Abstract
The noble gas helium has many applications owing to its distinct physical and chemical characteristics, namely: its low density, low solubility, and high thermal conductivity. Chiefly, the abundance of studies in medicine relating to helium are concentrated in its possibility of being used as an adjunct therapy in a number of respiratory ailments such as asthma exacerbation, COPD, ARDS, croup, and bronchiolitis. Helium gas, once believed to be biologically inert, has been recently shown to be beneficial in protecting the myocardium from ischemia by various mechanisms. Though neuroprotection of brain tissue has been documented, the mechanism by which it does so has yet to be made clear. Surgeons are exploring using helium instead of carbon dioxide to insufflate the abdomen of patients undergoing laparoscopic abdominal procedures due to its superiority in preventing respiratory acidosis in patients with comorbid conditions that cause carbon dioxide retention. Newly discovered applications in Pulmonary MRI radiology and imaging of organs in very fine detail using Helium Ion Microscopy has opened exciting new possibilities for the use of helium gas in technologically advanced fields of medicine.
Highlights
Helium is a very light, odorless, tasteless, and colorless noble gas with a strong safety profile and multiple applications
Helium is used for purposes that require some of its unique properties: its low density, low solubility, and high thermal conductivity. 7,000 tons, or 22%, of the total helium used involves the cooling of superconducting magnets in medical magnetic resonance imaging (MRI) scanners
Pagel et al performed a left-anterior descending (LAD) coronary artery occlusion in rabbits and found that animals treated with a helium gas mixture had significantly reduced infarct size compared with control groups
Summary
Helium is a very light, odorless, tasteless, and colorless noble gas with a strong safety profile and multiple applications. Pagel et al performed a left-anterior descending (LAD) coronary artery occlusion in rabbits and found that animals treated with a helium gas mixture had significantly reduced infarct size compared with control groups. They found that the cardioprotection was due to the activation of pro-survival signaling kinases and the inhibition of mitochondrial permeability transition pore (mPTP) opening [31]. Cheng et al performed a meta-analysis of all the studies using other medical gases, nitrous oxide and helium, in creating the pneumoperitoneum required for performing abdominal laparoscopic surgery Their results concluded that there were fewer cardiopulmonary changes with helium than with carbon dioxide [51]. With the helium ion system, fine details such as membrane texture and membranous nanoprojections on glomerular podocytes were visualized
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