What percentage of surgical fires involve the patient’s airway?
A recent review found the ETT was the fuel source in 49% of fires in the operating room during surgery on the airway.
70 percent of surgical fires are ignited by electrocautery devices.
How common are operating room fires?
Surgical fires are fires that occur in, on, or around a patient undergoing a medical or surgical procedure. Surgical fires are rare but serious events. The ECRI Institute estimates that approximately 550 to 600 surgical fires occur each year.
What is the most common source of fire in an operating room?
The electrocautery (Bovie) is the most common ignition source of OR fires, and other sources include lasers, fiber optic light cables, argon beam coagulators, heated probes, drills and burrs, and defibrillator paddles or pads.
What percentage of fires are caused by electrocautery?
A recent survey of otolaryngologists reported that the electrocautery was the most common ignition source in OR fires (59% of fires) and the most common fuel was the endotracheal tube (31%).
How many patient deaths are attributed to operating room fires each year?
While exact numbers are not available, of the more than 23 million inpatient surgeries and 27 million outpatient surgeries, performed each year, estimates—based on data from the Food and Drug Administration (FDA) and ECRI, an independent nonprofit health services research agency—indicate that there are approximately …
Are all surgical fires preventable?
Virtually all surgical fires are preventable. … These recommendations include the implementation of a surgical fire prevention and management program involving all members of the surgical team. This should also include a fire risk time-out for all cases involving electrocautery, electrosurgery, or lasers.
Is there extra oxygen in operating rooms?
Surgical areas are oxygen-enriched environments and especially susceptible to fires due to the use of supplemental oxygen and nitrous oxide. In this environment, materials that do not ordinarily burn in air may ignite, and those that do burn in air will burn hotter and faster.
How does a heart catch on fire during surgery?
A patient had a fire in his chest cavity during dissection of the left internal mammary artery before coronary artery bypass graft. The electrosurgical unit indirectly ignited gauze, resulting in a fire. It was determined that oxygen was being entrained into the surgical field through open pulmonary blebs.
What are common sources of heat in the operating room?
The most common heat sources in the OR are electrosurgical equipment, such as electrosurgical units (ESUs) or electrocautery units, fiber-optic light sources and cables, and lasers. Lasers, ESUs, and high-speed drills can create incandescent sparks that can jump off the tissue target and ignite specific fuels.