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Airway Fire During Left Internal Mammary Dissection in Cardiac Surgery

A Case Report

Kim, Tiffany J., MD; Mascetti, Carin, MD; Ramsingh, Davinder, MD

doi: 10.1213/XAA.0000000000000825
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Previous case reports describing fire during left internal mammary artery dissection involved patients with pulmonary blebs and did not involve the airway. We present a case of an airway fire, diagnosed by the sound of a pop, the appearance of a spark, and the development of an airway circuit leak in a patient with a 4-year-old tracheostomy scar who presented for coronary artery bypass with a left internal mammary artery. The case description is followed by a brief discussion of operating room fires and their management.

From the Department of Anesthesiology, Loma Linda University Health, Loma Linda, California.

Accepted for publication May 14, 2018.

Funding: None.

Conflicts of Interest: See Disclosures at the end of the article.

Address correspondence to Tiffany J. Kim, MD, Department of Anesthesiology, Loma Linda University Health, 11234 Anderson St, MC-2532, Loma Linda, CA 92354. Address e-mail to tiffakim@llu.edu.

© 2018 International Anesthesia Research Society
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