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A Case Report of Incidental Endotracheal Tube Firing in Operating Room during CO2 Laser-Assisted Laryngomicrosurgery

Other Titles
 CO2 레이저를 이용한 후두미세수술에서 발생한 기관 내 화재 1예 
 Eun Jung Lee  ;  Byeong Il Choi  ;  Chan Min Jung  ;  Hong-Shik Choi 
 Korean Journal of Otorhinolaryngology-Head and Neck Surgery, Vol.58(3) : 209-213, 2015 
Journal Title
 Korean Journal of Otorhinolaryngology-Head and Neck Surgery 
Issue Date
Fires ; Larynx ; Lasers ; Operating rooms ; Safety
Operating room fires are a rare but preventable danger in modern operating rooms. But sometimes accidental fires in operating room can be life threatening. Surgical fires require an ignition source, oxidizer, and fuel. Recently, laser as an ignition source in the presence of anesthetic gases has been associated with operating room fires in otorhinolaryngologic field. We describe a 30-year-old patient diagnosed with recurrent laryngeal papillomatosis treated by CO2 laser-assisted laryngomicrosurgery. In this case, we experienced endotracheal tube flaring during CO2 vaporization and then incidental endotracheal tube firing due to CO2 laser under high O2 circumference. Shortly after removal of firing endotracheal tube, the anesthesiologist considered careful re-intubation. To minimize the risk of operating room fires, surgeons must familiarize with the common possibilities where fire is known to occur. Furthermore, the prevention of operating room firing should be strongly considered during all operations using lasers.
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1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Eun Jung(이은정) ORCID logo https://orcid.org/0000-0002-0454-4510
Jung, Chan Min(정찬민) ORCID logo https://orcid.org/0000-0002-1445-2564
Choi, Byeong Il(최병일)
Choi, Hong Shik(최홍식)
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