Stumpfe M, Horch RE (2025)
Publication Type: Journal article, Review article
Publication year: 2025
DOI: 10.1055/a-2513-0574
Background Thermal injuries and operating room fires pose significant risks to patients, especially when energy-based devices like monopolar diathermy are used. A study conducted by the FDA over 20 years reported over 3,500 injuries and 178 deaths, mostly caused by burns. The main causes of operating room fires can be explained by the "fire triangle": ignition sources, fuels, and oxidizers. Monopolar diathermy and lasers act as ignition sources, while alcohol-based disinfectants provide fuel. As oxidizers, oxygen and nitrous oxide further increase the risk of fire. Method This review is based on a literature analysis and case vignettes of patients with thermal injuries. It aims to highlight the severe consequences of such injuries and outline preventive measures. Results The findings underscore the need for a multidisciplinary approach. Key strategies include reducing oxygen con-centration and using alternative disinfectants. Targeted training for the surgical team, along with the use of "Fire Risk Assessment Tools", can substantially improve patient safety. Conclusion In conclusion, comprehensive risk management, the development of specific protocols, and team training are essential to prevent thermal injuries and sustainably reduce patient risk in the operating room.
APA:
Stumpfe, M., & Horch, R.E. (2025). Präventionsstrategien gegen Brände und thermische Verletzungen im Operationssaal. Handchirurgie, Mikrochirurgie, Plastische Chirurgie. https://doi.org/10.1055/a-2513-0574
MLA:
Stumpfe, Maximilian, and Raymund E. Horch. "Präventionsstrategien gegen Brände und thermische Verletzungen im Operationssaal." Handchirurgie, Mikrochirurgie, Plastische Chirurgie (2025).
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