Intra-oral ignition of monopolar diathermy during transnasal humidified rapid-insufflation ventilatory exchange (THRIVE)
Intra-oral ignition of monopolar diathermy during transnasal humidified rapid-insufflation ventilatory exchange (THRIVE)
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DOI：
10.1111/anae.13873
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发表时间：
2017-06-01
期刊：
影响因子：
10.7
通讯作者：
Ahmad, I.
中科院分区：
文献类型：
--
作者：
Onwochei, D.;El-Boghdadly, K.;Ahmad, I.
我们提出的情况下，意外气道点燃在硬腭活检。手术中使用了经鼻加湿快速吹气置换（THRIVE）和单极透热疗法，在此期间，从透热疗法头端到钛植入物产生电弧，导致单极透热疗法手柄短暂点火。该病例强调了在气道手术期间在存在THRIVE的情况下使用透热疗法时需要保持火灾风险意识。
We present the case of unanticipated airway ignition during hard palate biopsy. Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) and monopolar diathermy were utilised for the procedure, during which an arc arose from the diathermy tip to a titanium implant, causing a brief ignition on the monopolar diathermy grip. This case highlights the need for maintained awareness of fire risk when using diathermy in the presence of THRIVE during airway surgery.