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Intra-oral ignition of monopolar diathermy during transnasal humidified rapid-insufflation ventilatory exchange (THRIVE).

Authors
  • Onwochei, D1
  • El-Boghdadly, K1
  • Oakley, R1
  • Ahmad, I1
  • 1 Department of Anaesthesia, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Type
Published Article
Journal
Anaesthesia
Publisher
Wiley (Blackwell Publishing)
Publication Date
Jun 01, 2017
Volume
72
Issue
6
Pages
781–783
Identifiers
DOI: 10.1111/anae.13873
PMID: 28321836
Source
Medline
Keywords
License
Unknown

Abstract

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.

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