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Chapter 6 - Electrical, Fire, and Explosion Hazards: Basic Electronics

Published online by Cambridge University Press:  21 February 2025

Dharti Patel
Affiliation:
Mount Sinai West and Morningside Hospitals, New York
Sang J. Kim
Affiliation:
Hospital for Special Surgery, New York
Himani V. Bhatt
Affiliation:
Mount Sinai West and Morningside Hospitals, New York
Alopi M. Patel
Affiliation:
Rutgers Robert Wood Johnson Medical School, New Jersey
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Summary

Although there has been a decrease in incidence of operating room fire since the advent of less flammable anesthetic agents, operating room fire still presents the potential for catastrophic events, causing significant patient morbidity and mortality. With some sources sighting as many as 700 reported operating room fires annually with greater than 500 that are either underreported or near misses, the true number of OR fires is unknown as there is no mandatory reporting to a centralized registry.  This chapter will cover the various causes of operating room fire: electrical, fire and explosion hazards. Additionally, this chapter will provide a basic understanding of prevention, risk stratification, and management techniques for an operating room fire.

Type
Chapter
Information
BASIC Essentials
A Comprehensive Review for the Anesthesiology BASIC Exam
, pp. 31 - 34
Publisher: Cambridge University Press
Print publication year: 2025

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References

Miller, RD, editor. Miller’s Anesthesia, 8th ed. Churchill Livingstone/Elsevier, 2016.Google ScholarPubMed
White, PF, Eng, MA. Intravenous anesthetics. In Barash, PG, Cullen, BF, Stoelting, RK, et al., editors. Clinical Anesthesia, 6th ed. Lippincott Williams & Wilkins, 2009; chapter 18, pp 185190.Google Scholar
Barnes, AM, Frantz, RA. Do oxygen-enriched atmospheres exist beneath surgical drapes and contribute to fire hazard potential in the operating room? AANA J 2000;68:153161.Google ScholarPubMed
Mehta, SP, Bhananker, SM, Posner, KL. Domino, KB. Operating room fires: a closed claims analysis. Anesthesiology 2013;118:11331139.CrossRefGoogle ScholarPubMed
Apfelbaum, JL, Caplan, RA, Barker, SJ, et al. Practice advisory for the prevention and management of operating room fires: an updated report by the American Society for Anesthesiologists Task Force on Operating Room Fires. Anesthesiology 2013;118:271290.Google ScholarPubMed
Eichhorn, JH, Eisenkraft, JB. Expired oxygen as the unappreciated issue in preventing airway fires: getting to “never.” Anesth Analg 2013; 117:10421044.CrossRefGoogle Scholar
Demaria, S, Schwartz, AD, Narine, V, Yang, S, Levine, AI. Management of intraoperative airway fire. Simul Healthc 2011;6:360363.CrossRefGoogle ScholarPubMed
Rogers, ML, Nickalls, RW, Brackenbury, ET, et al. Airway fire during tracheostomy: prevention strategies for surgeons and anaesthetists. Ann R Coll Surg Engl 2001;83:376380.Google ScholarPubMed
Cha, SI, Kim, CH, Lee, JH, et al. Isolated smoke inhalation inj uries: acute respiratory dysfunction, clinical outcomes, and short-term evolution of pulmonary functions with the effects of steroids. Burns 2007;33:200208.CrossRefGoogle Scholar

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