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Related Experiment Videos

Fire in the operating room during tracheotomy: a case report.

Dona H Paugh1, Kathryn W White

  • 1Veterans Affairs Medical Center, Minneapolis, MN, USA.

AANA Journal
|April 20, 2005
PubMed
Summary

Electrosurgical units can ignite fires during procedures with high oxygen levels, causing patient burns. Prevention strategies and vigilance are crucial when using these devices in oxygen-enriched environments.

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AANA journalยท2015
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Area of Science:

  • Anesthesiology
  • Surgical Safety
  • Biomedical Engineering

Background:

  • Electrosurgical units (ESUs) are common in surgery.
  • High inspired oxygen concentrations increase fire risk.
  • Tracheotomy procedures often involve oxygen delivery.

Observation:

  • A patient sustained facial burns during a tracheotomy.
  • The fire was indirectly caused by an electrosurgical unit.
  • High oxygen concentration was delivered via a simple face mask during monitored anesthesia care.

Findings:

  • The electrosurgical unit initiated a fire due to the oxygen-rich atmosphere.
  • The fire occurred during monitored anesthesia care.
  • The patient suffered facial burns.

Implications:

  • Highlights the critical need for fire prevention strategies during ESU use in oxygen-enriched settings.
  • Emphasizes the importance of intraoperative vigilance by the surgical team.
  • Underscores the necessity of prompt intervention to minimize patient injury in such events.

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