1998
DOI: 10.1097/00000542-199812000-00040
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Airway Fire during Tracheostomy 

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Cited by 38 publications
(3 citation statements)
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“…Although not specific to tracheostomy itself, there are several reports of airway fires caused by either laser or electrocautery during tracheostomy procedures. [ 38 39 40 41 ] Since prevention is the primary goal of eliminating the “never event” of fire in the operating theater;[ 42 ] the focus should be on the following steps to reduce the risk of this serious complication: (a) Reducing inspired oxygen concentration during all parts of the procedure that involve direct access to the airway; (b) eliminating the use of electrocautery during any work involving directly the trachea and/or the open airway; (c) removing any other potentially flammable materials from the surgical field during the critical parts of the operation; and (d) reducing the direct exposure of the surgical field to high oxygen concentrations by limiting the duration of the airway access and exchange parts of the operation.…”
Section: Procedure-related Complicationsmentioning
confidence: 99%
“…Although not specific to tracheostomy itself, there are several reports of airway fires caused by either laser or electrocautery during tracheostomy procedures. [ 38 39 40 41 ] Since prevention is the primary goal of eliminating the “never event” of fire in the operating theater;[ 42 ] the focus should be on the following steps to reduce the risk of this serious complication: (a) Reducing inspired oxygen concentration during all parts of the procedure that involve direct access to the airway; (b) eliminating the use of electrocautery during any work involving directly the trachea and/or the open airway; (c) removing any other potentially flammable materials from the surgical field during the critical parts of the operation; and (d) reducing the direct exposure of the surgical field to high oxygen concentrations by limiting the duration of the airway access and exchange parts of the operation.…”
Section: Procedure-related Complicationsmentioning
confidence: 99%
“…In the past, immediate extubation was recommended considering the chemical risks due to the evolution of toxic substances from the burnt tube and the damage to the trachea [10]. However, Chee and Benumof [11] argue that immediate extubation is not always the best option, considering that the damage from the fire is minimal in most of the cases of fire reported until now; most of the patients undergoing tracheostomies have difficulties in maintaining their airways due to edema, which is the leading cause of morbidity and the increase in the death rate in accidents involving anesthesia is hypoventilation and hypoxia. In our case, immediate extubation and intubation of the endotracheal tube were done, but in post-operative examinations, there were no problems with the trachea itself and there was no chemical damage.…”
Section: Discussionmentioning
confidence: 99%
“…Igniting agents include electrocautery or laser, which combine with either oxygen or nitrous oxide as the oxidizer. The fuel for the fire may be the surgical drapes, prepping agents, or even human tissue itself [2,4,5]. We present an interesting case of an intrathoracic fire in a patient undergoing LIMA harvesting during CABG surgery.…”
Section: Introductionmentioning
confidence: 99%