Crumière P P, Albaladejo R, De Saint Maurice G, Trabold F, Mc Nelis U, Boileau S, Bouaziz H
Service d'anesthésie-réanimation, l'hôpital Central, CHU de Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54035 Nancy cedex, France.
Ann Fr Anesth Reanim. 2012 Oct;31(10):773-7. doi: 10.1016/j.annfar.2012.04.026. Epub 2012 Jun 29.
To assess knowledge amongst anaesthetists as regards to fire involving surgical patients in Lorraine.
A cross-sectional study was conducted using a postal questionnaire.
A 22-item postal questionnaire was therefore sent to all anaesthetists working in Lorraine between January and March, 2011.
One hundred and twenty-eight questionnaires were returned (response rate: 36%). Sixty-two percent of the respondents had never participated in fire safety training. Fifty percent could not recollect the location of the fire extinguisher in their surgical unit. Sixty-three percent ignored the existence of a memo written by the Afssaps summarizing how to use safely alcohol-based skin preparations in the presence of an electrosurgical unit. Sixty-five percent gave at least one incorrect response in grading the various modes of oxygen supply regarding the risk of fire. Only 48% were able to identify the surgeries which posed the greatest fire risk. In such cases, 40% of respondents were not aware that a FiO(2) should be maintained below 30%, 43% that the use of nitrous oxide was forbidden and 32% that it was necessary to respect a drying time after the application of an alcohol-based solution. Concerning the management of a fire, most of the answers were correct. Finally, 97% of the respondents wished to be better informed on this particular topic.
Our survey underlines a lack of knowledge amongst anaesthetists towards the risk of patient associated fire in theatre.
评估洛林地区麻醉医生对于涉及外科手术患者的火灾相关知识。
采用邮寄问卷进行横断面研究。
因此，在2011年1月至3月期间，向所有在洛林工作的麻醉医生发送了一份包含22个条目的邮寄问卷。
共收回128份问卷（回复率：36%）。62%的受访者从未参加过消防安全培训。50%的人记不起其手术科室灭火器的位置。63%的人不知道法国卫生安全与健康产品局（Afssaps）编写的一份关于在使用电外科设备时如何安全使用酒精基皮肤制剂的备忘录。65%的人在对各种氧气供应模式的火灾风险分级时至少给出了一个错误答案。只有48%的人能够识别出火灾风险最大的手术。在这种情况下，40%的受访者不知道应将吸入氧浓度（FiO₂）维持在30%以下，43%的人不知道禁止使用氧化亚氮，32%的人不知道在使用酒精基溶液后需要遵守干燥时间。关于火灾的处理，大多数答案是正确的。最后，97%的受访者希望能更好地了解这个特定主题。
我们的调查强调了麻醉医生对手术室患者相关火灾风险知识的欠缺。
