Inhalation sedation during the COVID-19 Outbreak: An expert opinion

Robert Yanko*, Valeri Klitinich, Yaron Haviv, David Gozal, Doron J. Aframian, Andra Ratman

*Corresponding author for this work

    Research output: Contribution to journalReview articlepeer-review

    3 Scopus citations


    Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), the pathogen that causes coronavirus disease-2019 (COVID-19), is thought to be transmitted via droplets and aerosols, and was detected in saliva of infected individuals. These droplets from the upper airway may infect the inhalation sedation mask and tubing. The authors determined the adequate measures needed to prevent the transmission of COVID-19 by nitrous-oxide (N20) system during inhalation sedation in dentistry and provided evidence on mask and tubing sterilization. Additional measures to protect patients and healthcare workers from COVID-19 that may be transmitted by the inhalation sedation system are discussed. The authors recommend minimal use of a N20 system during inhalation sedation in dentistry. In case of need, the practitioners should have more than one scavenger kit and nasal masks for each N20/02 mixer. Biologic barriers should be mounted between the scavenger's tubing and the central evacuation system. Strict cleansing and sterilization should be performed for all parts of the N20 system. The use a disposable scavenger system and nasal mask should be considered as a viable option.

    Original languageAmerican English
    Pages (from-to)533-535
    Number of pages3
    JournalIsrael Medical Association Journal
    Issue number10
    StatePublished - Oct 2020

    Bibliographical note

    Publisher Copyright:
    © 2020 Israel Medical Association. All rights reserved.


    • Coronavirus disease-19 (C0VID-19)
    • Dental treatment
    • Inhalation sedation
    • Nitric oxide


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