Risks and prevention of surgical fires : A systematic review

Der Anaesthesist
I KezzeG Schälte

Abstract

Surgically induced fire is a life-threatening hazard; this topic has received little attention, although only 3 factors, the so-called fire triad, are needed for surgical fires to occur: an oxidizer, fuel and an ignition source. This systematic review aims to determine the impact of each component and to delegate every staff member an area of responsibility, thus ensuring patient health through prevention or protection. The trial was registered in Prospero CRD42018082656. A database search of eligible, preferably evidence-based studies was conducted. The Robins-I tool for assessing the risk of bias revealed a moderate risk of bias. Due to insufficient data, the main findings of these studies could not be summarized through a quantitative synthesis; therefore, a qualitative synthesis is outlined. The results are summarized according to the roles of the fire triad and discussed. (1) Role of the oxidizer: oxygen is the key component of the triad. Safe oxygen delivery is important. An oxygen-enriched environment (ORE) is caused by draping and is preferably prevented by suctioning. Fuel characteristics are affected by varying oxygen concentrations. (2) Role of the ignition source: electrocauterization is the most common ignition sou...Continue Reading

References

Dec 1, 1990·Anesthesia and Analgesia·M K BaileyW Krzyzaniak
Jan 1, 1989·Ophthalmic Plastic and Reconstructive Surgery·R J Chestler, B N Lemke
May 1, 1995·Plastic and Reconstructive Surgery·R J GrecoF Heckler
Jul 1, 1994·Journal of Clinical Monitoring·M A Eggen, J G Brock-Utne
Apr 1, 1998·Southern Medical Journal·J W ThompsonS P Watson
Dec 18, 1998·Anesthesiology·R A Ortega
Sep 28, 2001·Anesthesia and Analgesia·S J Barker, J S Polson
Aug 20, 2002·Postgraduate Medical Journal·A R Dhebri, S E Afify
Apr 29, 2004·Anesthesiology·Gerald L WolfJean G Charchaflieh
Mar 23, 2005·Anesthesia and Analgesia·Aneesh K SinglaWarren S Sandberg
Jul 23, 2005·Anesthesia and Analgesia·Jeffrey A Katz, Lundy Campbell
Aug 9, 2005·Journal of Cardiothoracic and Vascular Anesthesia·Carlos L ErrandoCelsa M Peiró
Dec 22, 2005·Anesthesia and Analgesia·Rajnish PrasadNaomi P O'Grady
Mar 22, 2006·Acta Anaesthesiologica Scandinavica·D M WilliamsJ G Brock-Utne
Mar 24, 2007·Acta Anaesthesiologica Scandinavica·M NiskanenE Hirvonen
Nov 28, 2007·Plastic and Reconstructive Surgery·Silvia Cristina MeneghettiJames E Zins
Apr 24, 2008·Anesthesiology·UNKNOWN American Society of Anesthesiologists Task Force on Operating Room FiresGerald L Wolf
Apr 29, 2008·Patient Safety in Surgery·Sumit Batra, Rajiv Gupta
Apr 29, 2008·American Journal of Otolaryngology·Lee P Smith, Soham Roy
Nov 11, 2008·Current Opinion in Anaesthesiology·Christine Stowe Rinder
Oct 6, 2009·AORN Journal·Donna S Watson
Apr 16, 2010·American Journal of Otolaryngology·Lee P Smith, Soham Roy
Dec 15, 2010·International Journal of Pediatric Otorhinolaryngology·Soham Roy, Lee P Smith
Mar 7, 2012·Annals of the Royal College of Surgeons of England·B Rocos, L J Donaldson
Jun 5, 2012·Revista brasileira de anestesiologia·Carlos Eduardo David de AlmeidaRafaela Claudino de Freitas
Aug 7, 2012·Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES·Soo Ho ChungJeong Sig Kim
Aug 11, 2012·Journal of Burn Care & Research : Official Publication of the American Burn Association·Linwood R HaithBruce H Ackerman
Feb 9, 2013·Ophthalmic Plastic and Reconstructive Surgery·Jeremiah P TaoWilliam Nunery
Feb 21, 2013·Anesthesiology·Sonya P MehtaKaren B Domino
Jun 5, 2013·Ophthalmology·Stephen HuddlestonJames C Fleming
Jul 23, 2013·Anesthesiology·William C CulpSarah Luna
Oct 24, 2013·Anesthesia and Analgesia·John H Eichhorn, James B Eisenkraft
Mar 22, 2014·Anesthesia and Analgesia·Jeffrey M FeldmanRichard P Dutton
Mar 29, 2014·Annals of Surgery·William C CulpAris J Maguddayao
Jul 16, 2014·Journal of Korean Neurosurgical Society·Sang-Bae ChaeCheol-Wan Park
Sep 28, 2014·AORN Journal·Charlotte L GuglielmiLinda K Groah
Oct 28, 2014·The Korean Journal of Thoracic and Cardiovascular Surgery·Myung-Su KimTae-Eun Jung
Dec 1, 2015·Current Problems in Surgery·Daniel B JonesStephanie B Jones
Mar 24, 2016·Journal of Anaesthesiology, Clinical Pharmacology·Navaid AkhtarAkbar Abbas
Jan 18, 2017·American Journal of Surgery·Asad J ChoudhryMartin D Zielinski

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Citations

Sep 17, 2019·Journal of Perioperative Practice·Daniel Rodger
Dec 1, 2021·AORN Journal·Joyce Stengel

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