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Rosenberg AD, Young M, Berstein RL, Albert DB. Tongue Rings: Just say NO. Anesthesiology 1998;89:1279. 2. Oyos TL. Intubation sequence for patient presenting with tongue ring. Anesthesiology 1998;88;279. 3. Mandabach MG, McCann DA, Thompson GE. Body art: Another concern for the anesthesiologist. Anesthesiology 1998;88:279–280. 4. Rappaport W, Thompson S, Wong R, Leong S, Villar H. Complications associated with needle localization biopsy of the breast. Surg Gynecol Obstet 1991;171:303–306. 5. Brock-Utne JG, Downing JW.

Anesth Analg 2002;102:644. 2. Riley RH, Coombs LJ. X-ray machine assaults anaesthetist. Med J Australia 2006; 182:368. 3. Riley RH. Anchoring an anaesthetist. Med J Australia 2002;177:687–688. 53 18 18 Impossibilité de retirer une sonde nasogastrique Un petit garçon âgé de quatre semaines doit bénéficier d’une pyloromyotomie. Avant l’anesthésie sa sonde nasogastrique (SNG) est retirée. L’induction et le maintien de l’anesthésie ne posent aucun problème. Une nouvelle SNG est facilement mise en place pendant l’intervention (sonde de nutrition Argyle™, taille Ch 8, diamètre externe 2,7 mm × 107 cm, Sherwood Medical, Saint-Louis, Missouri, États-Unis), dont la bonne position est vérifiée par insufflation d’air et légère dilatation de l’estomac.

Discussion Nous avons déjà rapporté quatre cas de fuites en cours d’utilisation sur des évaporateurs de type Dräger Vapor™ 2000 [1], dont nous pensons qu’ils sont dus à des dommages occasionnés lors du remplissage. Lors du remplissage de ces cuves, le levier ne doit pas être poussé jusqu’à l’avant de l’évaporateur, mais seulement jusqu’à l’obtention d’une légère résistance. Fermer le levier à fond endommage l’embout de remplissage et est à l’origine de fuites. La méthode du « reniflage » a permis de détecter les fuites de chacun des évaporateurs cités ci-dessus.

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