A number of steps can be taken to reduce the risk of fire during surgery.
Drapes:
(1) Let any alcohol solution used to prepare the skin prior to surgery dry completely before placing the surgical drapes.
(2) Place the surgical drapes in a way that minimizes buildup of flammable gases.
Gases:
(1) Use the lowest possible concentration of oxygen or nitrous oxide.
(2) Prevent any accumulation of potentially flammable gases within the oropharynx by removing it with a separate suction.
Operation safety:
(1) Moisten surgical gauze that may be exposed to an energy source with sterile saline.
(2) Keep solvents, tinctures and flammable materials away from the operating table.
(3) Coat any body hair near the surgical field that cannot be shaved away with a water-soluble surgical lubricating jelly.
Electrical safety:
(1) Keep any potential ignition source (laser, fiberoptic light source, electrocautery system) in standby when not in use.
(2) Make sure all electrical equipment is in good condition and properly grounded.
(3) Have a fire extinguisher readily available (suitable for electrical or regular fires).
Education:
(1) Make sure all OR personnel are familiar with fire hazards and ways to reduce the risks of fire during surgery.
Specialty: Anesthesiology
ICD-10: ,