Intraoperative Patient Fire - Guidelines for Crises ...
620
Description

Intraoperative Patient Fire - Guidelines for Crises in Anaesthesia

Evidence of fire (smoke, heat, odour, flash, flame) on patient or drapes, or in patient’s airway



❶ Call for help and inform theatre team:

  • Activate fire alarm

  • Dial hospital fire emergency number and report location and nature of fire

  • Bring CO2 fire extinguisher into theatre

If AIRWAY fire:

❷Extinguish fire:

  • Stop laser or diathermy

  • Discontinue ventilation AND fresh gas flow

  • Remove tracheal tube if on fire

  • Remove flammable material from airway

  • Flood airway with 0.9% saline

❸ After fire extinguished:

  • Re-establish ventilation

  • Minimise O2, avoid N2O

  • Check airway for damage and debris

  • Consider bronchoscopy

  • Re-intubate

If NON-AIRWAY fire:

❷Extinguish fire:

  • Stop laser or diathermy

  • Remove all drapes and burning material

  • Flood fire with 0.9% saline or saline soaked gauze

  • Use CO2 extinguisher

❸After fire extinguished:

  • Re-establish ventilation

  • Minimise O2, avoid N2O

  • Assess damage

  • Consider inhalational injury if not intubated

  • Consider intubation depending on degree of injury



By Association of Anaesthetists @ https://twitter.com/AAGBI

Quick Reference Handbook - Guidelines for crises in anaesthesia 



#Airway #Fire #Anesthesiology #Anesthesia #Intraoperative #Checklist #Diagnosis #Management #Workup 
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
0 Comments

Related content