Literature DB >> 28189662

Operating Room Fires and Surgical Skin Preparation.

Edward L Jones1, Douglas M Overbey2, Brandon C Chapman2, Teresa S Jones2, Sarah A Hilton2, John T Moore2, Thomas N Robinson2.   

Abstract

BACKGROUND: Operating room fires are "never events" that remain an under-reported source of devastating complications. One common set-up that promotes fires is the use of surgical skin preparations combined with electrosurgery and oxygen. Limited data exist examining the incidence of fires and surgical skin preparations. STUDY
DESIGN: A standardized, ex vivo model was created with a 15 × 15 cm section of clipped porcine skin. An electrosurgical "Bovie" pencil was activated for 2 seconds on 30 Watts coagulation mode in 21% oxygen (room air), both immediately and 3 minutes after skin preparation application. Skin preparations with and without alcohol were tested, and were applied with and without pooling. Alcohol-based skin preparations included 70% isopropyl alcohol (IPA) with 2% chlorhexidine gluconate, 74% IPA with 0.7% iodine povacrylex, and plain 70% IPA.
RESULTS: No fires occurred with nonalcohol-based preparations (p < 0.001 vs alcohol-based preparations). Alcohol-based preparations caused flash flames at 0 minutes in 22% (13 of 60) and at 3 minutes in 10% (6 of 60) of tests. When examining pooling of alcohol-based preparations, fires occurred in 38% (23 of 60) at 0 minutes and 27% (16 of 60) at 3 minutes.
CONCLUSIONS: Alcohol-based skin preparations fuel operating room fires in common clinical scenarios. Following manufacturer guidelines and allowing 3 minutes for drying, surgical fires were still created in 1 in 10 cases without pooling and more than one-quarter of cases with pooling. Surgeons can decrease the risk of an operating room fire by using nonalcohol-based skin preparations or avoiding pooling of the preparation solution. Published by Elsevier Inc.

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Year:  2017        PMID: 28189662     DOI: 10.1016/j.jamcollsurg.2017.01.058

Source DB:  PubMed          Journal:  J Am Coll Surg        ISSN: 1072-7515            Impact factor:   6.113


  8 in total

1.  Carbon dioxide can eliminate operating room fires from alcohol-based surgical skin preps.

Authors:  Jason M Samuels; Heather Carmichael; Krzysztof J Wikiel; Thomas N Robinson; Carlton C Barnett; Teresa S Jones; Edward L Jones
Journal:  Surg Endosc       Date:  2019-06-20       Impact factor: 4.584

2.  The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose.

Authors:  P Fuchshuber; S Schwaitzberg; D Jones; S B Jones; L Feldman; M Munro; T Robinson; G Purcell-Jackson; D Mikami; A Madani; M Brunt; B Dunkin; C Gugliemi; L Groah; R Lim; J Mischna; C R Voyles
Journal:  Surg Endosc       Date:  2017-12-07       Impact factor: 4.584

3.  Operating Room Fire During Total Knee Arthroplasty Tibial Impaction: A Case Report and Review of the Literature.

Authors:  Olivia Leonovicz; Anna Cohen-Rosenblum; Cody Martin
Journal:  Arthroplast Today       Date:  2022-06-17

4.  Incidence of Operating Room Fires During Hand Surgical Procedures.

Authors:  Kevin Lutsky; Lili Schindelar; Daniel Seigerman; Christopher Jones; Brian Katt; Pedro K Beredjiklian
Journal:  Arch Bone Jt Surg       Date:  2022-01

5.  Evaluation of 3 Alcohol-based Agents for Presurgical Skin Preparation in Mice.

Authors:  Monika K Huss; Kerriann M Casey; Jing Hu; Roberta C Moorhead; Helen H Chum
Journal:  J Am Assoc Lab Anim Sci       Date:  2019-11-21       Impact factor: 1.232

6.  Fire in the Operating Room During Hypospadias Repair.

Authors:  Alessandro Boscarelli; Simone Frediani; Silvia Ceccanti; Alice Cervellone; Maria Vittoria Pesce; Denis A Cozzi
Journal:  Urol Case Rep       Date:  2017-09-05

7.  Evaluating the utility of a CO2 surgical laser for piglet castration to reduce pain and improve wound healing: a pilot study.

Authors:  Abbie V Viscardi; Charley A Cull; Michael D Kleinhenz; Shawnee Montgomery; Andrew Curtis; Kelly Lechtenberg; Johann F Coetzee
Journal:  J Anim Sci       Date:  2020-11-01       Impact factor: 3.159

8.  Experience of a Tertiary-Level Urology Center in the Clinical Urological Events of Rare and Very Rare Incidence. I. Surgical Never Events: 3. Urological Electrosurgical Never Events.

Authors:  Rabea A Gadelkareem
Journal:  Curr Urol       Date:  2018-06-30
  8 in total

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