Endotracheal Tube Fire Ignited by Pharyngeal Electrocautery

Simpson, Joseph I.; Wolf, Gerald

doi:10.1097/00000542-198607000-00012

Cited by 38 publications

(15 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, even in specifically produced tubes for lasers, the balloon can be directly exposed to the laser or heat source. Most of the cases until now had fires initiating in the balloon or in the tip of the tube [2,3]. However, in the present case report, we are reporting an incidence of fire, which initiated in an area where the reinforced wire was wound around the end of the balloon.…”

mentioning

confidence: 50%

See 1 more Smart Citation

Wire-reinforced endotracheal tube fire during tracheostomy -A case report-

Shin

Lim

Bae

et al. 2012

Korean J Anesthesiol

View full text Add to dashboard Cite

Every operation could have a fire emergency, especially in the case of a tracheostomy. When a flammable gas meets a source of heat, the danger of fire is remarkable. A tracheal tube filled with a high concentration of oxygen is also a great risk factor for fire. Intra-tracheal tube fire is a rare, yet critical emergency with catastrophic consequences. Thus, numerous precautions are taken during a tracheostomy like, use of a special tube to prevent laser damage, ballooning of the tube with normal saline instead of air, and dilution of FiO2 with helium or nitrogen. Since the first recorded cases on tube fires, most of the fires were initiated in the balloon and the tip. In the present case report, however, we came across a fire incidence, which originated from the wire.

show abstract

mentioning

confidence: 50%

“…When flammable gas leaks and comes into contact with a heat source, the risk of fire becomes very large; and not only the gas itself, but also the entire tube and presence of high concentration of oxygen can further increase the risk of fire [2,3]. …”

mentioning

confidence: 99%

Wire-reinforced endotracheal tube fire during tracheostomy -A case report-

Shin

Lim

Bae

et al. 2012

Korean J Anesthesiol

View full text Add to dashboard Cite

show abstract

“…Another concern with our technique is avoiding a high inspiratory oxygen fraction, since we cannot completely exclude the possibility of igniting the BB with electrocautery when a massive leak of oxygenenriched air is present. 25 A leak could also cause work environment pollution when inhalational anesthetics are used. Off-label use of the BB for this purpose remains the responsibility of the clinician.…”

Section: Discussionmentioning

confidence: 99%

Elective use of an uncuffed small-bore cricothyrotomy tube with balloon occlusion of the subglottic airway

Suzuki

Ikeda

Iwamoto

et al. 2013

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

“…The majority of these 23 articles were published in Anesthesia journals with only three reports found in the otolaryngology literature [2,3,[14][15][16][17][18][19][20][21][22][23]. In contrast, another 11 articles pertained to events that occurred during oropharyngeal procedures whereby six were found in the otolaryngology literature [4][5][6][7][8][9]11,13,[24][25][26]. Table 1 summarizes the information from these reports.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Despite its success, electrical and thermal injuries do occur during electrosurgery and can result in devastating cosmetic, functional, or legal consequences. Commissure burns, mucosal injuries, aerodigestive fires, and endotracheal ignitions have been reported [2][3][4][5][6][7][8][9][10][11]. Recently we discovered a potential source of thermal injury to the velum, oral commissure and cheek from suction cautery units during routine adenoidectomy.…”

Section: Introductionmentioning

confidence: 99%