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گاز تسکین درد انتونوکس (DarmanoX)




  موارد استفاد از گاز انتونوکس:

  •  زایمان های طبیعی و بدون درد
  • دندان پزشکی  
  • پوست وزیبائی  
  • آندوسکوپی و کولونو سکوپی 
  •  اورژانس وآمبولانس
  •   ترک اعتیاد 
  • تزریقات دردناک محصوصا دراطفال
  •   تعویض پانسمان زخم های ناشی از سوحتگی
  •   مراکز مدیریت بحران
  •   درد های ناشی ازآسیب ترومائی
  •   کایروپراکتیک 
  • رادیو لوژی وMRI
  • چشم پزشکی 
  • انفارکتوس میوکارد 
  • زدن ودرآوردن بخیه از مناطق حساس ودردناک 
  • کلیه درد های حاد مانند درد های سرطانی.

  موارد عدم استفاده از گاز انتونوکس :

  • کاهش سطح هوشیاری(ضربه مغزی)
  • سه ماهه اول دوران بارداری
  • مسمومیت ها
  •  ترومای گونه وصورت
  • هرجائی که افزایش حجم هوای محصورشده دربدن مخاطره انگیزباشدمانند:  امبولی هوا- پنوموتوراکس- امفیزومبولائی- اتساع واضح شکم پس از غواصی زیر آب - پنوموسفالی

روش استفاده از گاز انتونوکس :

  1. سیلندر گاز انتونوکس  را در هنگام استفاده بمدت 24 ساعت دردرجه حرارت بالای 10 درجه قرار گیرد درغیراینصورت درموارد ضروی به مدت 2 ساعت دردمای 10 درجه قرار داده سپس 3 مرتبه آنرا بهم بزنید ویا  بمدت 5 دقیقه دردمای بدن(37درجه)ویا آب  گرم قرار دهید و سپس 3 مرتبه  سیلندر را بهم بزنید.
  2.  کلاهک سیلندرکه دارای نوار برچسب داربالوگوی شرکت درمان گاز میباشد رابازکنید. شیرباید دارای پلمپ PVC باتاریخ تولیدوکارت سبزردیابی.
  3. پلمپ راپاره کرده ودرپوش لاکی قرمز رنگ را برداریدورگلاتور مخصوص این کار را به شیر بآرامی وصل نمائید.
  4.  اتصالات وارینگ مصرفی نباید ازجنس پلاستیکی ویاآلوده به مواد آلی از قبیل روغن وگریس باشد.
  5. اپراتور مصرف کننده باید مجهزبه دستکش مخصوص سازگار باگاز انتونوکس وماسک پوشیده باشدویا ترجیحا" از جمع کننده هوا خارج کننده گاز ازمحیط ( Scavenger ) استفاده شود.
  6.  پس ازبستن رگلاتور به سیلندروبستن ماسک مخصوص تنفسی شیر رابا آچار مخصوص که به رگلاتور وصل است به آرامی درجهت مخالف عقربه های ساعت بازکنید وطبق دستور پزشک مصرف نمائید توجه داشته باشید نشتی دراطراف شیر ورگلاتور مشاهده نشود نشت یابی را میتوانید بامحلول 1 درصدصابون نشت یابی نمائید از روش دیگری استفاده نکنید.
  7. پس از استفاده از گاز انتونوکس شیرسیلندررا به آرامی بدون آنکه محکم کنید درجهت موافق عقربه های ساعت ببندید.
  8.  حمل سیلندر باید بوسیله گاری چرخدارمخصوص حمل سیلندر که سیلندر درجای خود محکم شده است جابجا شود.



      - Introduction
      - Research history of "MIXING OF MEDICAL GASES (50%N2O+50%O2)" in IRAN
      - Introduction of "MIXING OF MEDICAL GASES (50%N2O+50%O2)"
      - Analgesic gas effect mechanism
      - Usage of "MIXING OF MEDICAL GASES (50%N2O+50%O2)"
      - Special advantages
      - Contraindications
      - How to prescribe
      - After Sale Service

 
  • Introduction

       In the name of God who creates, supply pain and treatment. It is obvious that pain reducing of patients is valuable. All knows that medical team from doctor to nurse consider this point as one of their major duties.   Surely, the preferred method of analgesia is affective, low cost and easy available while on the other hand causing less complications and low-risk for both; patient and medical team. In this way "MIXING OF MEDICAL GASES (50%N2O+50%O2)" is well-know as one of the choices which is presented to decrease the acute pain.

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  • Research history of "MIXING OF MEDICAL GASES (50%N2O+50%O2)" in IRAN

       The first step of this research was made in 1996. In order to gain the required technical knowledge of this production; and getting familiar to supply the mentioned gas, a team including 4 anesthetist, have been sent to UK from Iranian medical universities by Darmangaz Company.

   Simultaneously, in order to have primary trainings and clinical tests, some of the "MIXING OF MEDICAL GASES (50%N2O+50%O2)" cylinders had imported to IRAN with health embassy allowance and were supplied by the Iranian medical universities. On July 1997 after getting the confirmation of the mentioned universities, license production of the "MIXING OF MEDICAL GASES (50%N2O+50%O2)" were issued by health embassy. Finally with great attempt of our managers and specialists, this company could satisfy to produce the gas in a great amount and received the exploitation license from health embassy. This company honors to be as fair performer and trains workshops in medical universities of "Isfahan, Ahvaz, Ourumieh, Tabriz, Tehran, Shiraz, kermanshah, Hamadan, Yazd, Yasoj, Mashhad, Rasht and Rafsanjan. Now in many cities such as Zahedan, Karaj, Arak, Bushehr, Kerman, Gonbad-e-kawus, Isfahan, Ahvaz, Ourumieh, Tabriz, Tehran, Shiraz, kermanshah, Hamadan, "MIXING OF MEDICAL GASES (50%N2O+50%O2)" is using for acute pain management specially in labor pain.

