Airway Fire during Tracheostomy

Chee, Won K.; Benumof, Jonathan L.

doi:10.1097/00000542-199812000-00040

Cited by 38 publications

(3 citation statements)

References 19 publications

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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%

An overview of complications associated with open and percutaneous tracheostomy procedures

Cipriano

Mao

Hon

et al. 2015

Int J Crit Illn Inj Sci

107

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Tracheostomy, whether open or percutaneous, is a commonly performed procedure and is intended to provide long-term surgical airway for patients who are dependent on mechanical ventilatory support or require (for various reasons) an alternative airway conduit. Due to its invasive and physiologically critical nature, tracheostomy placement can be associated with significant morbidity and even mortality. This article provides a comprehensive overview of commonly encountered complications that may occur during and after the tracheal airway placement, including both short- and long-term postoperative morbidity.

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Section: Procedure-related Complicationsmentioning

confidence: 99%

An overview of complications associated with open and percutaneous tracheostomy procedures

Cipriano

Mao

Hon

et al. 2015

Int J Crit Illn Inj Sci

107

View full text Add to dashboard Cite

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“…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%

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

Shin

Lim

Bae

et al. 2012

Korean J Anesthesiol

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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.

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“…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%

Intrathoracic fire during preparation of the left internal thoracic artery for coronary artery bypass grafting

Friedrich

Tirilomis

Schmitto

et al. 2010

J Cardiothorac Surg

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A surgical fire is a serious complication not previously described in the literature with regard to the thoracic cavity. We report a case in which an intrathoracic fire developed following an air leak combined with high pressure oxygen ventilation in a patient with severe chronic obstructive pulmonary disease. The patient presented to our institution with diffuse coronary artery disease and angina pectoris. He was treated with coronary artery bypass graft surgery, including left internal thoracic artery harvesting. Additionally to this rare presentation of an intrathoracic fire, a brief review of surgical fires is included to this paper.

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Airway Fire during Tracheostomy

Cited by 38 publications

References 19 publications

An overview of complications associated with open and percutaneous tracheostomy procedures

An overview of complications associated with open and percutaneous tracheostomy procedures

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

Intrathoracic fire during preparation of the left internal thoracic artery for coronary artery bypass grafting

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