Nitrous Oxide Oxygen Inhalation Training

Nitrous Oxide Oxygen Inhalation Training By World Authority

Inhalation Training

Inhalation Training

Theoretical & Practical Course on Nitrous Oxide/Oxygen (PAN) Sedation – Inhalation Training

Module 1: Theoretical training and related considerations – this is presented through the

medium of a MICROSOFT POWERPOINT presentation consisting of 255 Slides. Each slide

contains a commentary from Professor Gillman (Each trainee must pay separately for the

presentation). They can obtain either a hard copy or an electronic downloadable version of

the slides and commentary. The electronic version can be obtained by writing directly to

Professor Gillman for instructions of how to download and the necessary username and

password. The password, username and instructions will be sent once the fee and payment

proof have been received by Professor Gillman (For costs of the presentation and practical

training: Write to Professor MA Gillman: see below).

Section A

Introduction – Conscious Sedation Training


History of nitrous oxide

Clinical Uses of Nitrous Oxide/Oxygen (PAN) Sedation – an Overview

Anxiety and Pain as Concepts

The Endogenous Opioid System and its physiological relationship to pain and anxiety

The interaction of nitrous oxide with the Endogenous Opioid System and Pain and Anxiety


Methods of managing Pain & Anxiety with Nitrous Oxide/Oxygen (PAN) Sedation

Nitrous Oxide/Oxygen (PAN) Sedation and the major difference between it and General


Chemical and Physical Properties of nitrous oxide and oxygen and its relation to Nitrous

Oxide/Oxygen (PAN) Conscious Sedation

Respiratory Anatomy and Physiology as regards Nitrous Oxide/Oxygen Sedation

Pharmacological Properties of Nitrous Oxide and Oxygen and conscious Sedation

Theoretical Aspects of the Practical Application of Nitrous Oxide/Oxygen (PAN) Sedation

A. Assessment of Patients

B. Titration – an essential technique for correctly applying nitrous oxide/oxygen (PAN)


C. Patient Monitoring

D. Involvement of the Patient during PAN sedation

E. Endpoint/Comfort Zone (Ethics of using correct individualisd concentrations)

F. Completing and Correctly Terminating Administration

G. Recovery of patients

H. Importance of using Customised Equipment and its relationship to Safety, Pollution

Control & other essential Ethical matters related to using nitrous oxide/oxygen (PAN)

conscious sedation.

Section B – Conscious Sedation Training – Inhalation Training

The Ethical features and considerations for Nitrous Oxide/Oxygen Sedation (Inhalation Training)

a. Ethical responsibilities.

b. Ethically judicious practice guidelines

c. Ethical guidelines of practise building and being profitable.

Module 1 (Sections A and B – Theoretical Training) will be assessed by 30 questions for

which a 75% pass rate must be achieved to qualify for 8 CPD points by home study and for

theoretical competence.

Completion of Module 1 does not qualify candidates to administer PAN sedation to their

patients. It merely provides a good theoretical background on which further essential

practical training is based. Only once both Module 1 (knowledge of Theoretical Presentation)

plus Module 2 (practical training under Professor Gillman’s supervision) have been

completed can Professor Gillman issue a Competency Certificate to enable qualified

candidates to confidently administer PAN to patients.

Module 2. Practical Training

Begins with a 30-60 minute revision lecture which stresses the important practical, ethical

and theoretical aspects – Nitrous Oxide Oxygen Inhalation Training.

Professor Gillman will supervise each candidate in both administering and receiving nitrous

oxide/oxygen conscious sedation. The practical session lasts from 2-4 hours, depending on

the number of candidates. Practical sessions can be administered anywhere in the world (Via Skype)

provided there is video coverage of the relative analgesia machinery.


During the practical demonstration all aspects of safety, including

ethically correct technique of administration will be stressed. This part is followed by:

Conclusion – (Nitrous Oxide Oxygen Inhalation Training)

Question Time – ( Nitrous Oxide Oxygen Inhalation Training )

Outcome ( Nitrous Oxide Oxygen Inhalation Training)

Successfully completion of both Modules (i.e. Theoretical and Practical Training), which

includes a 75% pass on the theoretical test (30 question MCQ) will qualify the candidate for

the total of 10 CPD points (including 2 Ethical) – Inhalation Training .

Usually, the practical training is completed in Johannesburg for 1 to 5 five candidates.

Professor Gillman is happy to conduct the practical module for suitable higher numbers of

candidates at any main South African centre or anywhere in the world provided there are

regular air flights to and from that centre and Johannesburg. In addition Practical sessions can

be performed anywhere in the world (Via Skype) provided there is video coverage of the

relative analgesia machinery.

Biographical Sketch: Prof Mark A Gillman

Prof Mark Gillman is an internationally celebrated scholar, teacher, neuroscientist and lecturer

who is an expert on conscious sedation with nitrous oxide/oxygen (PAN) sedation. He has

lectured over 250 times to lay and scientific audiences both locally and internationally. He has

over 300 publications in scientific and medical journals, inclusive of 5 full-length books, and a

best-selling didactic presentation in CD format (or Electronic direct downloads format) dealing

with the theoretical aspects and technique of conscious sedation with nitrous oxide/oxygen. His

senior academic appointments include those at Witwatersrand University, Medunsa, Albert

Einstein University Medical School (New York), Panum Institute [Copenhagen, Denmark) etc.

His pre-eminence as a scientific authority, is highlighted by the fact that his scientific opinion

has been canvassed during numerous interviews for local and overseas print and electronic

media in Europe and America, including the BBC. Gillman has held editorial advisory

appointments to numerous prestigious medical and scientific journals including Lancet, BMJ,

International Journal of Neuroscience, Biological Psychiatry etc. Between 1982 and 2013 he

was CEO of the S.A. Brain Research Institute (SABRI). Under his leadership, SABRI

researchers used conscious sedation with nitrous oxide/oxygen (PAN) to uncover the new

principle of biology viz., Gaseous neurotransmission. He and colleagues also discovered the

endorphin links to human sexual response and pathological states including anorexia nervosa,

spasmodic torticollis and Tourette syndrome. Gillman and colleagues also invented a novel

treatment for substance abuse with nitrous oxide/oxygen (PAN) sedation recognised by SADA,

SAMA & HPCSA and which has been used successfully in South Africa, Scandinavia,

Germany and USA.