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  • Introduction of "MIXING OF MEDICAL GASES (50%N2O+50%O2)"

       MIXING OF MEDICAL GASES (50%N2O+50%O2) is a homogenous, equal mixture of oxygen and nitrous oxide (50%/50%) in one cylinder. Although nitrous oxide was discovered as an analgesic gas for more than 2 centuries and is used, but because of hypoxemia as its complication in 1965, it is used plus oxygen with the commercial name of analgesic gas "MIXING OF MEDICAL GASES (50%N2O+50%O2)" that come from chemical names of them.

       Getting familiar with "MIXING OF MEDICAL GASES (50%N2O+50%O2)" and its specifications caused it as a common standard analgesic in emergency centers and even ambulances. Frankly it can be said that up to now, analgesic gas is used more than 35 years in treatment of patients and has been one of the successful ways of treatment as analgesic agent. The analgesic gas production technology now is available in our country and we hope to prompting help the painstaking patients by getting more familiar with this drug from doctor, nurse or midwife and support of related responsible.

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  • Analgesic gas effect mechanism

       After inhalation, N2O is entered the circulation "about 15 seconds after use" and because of low blood solubility, the suitable concentration and desirable partial pressure reach to the brain and spinal cord to be effective by suppressing the brain centers and increasing endorphins, produces analgesia, sedation, apathy about the environment and to some extent euphoria. These effects start within 30 seconds and reach the maximum at 2 minutes.

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  • Usage of "MIXING OF MEDICAL GASES (50%N2O+50%O2)"

       This gas can be used in all type of acute pains occurred in a limited period of time provided that there is no contraindication. Generally, it is used successfully in the following cases:

  • Myocardial infarction
  • Change dressing and discharge drains
  • Suturing the wound
  • Remove the sutures in sensitive and painful area
  • Dressing and debridement in burned patients
  • Aggressive procedures such as urinary catheterization in male
  • Constipation
  • Painful changing position
  • Painful injection especially in pediatrics
  • Pain in trauma
  • Pain in dentistry
  • Painful Physiotherapy
  • Postoperative pain
  • Renal colic
  • Sternal bone biopsy
  • Changing position, manipulation and splint of suffered limb
  • Pining and ex-pining of bone

   Labor pain is one of the most painful one which always human being have been faced to. The man has had last long wish to be able for controlling labor pain which always has been as an untouchable dream. Analgesic gas "MIXING OF MEDICAL GASES (50%N2O+50%O2)" is a simple way with an acceptable effect which can be supplied in all regions even with the least medical equipments. MIXING OF MEDICAL GASES (50%N2O+50%O2) administers at commence of active phase, also it is valuable to use for second stage of labor, of course it is better to give oxygen supplement to newborn for first 10 minutes of life. MIXING OF MEDICAL GASES (50%N2O+50%O2) have special concern in labor analgesia because of it has acceptable effect, ease of use and supply, and without any serious complications. Indeed, in UK home delivery is performed safety by MIXING OF MEDICAL GASES (50%N2O+50%O2).

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  • Special advantages

    • Desirable analgesic effect
    • Fast onset
    • Fast offset
    • Use with Self-Administration Patient Control Anesthesia
    • Have no limited dose
    • Have no over dose
    • Have no residual and additional effects in repeated dose
    • Prescribe directly by trained and experienced personal
    • Have no suppressing effect on cardiovascular & respiratory
    • Have good tissue oxygenation because of high O2 percent (50%) of it
    • Taking good patient cooperation due to close communication during administration
    • Direct patient participation in pain alleviation yields more acceptance and confidents to medical therapy
    • It is suitable replace for opioids in pediatrics that limit their use for fearing of opioid complication
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  • Contraindications

    • Loss of consciousness ( head trauma)
    • Poisonings
    • Face and cheek trauma
    • Any where that closed air increments is dangerous such as air emboli, pneumothorax, bullous emphysema, pneumocephaly
    • Decompression sickness or a recent dive
    • Abdominal distention due to bowel obstruction
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  • How to prescribe

       It is known as specific cylinders with blue color in body and white and blue in collar in various sizes presented to be prescribed with a Self-Administered analgesia for Patients. This system consist of a pressure demand valve that attached to a face mask or oral piece, when the patient breathing in it, the stream of gas will go through the valve due to a negative pressure in system and it is continuing until end of inspiration and while stops, expiration will go out via this system. Nitrous Oxide/Oxygen mixtures are temperature sensitive. Nitrous oxide begins to separate out from the mixture if the temperature falls below about -6°C. A homogenous mixture is again obtained when the temperature is raised to above 10oC and the cylinder agitated. Before use, to ensure it is properly mixed, cylinders should be stored horizontally for 24 hours at a temperature above 10oC. If this is not practicable, before use the cylinders must be maintained at a temperature above 10oC for at least 2 hours and then completely inverted three times or placed in warm water at body temperature for 5 minutes and then completely inverted three times.

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  • After Sale Service

       Darmangaz company is ready for servicing to medical centers in thorough the country by 30 active agency and handing over the "MIXING OF MEDICAL GASES (50%N2O+50%O2)", "N2O" in short period of time, while to comfort the respective buyers; preparing the cylinder and relevant equipments and past selling services will be done by the agencies.




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