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100% Nitrous Oxide in the Oxygen Line: How Could This Happen in a Modern Anesthesia Machine?

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The inadvertent crossover between O2 and N2O pipelines has become extremely rare in practice. We describe a case where it was possible to ventilate with 100% N2O instead of the intended 100% O2 on a modern anesthesia delivery system (Dräger Apollo; Drägerwer... ...