Intraoperative Patient Fire - Guidelines for Crises in Anaesthesia Evidence of fire (smoke, heat, odour, flash, flame) on patient or drapes, or in patient’s airway ❶ Call for help and inform theatre team: • Activate fire alarm • Dial hospital fire emergency number and report location and nature of fire • Bring CO2 fire extinguisher into theatre If AIRWAY fire: ❷Extinguish fire: • Stop laser or diathermy • Discontinue ventilation AND fresh gas flow • Remove tracheal tube if on fire • Remove flammable material from airway • Flood airway with 0.9% saline ❸ After fire extinguished: • Re-establish ventilation • Minimise O2, avoid N2O • Check airway for damage and debris • Consider bronchoscopy • Re-intubate If NON-AIRWAY fire: ❷Extinguish fire: • Stop laser or diathermy • Remove all drapes and burning material • Flood fire with 0.9% saline or saline soaked gauze • Use CO2 extinguisher ❸After fire extinguished: • Re-establish ventilation • Minimise O2, avoid N2O • Assess damage • Consider inhalational injury if not intubated • Consider intubation depending on degree of injury By Association of Anaesthetists @ https://twitter.com/AAGBI Quick Reference Handbook - Guidelines for crises in anaesthesia #Airway #Fire #Anesthesiology #Anesthesia #Intraoperative #Checklist #Diagnosis #Management #Workup
