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Operating Room Fires in Oculoplastic Surgery.

Robi N Maamari1, Philip L Custer

  • 1Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, U.S.A.

Ophthalmic Plastic and Reconstructive Surgery
|March 7, 2017
PubMed
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This summary is machine-generated.

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Ophthalmic plastic surgeons report frequent operating room (OR) fires, often linked to oxygen delivery under drapes and specific surgical devices. While most fires cause minor injuries, vigilance is crucial to prevent severe harm.

Area of Science:

  • Ophthalmology
  • Surgical Safety
  • Biomedical Engineering

Background:

  • Operating room (OR) fires pose a risk in surgical settings.
  • Understanding the frequency and causes of these fires is essential for prevention.

Purpose of the Study:

  • To determine the incidence, causes, and risk factors of OR fires in ophthalmic plastic and reconstructive surgery.
  • To assess current practices related to OR fire safety.

Main Methods:

  • An online survey was distributed to members of the American Society of Ophthalmic Plastic and Reconstructive Surgery.
  • Data collected included personal experiences with surgical fires, views on fire safety, and current device usage.

Main Results:

  • 32.2% of 258 surgeons reported experiencing at least one OR fire.

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  • Fires commonly occurred during monitored sedation with nasal oxygen under drapes, using monopolar or battery devices.
  • Patient hair and skin were primary fuel sources; most injuries involved minor burns.

    • Conclusions:

    • OR fires are a notable concern for oculoplastic surgeons.
    • Supplemental oxygen delivery under drapes and use of specific electrosurgical devices increase fire risk.
    • Preventative measures are vital to mitigate the risk of severe patient injury from OR fires.