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2000
DOI: 10.1097/00000539-200007000-00045
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Nitrogen Purging of Oxygen Pipelines: An Unusual Cause of Intraoperative Hypoxia

Abstract: Intraoperative hypoxia occurred in two patients during the maintenance of the medical gas system. Engineers were purging oxygen pipelines with nitrogen to remove particulate debris but were unaware of a connection to operating room pipelines. This case illustrates the importance of communication between anesthesia providers and engineers servicing the gas system.

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Cited by 3 publications
(2 citation statements)
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“…Cross over of gas pipelines,[23] filling of cylinders with wrong gases,[17] wrong connectors,[24] incorrect tanks from the central manifolds,[25] accidents during installation or routine maintenance of pipelines,[26] may all compromise patient safety.…”
Section: Intermediate Pressure Systemmentioning
confidence: 99%
“…Cross over of gas pipelines,[23] filling of cylinders with wrong gases,[17] wrong connectors,[24] incorrect tanks from the central manifolds,[25] accidents during installation or routine maintenance of pipelines,[26] may all compromise patient safety.…”
Section: Intermediate Pressure Systemmentioning
confidence: 99%
“…1 The quality standards and the safety features in the modern anesthesia workstations further reduce any error in delivering anesthetic gases to the patient. [3][4][5][6] We report influx of water into the flowmeter assembly of an anesthesia work station (GE Datex Ohmeda Aestiva/5; GE Healthcare, Madison, WI) during the administration of general anesthesia. [3][4][5][6] We report influx of water into the flowmeter assembly of an anesthesia work station (GE Datex Ohmeda Aestiva/5; GE Healthcare, Madison, WI) during the administration of general anesthesia.…”
mentioning
confidence: 99%