Nitrous Oxide Oxygen Inhalation Training By World Authority
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).
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)
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
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.