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Updated: Jul 3, 2026

Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow
Published on: January 13, 2017
[Fire and explosion hazard during oxygen use in operating rooms]
C J Kalkman1, C Romijn, A T van Rheineck Leyssius
1Universitair Medisch Centrum Utrecht, Kenniscentrum Patiëntveiligheid, Utrecht. c.j.kalkman@umcutrecht.nl
Surgical fires, often caused by oxygen leaks, pose a severe risk in operating rooms. Preventing these fires requires controlling the combination of oxygen, flammable materials, and ignition sources.
Area of Science:
- Medical Safety
- Surgical Fire Prevention
Context:
- Operating room fires pose a significant threat to patient safety, with documented cases in the Netherlands in 2006 and 2007 resulting in fatalities.
- These incidents highlight the critical need for enhanced safety protocols in surgical environments.
Purpose:
- To analyze the contributing factors of operating room fires.
- To emphasize the importance of managing the three key elements: fuel, oxygen, and ignition sources.
Summary:
- Operating room fires are frequently linked to an oxygen-enriched atmosphere, flammable materials, and ignition sources like electrocautery devices.
- A combination of these elements can lead to severe patient injuries, including burns and inhalation trauma, and in rare cases, death.
Impact:
- Highlights the critical role of a multi-faceted approach to prevent surgical fires.
- Underscores the necessity of removing one or more of the three primary risk factors to ensure patient and staff safety during surgical procedures.
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