Akhtar Navaid, Ansar Farrukh, Baig Mirza Shahzad, Abbas Akbar
Department of Anaesthesiology, Patel Hospital and Post Graduate Institute, Karachi, Pakistan.
Department of Otolaryngology, Patel Hospital and Post Graduate Institute, Karachi, Pakistan.
J Anaesthesiol Clin Pharmacol. 2016 Jan-Mar;32(1):109-11. doi: 10.4103/0970-9185.175710.
Airway fires pose a serious risk to surgical patients. Fires during surgery have been reported for many years with flammable anesthetic agents being the main culprits in the past. Association of airway fires with laser surgery is well-recognized, but there are reports of endotracheal tube fires ignited by electrocautery during pharyngeal surgery or tracheostomy or both. This uncommon complication has potentially grave consequences. While airway fires are relatively uncommon occurrences, they are very serious and can often be fatal. Success in preventing such events requires a thorough understanding of the components leading to a fire (fuel, oxidizer, and ignition source), as well as good communication between all members present to appropriately manage the fire and ensure patient safety. We present a case of fire in the airway during routine adenotonsillectomy. We will review the causes, preventive measures, and brief management for airway fires.
气道火灾对手术患者构成严重风险。手术期间的火灾已被报道多年，过去易燃麻醉剂是主要元凶。气道火灾与激光手术的关联已得到充分认识，但也有报道称，在咽部手术或气管切开术或两者过程中，电灼引发了气管内导管火灾。这种罕见的并发症可能会产生严重后果。虽然气道火灾相对不常见，但非常严重，往往可能致命。预防此类事件的成功需要全面了解引发火灾的要素（燃料、氧化剂和火源），以及在场所有人员之间进行良好沟通，以便妥善处理火灾并确保患者安全。我们报告一例常规腺样体扁桃体切除术中气道火灾的病例。我们将回顾气道火灾的原因、预防措施和简要处理方法。
