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Updated: Oct 15, 2026

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Nitrogen purging of oxygen pipelines: an unusual cause of intraoperative hypoxia
1Department of Anesthesiology, Auburn Regional Medical Center, Washington 98002-9906, USA. aelizaga@u.washington.edu
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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