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Inert gas asphyxiation
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Inert gas asphyxiation
Inert gas asphyxiation is a form of asphyxiation which results from breathing a physiologically inert gas in the absence of oxygen, or a low amount of oxygen (hypoxia), rather than atmospheric air (which is composed largely of nitrogen and oxygen). Examples of physiologically inert gases, which have caused accidental or deliberate death by this mechanism, are argon, xenon, helium and nitrogen. The term "physiologically inert" is used to indicate a gas which has no toxic or anesthetic properties and does not act upon the heart or hemoglobin. Instead, the gas acts as a simple diluent to reduce the oxygen concentration in inspired gas and blood to dangerously low levels, thereby eventually depriving cells in the body of oxygen.
According to the U.S. Chemical Safety and Hazard Investigation Board, in humans, "breathing an oxygen deficient atmosphere can have serious and immediate effects, including unconsciousness after only one or two breaths. The exposed person has no warning and cannot sense that the oxygen level is too low." In the US, at least 80 people died from accidental nitrogen asphyxiation between 1992 and 2002. Hazards with inert gases and the risks of asphyxiation are well-established.
An occasional cause of accidental death in humans, inert gas asphyxia has been used as a suicide method. Inert gas asphyxia has been advocated by proponents of euthanasia, using a gas-retaining plastic hood device colloquially referred to as a suicide bag.
Nitrogen asphyxiation has been approved in some places as a method of capital punishment. In the world's first instance of its use, on January 25, 2024, Alabama executed convicted murderer Kenneth Eugene Smith via this method. It has since been used seven more times, six times in Alabama and once in Louisiana, which first used it on March 18, 2025.
Alternatively, the term hypoxia has been used but this usage is flawed given that hypoxia does not necessarily imply death. On the other hand, asphyxiation is technically incorrect given respiration continues and the carbon dioxide metabolically produced from the oxygen inhaled prior to inert gas asphyxiation can be exhaled without restriction, which can prevent acidosis and the strong urge to breathe caused by hypercapnia.
When humans breathe in an asphyxiant gas or any other physiologically inert gas, they exhale carbon dioxide without re-supplying oxygen. Physiologically inert gases (those that have no toxic effect, but merely dilute oxygen) are generally free of odor and taste. Accordingly, the human subject detects little abnormal sensation as the oxygen level falls. This leads to asphyxiation (death from lack of oxygen) without the painful and traumatic feeling of suffocation (the hypercapnic alarm response, which in humans arises mostly from carbon dioxide levels rising), or the side effects of poisoning. In scuba diving rebreather accidents, a slow decrease in oxygen breathing gas content can produce variable or no sensation. By contrast, suddenly breathing pure inert gas causes oxygen levels in the blood to fall precipitously, and may lead to unconsciousness in only a few breaths, with no symptoms at all.
Some animals are better equipped than humans to detect hypoxia, and these species are less comfortable in low-oxygen environments that result from inert gas exposure, though more averse to CO2 exposure.
A typical human breathes between 12 and 20 times per minute at a rate influenced primarily by carbon dioxide concentration, and thus pH, in the blood. With each breath, a volume of about 0.6 litres is exchanged from an active lung volume of about three litres. The normal composition of the Earth's atmosphere is about 78% nitrogen, 21% oxygen, and 1% argon, carbon dioxide, and other gases. After just two or three breaths of nitrogen, the oxygen concentration in the lungs would be low enough for some oxygen already in the bloodstream to exchange back to the lungs and be eliminated by exhalation.
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Inert gas asphyxiation
Inert gas asphyxiation is a form of asphyxiation which results from breathing a physiologically inert gas in the absence of oxygen, or a low amount of oxygen (hypoxia), rather than atmospheric air (which is composed largely of nitrogen and oxygen). Examples of physiologically inert gases, which have caused accidental or deliberate death by this mechanism, are argon, xenon, helium and nitrogen. The term "physiologically inert" is used to indicate a gas which has no toxic or anesthetic properties and does not act upon the heart or hemoglobin. Instead, the gas acts as a simple diluent to reduce the oxygen concentration in inspired gas and blood to dangerously low levels, thereby eventually depriving cells in the body of oxygen.
According to the U.S. Chemical Safety and Hazard Investigation Board, in humans, "breathing an oxygen deficient atmosphere can have serious and immediate effects, including unconsciousness after only one or two breaths. The exposed person has no warning and cannot sense that the oxygen level is too low." In the US, at least 80 people died from accidental nitrogen asphyxiation between 1992 and 2002. Hazards with inert gases and the risks of asphyxiation are well-established.
An occasional cause of accidental death in humans, inert gas asphyxia has been used as a suicide method. Inert gas asphyxia has been advocated by proponents of euthanasia, using a gas-retaining plastic hood device colloquially referred to as a suicide bag.
Nitrogen asphyxiation has been approved in some places as a method of capital punishment. In the world's first instance of its use, on January 25, 2024, Alabama executed convicted murderer Kenneth Eugene Smith via this method. It has since been used seven more times, six times in Alabama and once in Louisiana, which first used it on March 18, 2025.
Alternatively, the term hypoxia has been used but this usage is flawed given that hypoxia does not necessarily imply death. On the other hand, asphyxiation is technically incorrect given respiration continues and the carbon dioxide metabolically produced from the oxygen inhaled prior to inert gas asphyxiation can be exhaled without restriction, which can prevent acidosis and the strong urge to breathe caused by hypercapnia.
When humans breathe in an asphyxiant gas or any other physiologically inert gas, they exhale carbon dioxide without re-supplying oxygen. Physiologically inert gases (those that have no toxic effect, but merely dilute oxygen) are generally free of odor and taste. Accordingly, the human subject detects little abnormal sensation as the oxygen level falls. This leads to asphyxiation (death from lack of oxygen) without the painful and traumatic feeling of suffocation (the hypercapnic alarm response, which in humans arises mostly from carbon dioxide levels rising), or the side effects of poisoning. In scuba diving rebreather accidents, a slow decrease in oxygen breathing gas content can produce variable or no sensation. By contrast, suddenly breathing pure inert gas causes oxygen levels in the blood to fall precipitously, and may lead to unconsciousness in only a few breaths, with no symptoms at all.
Some animals are better equipped than humans to detect hypoxia, and these species are less comfortable in low-oxygen environments that result from inert gas exposure, though more averse to CO2 exposure.
A typical human breathes between 12 and 20 times per minute at a rate influenced primarily by carbon dioxide concentration, and thus pH, in the blood. With each breath, a volume of about 0.6 litres is exchanged from an active lung volume of about three litres. The normal composition of the Earth's atmosphere is about 78% nitrogen, 21% oxygen, and 1% argon, carbon dioxide, and other gases. After just two or three breaths of nitrogen, the oxygen concentration in the lungs would be low enough for some oxygen already in the bloodstream to exchange back to the lungs and be eliminated by exhalation.