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Fire in the surgical center.

Carlos Eduardo David de Almeida¹, Erick Freitas Curi, Renato Brezinscki

¹Anesthesiology Service, Hospital Universitário Cassiano Antônio Moraes, Universidade Federal do Espírito Santo, Vitória, ES, Brazil. cedalmeida@terra.com.br

Revista Brasileira De Anestesiologia

|June 5, 2012

Summary

Operating room fires are rare but serious. This case highlights how supplemental oxygen, even via nasal catheter, can increase fire risk during procedures like blepharoplasty, emphasizing the need for vigilance.

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Area of Science:

Medical Safety
Surgical Fire Prevention

Background:

Operating rooms present a high fire risk due to oxygen enrichment, combustible materials, and ignition sources.
Surgical fires, though infrequent, can lead to severe and preventable patient harm.

Observation:

A 52-year-old female patient undergoing blepharoplasty received supplemental oxygen via nasal catheter.
An electric scalpel ignited surgical drapes, causing facial burns during the procedure.

Findings:

The combination of supplemental oxygen and an ignition source (electric scalpel) led to a surgical fire.
The fire originated in the surgical drapes, indicating rapid flame spread in an oxygen-rich environment.

Implications:

Anesthesiologists must be vigilant about potential ignition sources and judicious in oxygen administration, especially in open systems.
Awareness and proactive fire prevention strategies are crucial for patient safety in surgical settings.