Incidental operating room fire from a breathing circuit warmer system: a case report

Abstract Background An airway-associated fire in an operating room can have devastating consequences for patients. Breathing circuit warmers (BCWs) are widely used to provide heated and humidified anesthetic gases and eventually prevent hypothermia during general anesthesia. Herein, we describe a ca...

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Autores principales:	Wangseok Do, Dahyun Kang, Purna Hong, Hyae-Jin Kim, Jiseok Baik, Dowon Lee
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Operating room fire Breathing circuit warmer Anesthesia fire Airway fire Anesthesiology RD78.3-87.3
Acceso en línea:	https://doaj.org/article/708c8c5f1350485e988d80e0656a3bd4
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spelling	oai:doaj.org-article:708c8c5f1350485e988d80e0656a3bd42021-11-07T12:18:30ZIncidental operating room fire from a breathing circuit warmer system: a case report10.1186/s12871-021-01488-21471-2253https://doaj.org/article/708c8c5f1350485e988d80e0656a3bd42021-11-01T00:00:00Zhttps://doi.org/10.1186/s12871-021-01488-2https://doaj.org/toc/1471-2253Abstract Background An airway-associated fire in an operating room can have devastating consequences for patients. Breathing circuit warmers (BCWs) are widely used to provide heated and humidified anesthetic gases and eventually prevent hypothermia during general anesthesia. Herein, we describe a case of a BCW-related airway fire. Case presentation In this case, an electrical short within a BCW wire caused a fire inside the circuit. Simultaneously, the fire was extinguished, ventilation was stopped, and the endotracheal tube was disconnected from the BCW. The patient was exposed to the fire for less than 10 s, resulting in burns to the trachea and bronchi. Immediately after airway burn, bronchoscopy showed no edema or narrowing except for soot in the trachea and both main bronchus. After the inhalation burn event, prophylactic antibiotics, bronchodilator, mucolytics nebulizer, and corticosteroid nebulizer were started. On bronchoscopy 3 days after the inhalation burn, mucosal erythematous edema was observed and the inflammatory reaction worsened. The inflammatory reaction showed aggravation for up to 2 weeks, and then gradually recovered, and the epithelium and mucous membrane of the upper respiratory tract returned to normal after 4 weeks. Eventually, the patient recovered without long-term complications and was successfully discharged. Conclusions This is the first report of a fire caused by BCW. We wanted to share our experience of how we responded to an airway-related fire in an OR and treated the patient. It cannot be overemphasized that the electrical medical appliance associated with the airways are fatal to the patient in the event of a fire, so caution should always be exercised.Wangseok DoDahyun KangPurna HongHyae-Jin KimJiseok BaikDowon LeeBMCarticleOperating room fireBreathing circuit warmerAnesthesia fireAirway fireAnesthesiologyRD78.3-87.3ENBMC Anesthesiology, Vol 21, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Operating room fire Breathing circuit warmer Anesthesia fire Airway fire Anesthesiology RD78.3-87.3
spellingShingle	Operating room fire Breathing circuit warmer Anesthesia fire Airway fire Anesthesiology RD78.3-87.3 Wangseok Do Dahyun Kang Purna Hong Hyae-Jin Kim Jiseok Baik Dowon Lee Incidental operating room fire from a breathing circuit warmer system: a case report
description	Abstract Background An airway-associated fire in an operating room can have devastating consequences for patients. Breathing circuit warmers (BCWs) are widely used to provide heated and humidified anesthetic gases and eventually prevent hypothermia during general anesthesia. Herein, we describe a case of a BCW-related airway fire. Case presentation In this case, an electrical short within a BCW wire caused a fire inside the circuit. Simultaneously, the fire was extinguished, ventilation was stopped, and the endotracheal tube was disconnected from the BCW. The patient was exposed to the fire for less than 10 s, resulting in burns to the trachea and bronchi. Immediately after airway burn, bronchoscopy showed no edema or narrowing except for soot in the trachea and both main bronchus. After the inhalation burn event, prophylactic antibiotics, bronchodilator, mucolytics nebulizer, and corticosteroid nebulizer were started. On bronchoscopy 3 days after the inhalation burn, mucosal erythematous edema was observed and the inflammatory reaction worsened. The inflammatory reaction showed aggravation for up to 2 weeks, and then gradually recovered, and the epithelium and mucous membrane of the upper respiratory tract returned to normal after 4 weeks. Eventually, the patient recovered without long-term complications and was successfully discharged. Conclusions This is the first report of a fire caused by BCW. We wanted to share our experience of how we responded to an airway-related fire in an OR and treated the patient. It cannot be overemphasized that the electrical medical appliance associated with the airways are fatal to the patient in the event of a fire, so caution should always be exercised.
format	article
author	Wangseok Do Dahyun Kang Purna Hong Hyae-Jin Kim Jiseok Baik Dowon Lee
author_facet	Wangseok Do Dahyun Kang Purna Hong Hyae-Jin Kim Jiseok Baik Dowon Lee
author_sort	Wangseok Do
title	Incidental operating room fire from a breathing circuit warmer system: a case report
title_short	Incidental operating room fire from a breathing circuit warmer system: a case report
title_full	Incidental operating room fire from a breathing circuit warmer system: a case report
title_fullStr	Incidental operating room fire from a breathing circuit warmer system: a case report
title_full_unstemmed	Incidental operating room fire from a breathing circuit warmer system: a case report
title_sort	incidental operating room fire from a breathing circuit warmer system: a case report
publisher	BMC
publishDate	2021
url	https://doaj.org/article/708c8c5f1350485e988d80e0656a3bd4
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Incidental operating room fire from a breathing circuit warmer system: a case report

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