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
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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。
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来源期刊
CiteScore
1.30
自引率
0.00%
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