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Operating Room Fires
Teresa S Jones1, Ian H Black, Thomas N Robinson
1From the Departments of Surgery (T.S.J., T.N.R., E.L.J.) Anesthesiology (I.H.B.), the University of Colorado and the Denver Veterans Affairs Medical Center, Denver, Colorado.
Abstract:
Operating room fires are rare but devastating events. Guidelines are available for the prevention and management of surgical fires; however, these recommendations are based on expert opinion and case series. The three components of an operating room fire are present in virtually all surgical procedures: an oxidizer (oxygen, nitrous oxide), an ignition source (i.e., laser, "Bovie"), and a fuel. This review analyzes each fire ingredient to determine the optimal clinical strategy to reduce the risk of fire. Surgical checklists, team training, and the specific management of an operating room fire are also reviewed.
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