Warning
Fire Hazard Both oxygen (O
oxide (N
O) support combustion. Watch for
2
enriched O
and N
O atmospheres near the
2
2
surgical site, especially during head and neck
surgery. Enriched O
2
result in fires and burns to patients or
surgical personnel.
Fire/Explosion Hazard The following
substances contribute to increased fire and
explosion hazards in the operating room:
• Oxygen-enriched environments
• Oxidizing agents, such as N
atmospheres
– Verify all anesthesia circuit
connections are leak free before
and during use of electrosurgery.
– Verify endotracheal tubes are leak
free and that the cuff seals properly
to prevent oxygen leaks.
– If an uncuffed tube is in use, pack the
throat with wet sponges around the
uncuffed tube.
– If possible, stop supplemental oxygen
at least one minute before and during
use of electrosurgery.
) and nitrous
2
atmospheres may
O
2
Warning
• Alcohol-based skin prepping agents and
tinctures
– Activate the electrosurgical unit only
after vapors from skin prep solutions
and tinctures have dissipated.
• Naturally occurring flammable gases
(such as methane) that may accumulate
in body cavities
Fire Hazard The sparking and heating
associated with electrosurgery can provide
an ignition source.
Observe fire precautions at all times:
• When using electrosurgery in the
same room with gases or flammable
substances, prevent pooling of fluids and
the accumulation of gases under surgical
drapes or near the surgical site.
• Tissue buildup (eschar) on the tip of
an active electrode poses a fire hazard,
especially in oxygen-enriched
environments, such as in throat or mouth
procedures. Eschar plus high oxygen may
create embers. Keep the electrode clean
and free of all debris.
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