Operating room fires in periocular surgery

International Ophthalmology
Michael A ConnorJohn W Shore

Abstract

A survey of ophthalmic plastic and reconstructive surgeons as well as seven-year data regarding claims made to the Ophthalmic Mutual Insurance Company (OMIC) is used to discuss operating room fires in periocular surgery. A retrospective review of all closed claim operating room fires submitted to OMIC was performed. A survey soliciting personal experiences with operating room fires was distributed to all American Society of Oculoplastic and Reconstructive Surgeons. Over the last 2 decades, OMIC managed 7 lawsuits resulting from an operating room fire during periocular surgery. The mean settlement per lawsuit was $145,285 (range $10,000-474,994). All six patients suffered burns to the face, and three required admission to a burn unit. One hundred and sixty-eight surgeons participated in the online survey. Approximately 44% of survey respondents have experienced at least one operating room fire. Supplemental oxygen was administered in 88% of these cases. Most surgical fires reported occurred in a hospital-based operating room (59%) under monitored anesthesia care (79%). Monopolar cautery (41%) and thermal, high-temperature cautery (41%) were most commonly reported as the inciting agents. Almost half of the patients involved in a ...Continue Reading

References

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Citations

Sep 21, 2018·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Janet Y Li, Jeremy T Kampp
Sep 17, 2019·Journal of Perioperative Practice·Daniel Rodger
Jul 10, 2019·Journal of Burn Care & Research : Official Publication of the American Burn Association·Lisa A CalderJoel S Fish
Jan 6, 2021·Surgical Endoscopy·Soham RoyLee P Smith

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