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Alcohol based surgical prep solution and the risk of fire in the operating room: a case report.

Batra S, Gupta R - Patient Saf Surg (2008)

Bottom Line: A few cases of fire in the operating room are reported in the literature.The factors that may initiate these fires are many and include alcohol based surgical prep solutions, electrosurgical equipment, flammable drapes etc.The cause of the fire was due to incomplete drying of the covering drapes with an alcohol based surgical prep solution.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedic Surgery, Central Institute of Orthopaedics, Vardhaman Mahavir Medical College & Safdarjung Hospital, New Delhi - 110029, India. sumitbatra104@rediffmail.com.

ABSTRACT
A few cases of fire in the operating room are reported in the literature. The factors that may initiate these fires are many and include alcohol based surgical prep solutions, electrosurgical equipment, flammable drapes etc. We are reporting a case of fire in the operating room while operating on a patient with burst fracture C6 vertebra with quadriplegia. The cause of the fire was due to incomplete drying of the covering drapes with an alcohol based surgical prep solution. This paper discusses potential preventive measures to minimize the incidence of fire in the operating room.

No MeSH data available.


Related in: MedlinePlus

Wet margins of covering drapes even after complete drying of skin can lead to continuous formation of vapor near the surgical site.
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Figure 1: Wet margins of covering drapes even after complete drying of skin can lead to continuous formation of vapor near the surgical site.

Mentions: A number of alcohol based surgical prep solutions are commercially available and are being used on regular basis e.g., DuraprepR (contains 0.7% available iodine and 74% isopropyl alcohol), Chlorolprep R (contains 2% chlorhexidine gluconate and 70% isopropyl alcohol), Scrubcare brand Prevail-FxR (contains 0.83% available iodine and 72.5% isopropyl alcohol). In our case we had used CutaseptR that contains isoproponol (63%). We observed that the margins of the drapes remained wet even after the operating field was dried with a swab and that could have lead to a collection of vapors near the skin (Figure 1). As soon as the cautery was activated the vapors immediately catched fire. Hence, it is recommended that draping should be done after complete drying of the antiseptic solution. Also, covering the surgical site and the drape margins with a clear plastic adhesive drape would prevent vapor leakage and collection at the surgical site.


Alcohol based surgical prep solution and the risk of fire in the operating room: a case report.

Batra S, Gupta R - Patient Saf Surg (2008)

Wet margins of covering drapes even after complete drying of skin can lead to continuous formation of vapor near the surgical site.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2377238&req=5

Figure 1: Wet margins of covering drapes even after complete drying of skin can lead to continuous formation of vapor near the surgical site.
Mentions: A number of alcohol based surgical prep solutions are commercially available and are being used on regular basis e.g., DuraprepR (contains 0.7% available iodine and 74% isopropyl alcohol), Chlorolprep R (contains 2% chlorhexidine gluconate and 70% isopropyl alcohol), Scrubcare brand Prevail-FxR (contains 0.83% available iodine and 72.5% isopropyl alcohol). In our case we had used CutaseptR that contains isoproponol (63%). We observed that the margins of the drapes remained wet even after the operating field was dried with a swab and that could have lead to a collection of vapors near the skin (Figure 1). As soon as the cautery was activated the vapors immediately catched fire. Hence, it is recommended that draping should be done after complete drying of the antiseptic solution. Also, covering the surgical site and the drape margins with a clear plastic adhesive drape would prevent vapor leakage and collection at the surgical site.

Bottom Line: A few cases of fire in the operating room are reported in the literature.The factors that may initiate these fires are many and include alcohol based surgical prep solutions, electrosurgical equipment, flammable drapes etc.The cause of the fire was due to incomplete drying of the covering drapes with an alcohol based surgical prep solution.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedic Surgery, Central Institute of Orthopaedics, Vardhaman Mahavir Medical College & Safdarjung Hospital, New Delhi - 110029, India. sumitbatra104@rediffmail.com.

ABSTRACT
A few cases of fire in the operating room are reported in the literature. The factors that may initiate these fires are many and include alcohol based surgical prep solutions, electrosurgical equipment, flammable drapes etc. We are reporting a case of fire in the operating room while operating on a patient with burst fracture C6 vertebra with quadriplegia. The cause of the fire was due to incomplete drying of the covering drapes with an alcohol based surgical prep solution. This paper discusses potential preventive measures to minimize the incidence of fire in the operating room.

No MeSH data available.


Related in: MedlinePlus