Welcome back to the PFC Podcast with Dennis and Winston discussing the “Green Whistle”. Methoxofluorine, a volatile hydrocarbon similar to modern anesthetics, was used in general anesthesia until 2005 due to renal toxicity risks. However, it continued to be used in Australia, New Zealand, and recently in the UK for pre-hospital care and burns units.
In low doses, it acts as an analgesic, while higher doses have an anesthetic effect. The Green Whistle, containing methoxofluorine, is a mouthpiece with an activated carbon chamber to reduce contamination. It provides pain relief for severe pain lasting 30 to 60 minutes. Patient control and comfort are important during its use. Could this be an alternative to the fentanyl lollipop?