Kaye Alan David, Kolinsky Daniel, Urman Richard D
Department of Anesthesiology, Louisiana State University Health Science Center, New Orleans, LA, USA.
J Anesth. 2014 Apr;28(2):279-87. doi: 10.1007/s00540-013-1705-6. Epub 2013 Aug 30.
Operating room (OR) fires remain a significant source of liability for anesthesia providers and injury for patients, despite existing practice guidelines and other improvements in operating room safety. Factors contributing to OR fires are well understood and these occurrences are generally preventable. OR personnel must be familiar with the fire triad which consists of a fuel supply, an oxidizing agent, and an ignition source. Existing evidence shows that OR-related fires can result in significant patient complications and malpractice claims. Steps to reduce fires include taking appropriate safety measures before a patient is brought to the OR, taking proper preventive measures during surgery, and effectively managing fire and patient complications when they occur. Decreasing the incidence of fires should be a team effort involving the entire OR personnel, including surgeons, anesthesia providers, nurses, scrub technologists, and administrators. Communication and coordination among members of the OR team is essential to creating a culture of safety.
尽管有现行的操作指南以及手术室安全方面的其他改进措施，手术室火灾仍是麻醉医护人员面临的重大责任来源和患者受伤的原因。导致手术室火灾的因素已为人熟知，而且这些事故通常是可以预防的。手术室工作人员必须熟悉由燃料源、氧化剂和火源组成的火灾三要素。现有证据表明，与手术室相关的火灾可能导致严重的患者并发症和医疗事故索赔。减少火灾的措施包括在患者进入手术室之前采取适当的安全措施、在手术过程中采取适当的预防措施，以及在火灾和患者并发症发生时有效进行处理。降低火灾发生率应是包括外科医生、麻醉医护人员、护士、刷手技师和管理人员在内的全体手术室工作人员的共同努力。手术室团队成员之间的沟通与协调对于营造安全文化至关重要。
