Airway fire injury during rigid bronchoscopy in a patient with a silicon stent -A case report-

Lee, Ji-Young; Park, Chan Beom; Cho, Eun‐Jeong; Kim, Chang Jae; Chea, Jun Seuk; Lee, Byung Ho; Kim, Jinook; Chung, Mee Young

doi:10.4097/kjae.2012.62.2.184

Cited by 13 publications

(13 citation statements)

References 14 publications

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“…Various medical devices can be implicated in this complication. Several reports in the medical literature described thermal injuries associated with anesthetic care [ 11 , 12 ]. Thermal injuries during minimally invasive surgeries have been reported in the settings of abdominal laparoscopic surgery and gastrointestinal endoscopy [ 9 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

Inadvertent thermal injury following knee arthroscopic surgery in a pediatric patient

Kwon

Kim

Yang

et al. 2018

Korean J Anesthesiol

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Inadvertent thermal injury can occur in pediatric patients under general anesthesia during knee arthroscopic surgery. Here, we report the case of a 10-year-old boy who underwent knee arthroscopic surgery under general anesthesia. After the surgery, he complained of pain in the left lower part of his chin and was diagnosed as having a thermal burn. At three-month follow-up, he recovered without any abnormalities except mild hypertrophy of the wound area. Although rare, arthroscopic surgery has the potential to cause thermal injury from the light source. We recommend that the light source should be connected to the arthroscope before switching the power on and disconnected after a considerable time of switching the power off when not in use.

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Section: Discussionmentioning

confidence: 99%

Inadvertent thermal injury following knee arthroscopic surgery in a pediatric patient

Kwon

Kim

Yang

et al. 2018

Korean J Anesthesiol

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“…Lee et al reported a case of airway fire involving a silicon stent used for dilatation of tracheal stenosis. 7 According to ECRI, an oxygen-enriched environment is a contributing factor in 74% of surgical fires. 4 Barker and Polson demonstrated that while a plastic face mask melts when exposed to an open flame, it will ignite into flames when as little as 3 l/min of oxygen is flowing through it.…”

Section: Discussionmentioning

confidence: 99%

Surgical fire caused by electrocautery in ambient air

Tan

Thong

2015

Proceedings of Singapore Healthcare

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Introduction: The fire triangle comprises the ignition source, fuel and oxidizer which is necessary for the initiation of fire. Most surgical fires occur in an oxygen-enriched environment. We report a case of surgical fire in ambient air where an alcohol-based antiseptic was involved. Case report: A 20-year-old male diagnosed with left pleural empyema and respiratory failure, requiring emergent intubation and respiratory support, was brought into the operating theatre for decortication of the left lung. Shortly after induction, the patient desaturated despite 100% oxygen and lung recruitment manoeuvres. The surgical team decided to insert a chest tube emergently to drain the empyema to improve respiratory function. A non-functioning drainage catheter that was in situ was removed and placed on the operating table beside the patient. Skin was prepared using chlorhexidine gluconate 0.5% w/v in methylated spirit solution and iodine. Soon after, cotton drapes were used to cover the patient. After the initial incision for chest tube insertion, electrocautery was introduced. Smoke and a smell of something burning was immediately noted by the surgical team. The drapes were removed and the drainage catheter with a burnt tip was discovered beside the patient. The patient suffered second degree burns to his chest wall. Conclusion: Although it is more common for surgical fires to occur in an oxygen-enriched environment, this case highlights that without adequate precautions they can also occur in ambient air. Recognition that standard anaesthetic and surgical equipment can act as sources of fuel and vigilance for the circumstances that complete the fire triangle are key to the prevention of surgical fires.

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“…An underestimated complication is ''airway fire'' related to laser procedures during advanced bronchoscopy. Analogous to some Ear-nose & throat (ENT) surgeries, such incidents have been reported in patients undergoing advanced pulmonary procedures [57]. Silicone stents used during some advanced procedures pose a particular risk as they supply fuel to the fire [58].…”

Section: Complicationsmentioning

confidence: 99%

Anesthesia for Advanced Bronchoscopic Procedures: State-of-the-Art Review

Goudra

Singh

Borle

et al. 2015

Lung

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The bronchoscopic procedures have seen a remarkable increase in both numbers and complexity. Although many anesthesia providers have kept pace with the challenge, the practice is varied and frequently suboptimal. Shared airway during bronchoscopy poses unique challenges. The available reviews have tried to address this lacuna; however, these have frequently dealt with the technical aspects of bronchoscopy than anesthetic challenges. The present review provides evidence-based management insights into anesthesia for bronchoscopy-both flexible and rigid. A systematic approach toward pre-procedural evaluation and risk stratification is presented. The possible anatomical and physiological factors that can influence the outcomes are discussed. Pharmacological principles guiding sedation levels and appropriate selection of sedatives form the crux of safe anesthetic management. The newer and safer drugs that can have potential role in anesthesia for bronchoscopy in the near future are discussed. Ventilatory strategies during bronchoscopy for prevention of hypoxia and hypercarbia are emphasized.

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Airway fire injury during rigid bronchoscopy in a patient with a silicon stent -A case report-

Cited by 13 publications

References 14 publications

Inadvertent thermal injury following knee arthroscopic surgery in a pediatric patient

Inadvertent thermal injury following knee arthroscopic surgery in a pediatric patient

Surgical fire caused by electrocautery in ambient air

Anesthesia for Advanced Bronchoscopic Procedures: State-of-the-Art Review

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