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Intra-oral ignition of monopolar diathermy during transnasal humidified rapid-insufflation ventilatory exchange
D Onwochei1, K El-Boghdadly1, R Oakley1
1Department of Anaesthesia, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Anaesthesia
|March 22, 2017
Abstract:
We present the case of unanticipated airway ignition during hard palate biopsy. Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) and monopolar diathermy were utilised for the procedure, during which an arc arose from the diathermy tip to a titanium implant, causing a brief ignition on the monopolar diathermy grip. This case highlights the need for maintained awareness of fire risk when using diathermy in the presence of THRIVE during airway surgery.