 122(18 Suppl 3):S829-S861.
- Vieira E, Cleaton-Jones P, & Austin JC: Effects of low concentrations of nitrous oxide on rat fetuses. Anesth Analg 1980; 59:175-177.
- Waclawik AJ, Luzzio CC, Juhasz-Pocsine K, et al: Myeloneuropathy from nitrous oxide abuse: Unusually high methylmalonic acid and homocysteine levels. WMJ 2003; 102:43-45.
- Wagner SA, Clark MA, & Wesch DL: Asphyxial deaths from the recreational use of nitrous oxide. J Forensic Sci 1992; 37:1008-1015.
- Waite PD, Ballard JB, & Yonfa A: Malignant hyperthermia in a patient receiving nitrous oxide. J Oral Maxillofac Surg 1985; 43:907-909.
- Waldman FM, Koblin DD, & Lampe GH: Hematologic effects of nitrous oxide in surgical patients. Anesth Analg 1990; 71:618-624.
- Wells Lamont Industrial: Chemical Resistant Glove Application Chart. Wells Lamont Industrial. Morton Grove, IL. 2002. Available from URL: http://www.wellslamontindustry.com. As accessed 10/31/2002.
- Winek CL, Collom WD, & Martineau P: Toluidine blue intoxication. Clin Toxicol 1969; 2:1-3.
- Winek CL, Wahda WW, & Rozin L: Accidental death by nitrous oxide inhalation. Forensic Sci Intern 1995; 73:139-141.
- Workrite: Chemical Splash Protection Garments, Technical Data and Application Guide, W.L. Gore Material Chemical Resistance Guide, Workrite, Oxnard, CA, 1997.
- Yang JC, Crawford Clark W, & Ngai SH: Antagonism of nitrous oxide analgesia by naloxone in man. Anesthesiology 1980; 52:414-417.
- Yudenfreund-Sujka SM: Nitrous oxide abuse presenting as premature exhaustion of Sodasorb. Anesth 1990; 73:580.
- Zacny JP, Cho AM, & Coalson DW: Differential acute tolerance development to effects of nitrous oxide in humans. Neurosci Lett 1996; 209:73-76.
- Zacny JP, Klafta JM, & Coalson DW: The reinforcing effects of brief exposures to nitrous oxide in healthy volunteers. Drug Alcohol Depend 1996a; 42:197-200.
- de Caen AR, Berg MD, Chameides L, et al: Part 12: Pediatric Advanced Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015; 132(18 Suppl 2):S526-S542.
- do Nascimento TS, Pereira RO, de Mello HL, et al: Methemoglobinemia: from diagnosis to treatment. Rev Bras Anestesiol 2008; 58(6):651-664.
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