Electric Scalpel Induced Combustion of the Endotracheal Tube During Tracheostomy - Case Report
American Journal of Thoracic and Cardiovascular Surgery
Volume 2, Issue 4, August 2017, Pages: 49-52
Received: Apr. 4, 2017; Accepted: May 19, 2017; Published: Jul. 17, 2017
Views 1355      Downloads 110
Authors
Bruno Vítor Martins Santiago, Department of Anesthesiology, Medical Sciences College at Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
Amanda Cavalcante Pineschi, Department of Anesthesiology, Medical Sciences College at Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
Ivan Pallacios, Department of Anesthesiology, Medical Sciences College at Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
Adriana Aleixo, Department of Anesthesiology, Medical Sciences College at Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
Ivani Corrêa Mesquita, Department of Anesthesiology, Medical Sciences College at Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
Carlos Darcy Alves Bersot, Department of Anesthesiology, Medical Sciences College at Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
Article Tools
Follow on us
Abstract
The electric scalpel operates on high values of electric current and tension, which leads to spark formation, exposing the staff to risks. Combustion depends on three elements: fuel, oxidant and ignition. The fuel is represented by the endotracheal tube (ET), composed by a material named polyvinyl chloride (PVC). The oxidant is represented by the oxygen. The ignition occurs when the electric scalpel, laser or diathermic loop are activated. The anesthesiologist plays a crucial role in the prevention and management of crises in the operating room.
Keywords
Combustion, Tracheostomy, Electric Scalpel, Anesthesia
To cite this article
Bruno Vítor Martins Santiago, Amanda Cavalcante Pineschi, Ivan Pallacios, Adriana Aleixo, Ivani Corrêa Mesquita, Carlos Darcy Alves Bersot, Electric Scalpel Induced Combustion of the Endotracheal Tube During Tracheostomy - Case Report, American Journal of Thoracic and Cardiovascular Surgery. Vol. 2, No. 4, 2017, pp. 49-52. doi: 10.11648/j.ajtcs.20170204.11
Copyright
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
Mahajan R, Gupta R, Sharma A: Preventing airway fires during tracheostomy. Acta Anaesthesiol Scand 2007; 51: 1406.
[2]
Navaid Akhtar, Farrukh Ansar, Mirza Shahzad Baig et al. Airway fires during surgery: Management and prevention. J Anaesthesiol Clin Pharmacol. 2016 Jan-Mar; 32(1): 109–111.
[3]
Eichhorn JH. Review article: Practical current issues in perioperative patient safety. Can J Anaesth. 2013; 60: 111–8.
[4]
Shin YD, Lim SW, Bae JH, Yim KH, Sim JH, Kwon EJ. Wire-reinforced endotracheal tube fire during tracheostomy - A case report. Korean J Anesthesiol. 2012; 63: 157–60.
[5]
Smith LP, Roy S. Incêndios em sala de cirurgia em otorrinolaringologia: Fatores de risco e prevenção. Am J Otolaryngol. 2011; 32: 109-14.
[6]
I. S. M. P EI. Airway fires during surgery. In: Authority PPS, editor. PA-PSRS PatientSafety Advisory. 2007 [vol 4].
[7]
Thompson JW, Colin W, Snowden T, et al. Fire in the operating room duringtracheostomy. South Med J 1998; 91: 243–7.
[8]
Tykocinski M, Thomson P, Hooper R. Airway fire during tracheotomy. ANZ JSurg 2006; 76: 195–7.
[9]
Lim HJ, Miller GM, Rainbird A: Airway fire during elective tracheostomy. Anaesth Intensive Care 1997; 25: 150–2.
[10]
Bailey MK, Bromley HR, Allison JG, et al. Electrocautery-induced airway fireduring tracheostomy. Anesth Analg 1990; 71: 702–4.
[11]
Lin IH, Hwang CF, Kao YF, et al. Tracheostomal fire during an elective tra-cheostomy. Chang Gung Med J 2005; 28: 186–90.
[12]
Prasad R, Quezado Z, Andre AS et al. - Fires in the operating room and intensive care unit: Awareness is the key to prevention. Anesth Analg, 2006; 102: 172-174.
[13]
Briscoe CE, Hill DW, Payne JP - Inflammable antiseptics and theatre fires. Br J Surg, 1976; 63: 981-983.
[14]
Batra S, Gupta R - Alcohol based surgical prep solution and the risk of fire in the operating room: a case report. Patient Saf Surg, 2008; 2: 10.
[15]
Barker SJ, Polson JS - Fire in the operating room: a case report and laboratory study. Anesth Analg, 2001; 93: 960-965.
[16]
Morell RC - Why should I learn about fire extinguishers? APSF Newsletter, 2011; 25: 59-60.
[17]
P. Gorphe, B. Sarfati, F. Janot et al. Airway fire during tracheostomy. European Annals of Otorhinolaryngology, Head and Neck diseases 131 (2014) 197–199.
[18]
Almeida, C. E. D, Curi, E, Renato B et al. Fire in the Surgical Center. Rev Bras Anestesiol. 2012; 62: 3: 432-438.
[19]
Apfelbaum JL, Caplan RA, Barker SJ, Connis RT, Cowles C, Ehrenwerth J, et ai. Prática de consultoria para a prevenção e gestão de incêndios de salas de cirurgia: Um relatório atualizado pela Sociedade Americana de Anestesiologistas Task Force sobre Fogos Sala de Operações. Anestesiologia. 2013; 118: 271-90.
[20]
DeMaria S, Jr, Schwartz AD, Narine V, Yang S, Levine AI. Fire intraoperative management of the airway. Simul Healthc. 2011; 6: 360-3.
[21]
Ho AM, Wan S, Karmakar MK. Flooding with carbon dioxide prevents airway fire induced by diathermy during open tracheostomy. J Trauma. 2007; 63: 228-31.
ADDRESS
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
U.S.A.
Tel: (001)347-983-5186