Flammability of topical preparations and surgical dressings in cutaneous and laser surgery: A controlled simulation study

Arefiev, Katharine; Warycha, Melanie; Whiting, Dennis; Alam, Murad

doi:10.1016/j.jaad.2012.04.026

Cited by 20 publications

(18 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Unfortunately, also most commercial chlorhexidine solutions contain alcohol, and their flammability is in direct proportion to their alcohol concentration [24]. Although some case reports identifying alcohol-based skin preparations as a fuel source in surgical fires have been published in human medical literature [41-43], a recent study was unable to demonstrate flammability of isopropyl alcohol exposed to electrofulguration in experimental settings [44]. Conversely, when materials in the study were poured with chlorhexidine gluconate under saturated and damp conditions produced a spark and associated mild to moderate char [44].…”

Section: Discussionmentioning

confidence: 99%

“…Although some case reports identifying alcohol-based skin preparations as a fuel source in surgical fires have been published in human medical literature [41-43], a recent study was unable to demonstrate flammability of isopropyl alcohol exposed to electrofulguration in experimental settings [44]. Conversely, when materials in the study were poured with chlorhexidine gluconate under saturated and damp conditions produced a spark and associated mild to moderate char [44]. Only water-based prep solutions such as betadine contain no alcohol and, therefore, can be considered truly nonflammable [24].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Fire ignition during laser surgery in pet rodents

Collarile¹,

Girolamo²,

Nardini³

et al. 2012

BMC Vet Res

View full text Add to dashboard Cite

BackgroundLaser surgery is an attractive alternative to other means of section device in terms of tissue inflammation and interaction, which has been extensively used in human and veterinary medicine. Although accidental ignition during laser surgeries is sporadically reported in human medical literature, to the authors’ knowledge this is the first report regarding laser-dependent fire ignition during surgery in veterinary medicine.Case presentationTwo rodents, a 13-month old, 27-gram, male pet mouse (Mus musculus) and a 1-year old, female Russian hamster (Phodopus sungorus), underwent surgical removal of masses with diode laser. During the surgical procedures fires ignited from the face masks. The mouse presented severe burns on the head and both forelimbs, it was hospitalized and approximately 2 months after surgery burns were resolved. The hamster presented severe burns on the face and the proximal regions of the body. At 72 hours from the accident the hamster was euthanized.ConclusionThe present report suggests that fire ignition is a potential life-threatening complication of laser surgery in non-intubated rodents maintained under volatile anesthesia. High oxygen concentrations, the presence of combustible, and the narrowness of the surgical field with the face mask during laser surgery on rodents are risk factors for fire ignition.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Fire ignition during laser surgery in pet rodents

Collarile¹,

Girolamo²,

Nardini³

et al. 2012

BMC Vet Res

View full text Add to dashboard Cite

show abstract

“…Gauze, drapes, and towels are potential fuel sources. There are concerns that alcohol-impregnated pads may also increase fire risk; however, Arefiev et al failed to show flammability of isopropyl alcohol in electrofulguration or electrodessication [54].…”

Section: Electrosurgerymentioning

confidence: 99%

“…Drapes, towels, and gauze can potentially catch on fire. A study by Arefiev et al evaluated the flammability of topical preparations and surgical drapes commonly found in the setting of laser surgery [54]. Flames were induced upon exposure of dry underpad drapes and gauze to a carbon dioxide laser [54].…”

Section: Laser Surgerymentioning

confidence: 99%

“…A study by Arefiev et al evaluated the flammability of topical preparations and surgical drapes commonly found in the setting of laser surgery [54]. Flames were induced upon exposure of dry underpad drapes and gauze to a carbon dioxide laser [54]. All combustible material within the vicinity of the laser should be kept moist with water, saline, or a water-based lubricant [59,65].…”

Section: Laser Surgerymentioning

confidence: 99%

See 1 more Smart Citation

Error Avoidance in Dermatologic Surgery

Decker

Lawrence

2015

Curr Derm Rep

View full text Add to dashboard Cite

Surgical errors pose a significant source of morbidity, mortality, and expense within the health care system. While rates of errors within dermatologic surgery are low, there are certain areas of dermatologic surgery that are more prone to errors than others. These include site identification, specimen labeling, triage, lidocaine toxicity, needle sticks, electrosurgery, and laser surgery. Within these areas, continued research is being done to identify the source of the errors and establish protocols to minimize the risk.

show abstract

Laser Safety: Standards and Guidelines

Pritzker

Rohrer

2014

Handbook of Lasers in Dermatology

View full text Add to dashboard Cite

Flammability of topical preparations and surgical dressings in cutaneous and laser surgery: A controlled simulation study

Cited by 20 publications

References 7 publications

Fire ignition during laser surgery in pet rodents

Fire ignition during laser surgery in pet rodents

Error Avoidance in Dermatologic Surgery

Laser Safety: Standards and Guidelines

Contact Info

Product

Resources

About