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What area is a high fire risk surgery?
head, neck, upper chest (above T5)
What are the steps to reduce the likelihood of surgical fires?
- 1) Determine the risk
- 2) Discuss with team
- 3) Minimize the concentration of oxidizer
- 4) Manage ignition sources
- 5) Manage fuels (skin prep, hair etc)
What percent of surgical fires occur IN the patient? in the airway?
If administering open oxygen, what FiO2 should it be less than?
Is bipolar or mono polar electrocautery safer?
If performing electrosurgery, electrocautery, or laser surgery, what should you do if the O2 is > 30%
If possible, stop for 1 minute before use of igniter
What are the 3 components of the Fire Triangle?
Oxidizer, igniter, fuel
Where are the 3 locations of fires IN the patient?
airway, fiberoptic bronch, intraabd
What are the 2 fires ON the patient?
drapes, surface fires fueled by oxygen
How is oxygen an oxidizer?
it lowers the temps at which fuels will ignite
How is nitrous oxide an oxidizer?
it supports combustion
What % oxygen will red rubber ignite in?
What can you do to earlier detect ETT cuff leak?
fill cuff with colored saline