Journal of Clinical Anesthesia
Volume 18, Issue 2 , Pages 129-131 , March 2006

Electrocautery-induced fire during adenotonsillectomy: report of two cases

  • Roland N. Kaddoum, MD (Fellow)

      Affiliations

    • Children's Hospital of Michigan, Detroit, MI 48201, USA
    • ,
  • Elie Joseph Chidiac, MD (Assistant Professor, Vice Chair, Associate Residency Program Director)

      Affiliations

    • Wayne State University/The Detroit Medical Center, Detroit, MI 48202, USA
    • Corresponding Author InformationCorresponding author. Department of Anesthesiology, Harper University Hospital, Detroit, MI 48201, USA. Tel.: +1 313 745 7233; fax: +1 313 993 3889.
    • ,
  • Maria M. Zestos, MD (Assistant Professor, Chief)

      Affiliations

    • Children's Hospital of Michigan, Detroit, MI 48201, USA
    • ,
  • Zulfiqar Ahmed, MD (Attending Anesthesiologist)

      Affiliations

    • Wayne State University School of Medicine, Detroit, MI 48202, USA

Received 28 June 2004 ,Accepted 7 September 2005.

References 

  1. Barker SJ, Polson JS. Fire in the operating room: a case report and laboratory study. Anesth Analg. 2001;93:960–965
  2. Macdonald AG. A brief historical review of non-anaesthetic causes of fires and explosions in the operating room. Br J Anaesth. 1994;73:847–856
  3. MacDonald AG. A short history of fires and explosions caused by anaesthetic agents. Br J Anaesth. 1994;72:710–722
  4. Chou AK, Tan PH, Yang LC, Sun GC, Hsieh SW. Carbon dioxide laser induced airway fire during larynx surgery: case report. Chang Gung Med J. 2001;24:393–398
  5. Arnold JE, Allphin AL. Effect of extraluminal oxygen on carbon dioxide laser ignition of endotracheal tubes. Arch Otolaryngol Head Neck Surg. 1992;118:722–724
  6. Santos P, Ayuso A, Luis M, Martinez G, Sala X. Airway ignition during CO2 laser laryngeal surgery and high frequency jet ventilation. Ear Nose Throat J. 1992;71:593–595
  7. Brouwer PA. Airway fire, a serious complication during laryngeal laser surgery. Ned Tijdschr Geneeskd. 2002;146:2266
  8. Chee WK, Benumof JL. Airway fire during tracheostomy: extubation may be contraindicated. Anesthesiology. 1998;89:1576–1578
  9. Mattucci KF, Militana CJ. The prevention of fire during oropharyngeal electrosurgery. Ear Nose Throat J. 2003;82:107–109
  10. Bailey MK, Bromley HR, Allison JG, Conroy JM, Krzyzaniak W. Electrocautery-induced airway fire during tracheostomy. Anesth Analg. 1990;71:702–704
  11. Baur DA, Butler RC. Electrocautery-ignited endotracheal tube fire: case report. Br J Oral Maxillofac Surg. 1999;37:142–143
  12. Kuo CH, Tan PH, Chen JJ, Peng CH, Lee CC, Chung HC, et al. Endotracheal tube fires during carbon dioxide laser surgery on the larynx—a case report. Acta Anaesthesiol Sin. 2001;39:53–56
  13. Simpson JI, Wolf GL, Rosen A, Krespi Y, Schiff GA. The oxygen and nitrous oxide indices of flammability of endotracheal tubes determined by laser ignition. Laryngoscope. 1991;101:981–984
  14. Goll V, Akca O, Greif R, Freitag H, Arkilic CF, Scheck T, et al. Ondansetron is no more effective than supplemental intraoperative oxygen for prevention of postoperative nausea and vomiting. Anesth Analg. 2001;92:112–117
  15. Gregory GA. Pediatric anesthesia. Philadelphia: Churchill Livingstone; 2002;
  16. Deakers TW, Reynolds G, Stretton M, Newth CJ. Cuffed endotracheal tubes in pediatric intensive care. J Pediatr. 1994;125:57–62
  17. Khine HH, Corddry DH, Kettrick RG, Martin TM, McCloskey JJ, Rose JB, et al. Comparison of cuffed and uncuffed endotracheal tubes in young children during general anesthesia. Anesthesiology. 1997;86:627–631[discussion 27A]
  18. Finholt DA, Henry DB, Raphaely RC. Factors affecting leak around tracheal tubes in children. Can Anaesth Soc J. 1985;32:326–329
  19. Girling KJ, Bedforth NM, Spendlove JL, Mahajan RP. Assessing neuromuscular block at the larynx: the effect of change in resting cuff pressure and a comparison with video imaging in anesthetized humans. Anesth Analg. 1999;88:426–431
  20. Macdonald MR, Wong A, Walker P, Crysdale WS. Electrocautery-induced ignition of tonsillar packing. J Otolaryngol. 1994;23:426–429
  21. Fine GF, Borland LM. The future of the cuffed endotracheal tube. Paediatr Anaesth. 2004;14:38–42
  22. Fine GF, Fertal K, Motoyama EK. The effectiveness of controlled ventilation using cuffed versus uncuffed endotracheal tubes in children. Anesthesiology. 2000;9:25A
  23. Orliaguet GA, Renaud E, Lejay M, Meyer PG, Schmautz E, Telion C, et al. Postal survey of cuffed or uncuffed tracheal tubes used for paediatric tracheal intubation. Paediatr Anaesth. 2001;11:277–281
  24. Braz JR, Volney A, Navarro LH, Braz LG, Nakamura G. Does sealing endotracheal tube cuff pressure diminish the frequency of postoperative laryngotracheal complaints after nitrous oxide anesthesia?. J Clin Anesth. 2004;16:320–325

PII: S0952-8180(05)00346-6

doi: 10.1016/j.jclinane.2005.09.032

Journal of Clinical Anesthesia
Volume 18, Issue 2 , Pages 129-131 , March 2006

Article Tools