Facial fire with use of high-flow nasal oxygen during laser surgery

IF 0.8 Q3 ANESTHESIOLOGY
S. Shankla, N. De Zoysa, J. Bird, M. Girgis
{"title":"Facial fire with use of high-flow nasal oxygen during laser surgery","authors":"S. Shankla,&nbsp;N. De Zoysa,&nbsp;J. Bird,&nbsp;M. Girgis","doi":"10.1002/anr3.12329","DOIUrl":null,"url":null,"abstract":"<div>\n \n <p>Use of high-flow nasal oxygen to enable apnoeic oxygenation during tubeless airway surgery is well-established. The use of an ignition source in this oxygen-rich environment increases the risk of surgical fire. We present a case of facial fire secondary to the use of carbon dioxide laser and high-flow nasal oxygen during a surgical procedure for subglottic stenosis. The incident occurred when the laser was being tested near the patient, resulting in superficial burns to the patient's face and neck. The airway was unaffected and the burns were managed conservatively. This case highlights important safety consideration for the use of an ignition source in the presence of high-flow nasal oxygen and the role of human factors and in-built risk mitigation features.</p>\n </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":null,"pages":null},"PeriodicalIF":0.8000,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anaesthesia reports","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/anr3.12329","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Use of high-flow nasal oxygen to enable apnoeic oxygenation during tubeless airway surgery is well-established. The use of an ignition source in this oxygen-rich environment increases the risk of surgical fire. We present a case of facial fire secondary to the use of carbon dioxide laser and high-flow nasal oxygen during a surgical procedure for subglottic stenosis. The incident occurred when the laser was being tested near the patient, resulting in superficial burns to the patient's face and neck. The airway was unaffected and the burns were managed conservatively. This case highlights important safety consideration for the use of an ignition source in the presence of high-flow nasal oxygen and the role of human factors and in-built risk mitigation features.

在激光手术中使用高流量鼻氧时面部起火。
在无管气道手术中使用高流量鼻氧来实现无呼吸吸氧已得到广泛认可。在这种富氧环境中使用火源会增加手术起火的风险。我们介绍了一例在声门下狭窄手术过程中因使用二氧化碳激光和高流量鼻氧而继发面部起火的病例。事故发生时,激光正在患者附近进行测试,导致患者面部和颈部表皮烧伤。气道未受影响,烧伤也得到了保守治疗。该案例强调了在高流量鼻氧存在的情况下使用点火源的重要安全考虑因素,以及人为因素和内置风险缓解功能的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
1.30
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信