Prevention and Preparation for an OR Fire
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- Anesthesiologists should have fire safety education specific to OR fires and participate in OR fire drills with the entire OR team.
- Before each surgical case, the entire OR team must determine if a case is at high risk for surgical fires.
- If a high-risk situation exists, the team must decide on a plan and roles for preventing and managing a fire.
- In every OR where a fire triad can exist, a protocol for the prevention and management of fires should be displayed.
- Avoid using ignition sources in proximity to an oxidizer-enriched atmosphere.
- Configure surgical drapes to minimize the accumulation of oxidizers.
- Allow sufficient drying time for flammable skin prepping solutions.
- Moisten sponges and gauze when used in proximity to ignition sources.
- The anesthesiologist should collaborate with all surgical team members throughout the procedure to minimize the presence of an oxidizer-enriched atmosphere in proximity to an ignition source.
- During high risk procedures in which an ignition source is to be used in an oxidizer-enriched atmosphere, before the ignition source is activated
- Announce the intent to use the source
- Reduce the delivered oxygen concentration to the minimum required to avoid hypoxia
- Stop the use of nitrous oxide
- Recognize early signs of fire.
- If fire is present, halt the procedure and initiate fire management tasks.
- For airway fires, remove tracheal tube, stop flow of all airway gases, remove all other flammable materials from airway, and pour saline into airway.
- For non-airway fires, stop the flow of all airway gases, remove burning or flammable materials and extinguish fire.
- After fire is extinguished, reestablish ventilation, assess the patient’s status and devise a plan for ongoing care.
What is Anesthesiology
Total care of the surgical patient before, during and after surgery.
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