This study compared the sensitivity of various measures of attention t
o the effects of CNS depression, using a randomised single-blind two-p
eriod cross-over study. Nineteen healthy volunteers, 10 males and nine
females, aged 20-49 took part in a single session in which they inhal
ed 15% nitrous oxide in oxygen or 100% oxygen (placebo) through a face
-mask for 45 min, followed by a 10-min interval after which they recei
ved the other treatment in counterbalanced order. They performed a bat
tery of five attention tasks and completed visual analogue scales star
ting 10 min after the beginning of each inhalation period. The most se
nsitive measures of the effects of this dose of nitrous oxide were let
ter cancellation, which had three target letters to cancel, and an aud
itory attention task with different stimuli to the two ears. Measures
of concentrated attention without distracters (continuous attention ta
sk and continuous performance task) were less sensitive, though clear
effects were seen at these doses. Tests of differing complexities may
involve distinct functions which could be differentially affected by d
ifferent classes of drug. Thus both simple and more complex tasks shou
ld be represented in studies assessing attentional function in detail.