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Revista Mexicana de Anestesiología

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ISSN 0484-7903 (Print)
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2019, Number 2

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Rev Mex Anest 2019; 42 (2)

Fire in the operating room. A case report

Salim-Terreros A, López-Castruita VM, Bautista-Guzmán I
Full text How to cite this article

Language: Spanish
References: 7
Page: 129-132
PDF size: 150.91 Kb.


Key words:

Fire, adverse event, crisis management, risk management, patient safety, burns.

ABSTRACT

There are several reports in the literature of adverse events within the operating room, these may be of a different nature; one of them is the presence of fire in the operating room, which does not depart from our reality, since the use of supplemental oxygen promotes an environment rich in oxidant and when contacting other devices commonly used in surgery, can cause a fire. We report a case of fire in the operating room, in which elements that have been related, such as electrocautery, oxygen, hair, and surgical fields, were involved and that resulted in 2nd degree burns in 30% total body surface of the patient who underwent surgery. A literature review of the existing evidence was made, as well as a review of the ASA algorithm for the prevention and management of fire in the operating room, which is of relevance to the anesthesiologist and all professionals who make up the surgical team.


REFERENCES

  1. Hart SR, Yajnik A, Ashford J, Springer R, Harvey S. Operating room fire safety. Ochsner J. 2011;11:37-42.

  2. Miller RD, Eriksson LI, Fleisher LA. Miller anestesia. 8a ed. España: Elsevier Health Sciences; 2015.

  3. Apfelbaum J, Caplan RA, Barker S, Connis R, Cowles C, et al. Practice advisory for the prevention and management of operating room fires. Anesthesiology. 2013;118:271-290.

  4. Recommendations to Reduce Surgical Fires and Related Patient Injury: FDA safety communication. Disponible en: https://www.fda.gov/MedicalDevices/Safety/

  5. Mehta SP, Bhananker SM, Posner KL, Domino KB. Operating room fires: a closed claims analysis. Anesthesiology. 2013;118:1133-1139.

  6. Del Rosario E, Errando CL, García del Valle S. Fuego en el quirófano: mito o realidad?; y... qué podemos aprender? Rev Esp Anestesiol Reanim. 2010;57:133-135.

  7. Kaye AD, Kolinsky D, Urman RD. Management of a fire in the operating room. J Anesth. 2014;28:279-287.




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Rev Mex Anest. 2019;42