Department of Anesthesiology and Pain Medicine, College of Medicine, Chungbuk National University, Cheongju, Korea.
Korean J Anesthesiol. 2012 Aug;63(2):157-60. doi: 10.4097/kjae.2012.63.2.157. Epub 2012 Aug 14.
Every operation could have a fire emergency, especially in the case of a tracheostomy. When a flammable gas meets a source of heat, the danger of fire is remarkable. A tracheal tube filled with a high concentration of oxygen is also a great risk factor for fire. Intra-tracheal tube fire is a rare, yet critical emergency with catastrophic consequences. Thus, numerous precautions are taken during a tracheostomy like, use of a special tube to prevent laser damage, ballooning of the tube with normal saline instead of air, and dilution of FiO(2) with helium or nitrogen. Since the first recorded cases on tube fires, most of the fires were initiated in the balloon and the tip. In the present case report, however, we came across a fire incidence, which originated from the wire.
每个手术都有可能发生火灾紧急情况，尤其是在气管切开术的情况下。当易燃气体遇到热源时，火灾的危险是显著的。充满高浓度氧气的气管导管也是火灾的一个很大的危险因素。气管内导管火灾是一种罕见但严重的紧急情况，后果严重。因此，在气管切开术中采取了许多预防措施，如使用特殊的管子来防止激光损伤，用生理盐水而不是空气给管子充气，以及用氦气或氮气稀释 FiO(2)。自首例气管导管火灾记录以来，大多数火灾都是从气囊和尖端开始的。然而，在本病例报告中，我们遇到了一起源自金属丝的火灾事件。
