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KMID : 0356920070530050676
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Korean Journal of Anesthesiology
2007 Volume.53 No. 5 p.676 ~ p.679
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Fires and Burn Caused by Alcohol-based Disinfectants and Electrocautery
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Chung Eun-Yong
Han In-Soo
Yoon Jun-Rho
Kim Tae-Kwan
Kim Yee-Suk
Oh Yong-Joo
Lee Chul-Woo
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Abstract
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Operating room fires, though rare, can involve substantial morbidity and mortality. Surgical fires require an ignition source, oxidizer, and fuel. Ignition sources generally include lasers and electrocautery, oxidizer are usually oxygen, nitrous oxide, and ambient air, whereas fuels are classically surgical drapes, materials, and prepping agents. We experienced a patient who, during skin incision, sustained burns resulting from a fire in the operating room. Shortly after application of disinfectants and placement of the surgical drapes, the surgeon used the electrosurgical unit on the incision. In this case, the use of an alcohol-based disinfectant was the major contributing factor to the surgical fire. To avoid recurrence, if alcohol is used for skin prepping, it should be allowed to dry completely before draping. (Korean J Anesthesiol 2007; 53: 676∼9)
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KEYWORD
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alcohol, electrosurgical unit, fire
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