PDF(Pubmed)
Abstract：
Operating theatre fires are rare but can result in significant morbidity. A 76-year-old male with complex airway disease sustained superficial facial burns during an elective airway debulking procedure. His airway was being managed with high-flow nasal oxygen at 70 l.min-1 and FiO2 1.0 delivered by Optiflow™ (Fisher and Paykel Healthcare Limited, Auckland, New Zealand). When suction monopolar diathermy was used to excise hyperkeratotic tissue beside his epiglottis, an arc was created to the tip of the suspension laryngoscope, followed by a jet of flame as the Optiflow circuit ignited. This resulted in burns to the patient\'s face and shoulder. He required admission to the intensive care unit and had a complicated postoperative course that included the need for surgical tracheostomy to facilitate weaning from mechanical ventilation. This case highlights the dangers of using high-flow nasal oxygen alongside an ignition source.
摘要：
手术室火灾很少见，但可能导致严重的发病率。一名患有复杂气道疾病的76岁男性在选择性气道减缩手术中持续面部浅表烧伤。他的气道在70升接受高流量鼻氧气管理。Optiflow™提供的min-1和FiO21.0(Fisher和PaykelHealthcareLimited，奥克兰,新西兰)。当使用抽吸单极透热疗法切除会厌旁的过度角化组织时，悬吊喉镜的尖端形成了一个弧形，随后是Optiflow电路点火时的火焰。这导致了患者面部和肩部的烧伤。他需要进入重症监护病房，并且术后过程复杂，其中包括需要进行外科气管造口术以促进机械通气的撤机。此案例凸显了在点火源旁边使用高流量鼻氧气的危险。
