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Fire in the operating room: a case report and laboratory study.

S J Barker1, J S Polson

  • 1Department of Anesthesiology, The University of Arizona College of Medicine, Tucson, Arizona 85724-5114, USA. sjbarker@u.arizona.edu

Anesthesia and Analgesia
|September 28, 2001
PubMed
Summary

A surgical fire during cranial burr-hole placement injured a patient. Laboratory experiments identified specific risk factors and a unique chain of events leading to this operating room fire.

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Area of Science:

  • Medical Safety
  • Surgical Fire Prevention
  • Anesthesiology

Background:

  • Operating room fires pose a significant risk to patient safety during surgical procedures.
  • Understanding the specific circumstances and contributing factors is crucial for preventing future incidents.

Observation:

  • A patient sustained burns to the face, neck, and shoulders due to an operating room fire.
  • The fire initiated during a cranial burr-hole placement procedure under monitored anesthesia care.
  • This specific incident occurred at the University Medical Center in Tucson, AZ, in July 1998.

Findings:

  • Laboratory simulations accurately recreated the operating room fire, identifying a unique combination of risk factors.
  • The experimental findings highlight a specific sequence of events that precipitated the fire.

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  • While sharing some commonalities with other reported operating room fires, this case presents a unique etiology.

    • Implications:

    • The study successfully identified key contributing factors to a severe surgical fire incident.
    • Findings provide valuable insights for enhancing operating room safety protocols and preventing similar events.
    • This research contributes to the existing literature on surgical fires by detailing a unique case and its causative factors.