Intraabdominal Fire during Laparoscopic Cholecystectomy

Greilich, Philip E.; Greilich, Nancy B.; Froelich, Edward G.

doi:10.1097/00000542-199510000-00031

Cited by 25 publications

(2 citation statements)

References 12 publications

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“…There have been many reports of intra-abdominal combustion by use of incorrect gas due to the wrong identification of gas cylinder. [12] We report a case where oxygen insufflation for creating pneumoperitoneum was accidentally done due to wrong connection of insufflating system to oxygen gate on the pendant, despite the outlets having a colour coding, a gas name and a definite shape.…”

mentioning

confidence: 99%

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Wrong gas: Risk of intra-abdominal fire during laparoscopic surgery

2012

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mentioning

confidence: 99%

“…[3] The current surgical practice is to use 100% carbon dioxide, because it is not combustible and thus will not create an explosion even if the electrocautery generate a spark. [1] After proper gas connection, the surgery was carried out to the end, successfully without any disruption.…”

mentioning

confidence: 99%

Wrong gas: Risk of intra-abdominal fire during laparoscopic surgery

2012

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OR fire virtual training simulator: design and face validity

et al. 2016

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Background The Virtual Electrosurgical Skill Trainer (VEST) is a tool for training surgeons the safe operation of electrosurgery tools in both open and minimally invasive surgery. This training includes a dedicated team-training module that focuses on operating room (OR) fire prevention and response. The module was developed to allow trainees, practicing surgeons, anesthesiologist and nurses to interact with a virtual OR environment, which includes anesthesia apparatus, electrosurgical equipment, a virtual patient, and a fire extinguisher. Wearing a head mounted display, participants must correctly identify the ‘fire triangle’ elements and then successfully contain an OR fire. Within these virtual reality (VR) scenarios, trainees learn to react appropriately to the simulated emergency. A study targeted at establishing the face validity of the virtual OR fire simulator was undertaken at the 2015 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) conference. Methods Forty-nine subjects with varying experience participated in this Institutional Review Board approved study. The subjects were asked to complete the OR fire training/prevention sequence in the VEST simulator. Subjects were then asked to answer a subjective preference questionnaire consisting of sixteen questions, focused on the usefulness and fidelity of the simulator. Results On a 5-point scale, 12 of 13 questions were rated at a mean of 3 or greater (92%). Five questions were rated above 4 (38%), particularly those focusing on the simulator effectiveness and its usefulness in OR fire safety training. 33 of the 49 participants (67%) chose the virtual OR fire trainer over the traditional training methods such as a textbook or an animal model. Conclusions Training for OR fire emergencies in fully immersive VR environments, such as the VEST trainer, may be the ideal training modality. The face validity of the OR fire training module of the VEST simulator was successfully established on many aspects of the simulation.

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Electrical and Fire Safety

Ehrenwerth¹,

Seifert²

2013

Anesthesia Equipment

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Intraabdominal Fire during Laparoscopic Cholecystectomy

Cited by 25 publications

References 12 publications

Wrong gas: Risk of intra-abdominal fire during laparoscopic surgery

Wrong gas: Risk of intra-abdominal fire during laparoscopic surgery

OR fire virtual training simulator: design and face validity

Electrical and Fire Safety

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