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Perioperative Management of an Airway Fire: A Case Report

Salaria, Osman, Nawazish, MD; Suthar, Rekha, MD; Abdelfattah, Sarah, MD; Hoyos, Jason, DO

doi: 10.1213/XAA.0000000000000620
Case Reports: Case Report

Accidental fire can occur with upper airway injury and can be fatal if inappropriately managed. Effective communication between the anesthetic and the surgical teams can reduce the risk of such an adverse event. Understanding the interaction between fuel, oxidizer, and ignition source in an airway fire may also reduce the incidence. The literature on upper airway thermal injury has focused on prevention and intraoperative management, but few studies have described postburn management. In this report, we describe the intraoperative occurrence of an airway fire during a surgical tracheostomy and subsequent patient management.

From the Miami Beach Anesthesiology Associates, Inc, Department of Anesthesiology, Mount Sinai Medical Center, Miami, Florida.

Accepted for publication June 27, 2017.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Osman Nawazish Salaria, MD, Department of Anesthesiology, Mt Sinai Medical Center of Florida, 1035 West Ave, PH08, Miami Beach, FL 33139. Address e-mail to

© 2018 International Anesthesia Research Society
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