Cause of Device-Related Incident
*Not stated

Clinical Specialty or Hospital Department
Anesthesia; OR / Surgery; Otolaryngology

Device Factors
*Not stated

Document Type
Checklists/Emergency Procedures

External Factors
*Not stated

Mechanism of Injury or Death
Fire

Support System Failures
*Not stated

Tampering and/or Sabotage
*Not stated

User Errors
*Not stated

Extinguishing Airway Fires



Emergency Procedure

Review before each surgical intubation.

At the first sign of a tracheal tube fire, immediately and rapidly:

 1.  Disconnect the breathing circuit from the tracheal tube.

 2.  Remove the tracheal tube.

  • Have another team member extinguish it.
  • Remove cuff-protective devices and any segments of burned tube that may remain smoldering in the airway.

3.  Care for the patient.

  • Reestablish the airway and resume ventilating with air until certain that nothing is left burning in the airway; then switch to 100% oxygen.
  • Examine the airway to determine the extent of damage, and treat the patient accordingly.

Save involved materials and devices for later investigation.


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