Airway Fire

2017 ◽  
Author(s):  
Ju-Mei Ng
Keyword(s):  
Endotracheal Tube ◽  
Operating Room ◽  
Surgical Procedures ◽  
Fire Safety ◽  
Safety Measures ◽  
Three Components

Airway fires during tracheotomy are rare but potentially fatal events, which are preventable. There are many surgical procedures that place the patient at a higher risk for airway fires, identification of those procedures and the associated risk is the first step towards avoiding this deadly complication. In this chapter the fire triad, of which each of the three components is independently necessary for fire to occur is described. Operating room fire safety measures are reviewed, with emphasis on the management of airway fires. The immediate interventions during an airway fire are discussed, together with the dilemma of which method should be used to secure the airway after the endotracheal tube catches fire.

A suggested logic for trading between fire-safety measures

1986 ◽  
Vol 10 (3-4) ◽  
pp. 141-143 ◽  
Author(s):  
T. Z. Harmathy
Keyword(s):  
Fire Safety ◽  
Safety Measures

scholarly journals FIRE RESISTANCE OF BUILDING STRUCTURES OF FLAMMABLE AND COMBUSTIBLE LIQUIDS STORES

Fire Safety ◽  
2019 ◽  
pp. 5-9
Author(s):  
O. I. Bashynskiy ◽  
M. Z. Peleshko ◽  
T. G. Berezhanskiy
Keyword(s):  
Fire Resistance ◽  
Fire Safety ◽  
Theoretical Calculations ◽  
Fire Hazard ◽  
Building Structures ◽  
Safety Measures ◽  
Normative Documents ◽  
Size Number ◽  
Literary Sources ◽  
Combustible Liquids

The article is dedicated to the fire resistance limit of building structures of the objects for the storage of flammable and combustible liquids. Today, oil stores are very important elements of the oil supply system in Ukraine. The analysis of literary sources has shown that fires in oil stores cause extra fire hazard of surrounding objects. Increasing of their scales requires further improvement of fire safety measures during planning and using of oil stores. Fires in such buildings are tricky and large; they cause great harm and often lead to the death of people; their liquidation is very difficult. Theoretical calculations shown that the collapse of structures of the packaged oil stores and, as a result, significant material losses and the threat to people's life and health, were resulted from the incorrect selection of building structures and the discrepancy between the fire resistance of these structures and the applicable norms and requirements for such buildings. Fire Safety, №34, 2019 9 Fire resistance limit of the metal double-T pillar made of steel ВСт3пс4 (profile size number 30) was calculated in the article. Such constructions are used in oil stores. The obtained fire resistance limit of a metal double-T pillar is about 16 minutes (R 16). According to the normative documents for buildings of this type (the degree of fire resistance of the building – III), it should be 120 minutes (R 120). Even if the calculation method has an error due to the choice of another steel grade, objectively none of the double-T profiles from the assortment list would provide proper fire resistance limit.

Benchmarks for the Durations of Ambulatory Surgical Procedures in Otolaryngology

2011 ◽  
Vol 120 (11) ◽  
pp. 727-731 ◽  
Author(s):  
Neil Bhattacharyya
Keyword(s):  
United States ◽  
Operating Room ◽  
Surgical Procedures ◽  
Ambulatory Surgery ◽  
Secondary Analysis ◽  
The United States ◽  
Tube Placement ◽  
The Mean ◽  
Room Time ◽  
Ambulatory Procedures

Objectives: I undertook to determine benchmarks and variability for the surgical times associated with ambulatory otolaryngological procedures in the United States. Methods: I examined the 2006 release of the National Survey of Ambulatory Surgery and extracted all cases of otolaryngological surgery in which one, and only one, otolaryngological procedure was performed. The mean surgical times and operating room times were determined for each procedure that met reliability criteria for their estimates. A secondary analysis was computed for tonsillectomy and for tonsillectomy plus adenoidectomy according to a patient age of greater than 12 years. Results: An estimated 1.68 ± 0.23 million otolaryngological procedures were analyzed as solitary procedures, including 507,000 cases of myringotomy with ventilation tube placement, 136,000 cases of tonsillectomy, and 429,000 cases of tonsillectomy plus adenoidectomy. The mean (±SE) surgical times were 8.0 ± 0.5, 23.9 ± 1.8, and 20.3 ± 0.8 minutes, respectively. The total operating room times were 17.6 ± 0.9, 48.2 ± 2.0, and 40.7 ± 1.1 minutes, respectively. Septoplasty with turbinectomy was the most common rhinologic procedure performed (48,000 cases analyzed) and had surgical and operating room times of 49.6 ± 4.78 and 79.8 ± 5.8 minutes, respectively. The surgical times for tonsillectomy and tonsillectomy plus adenoidectomy did not differ significantly in magnitude according to standard age cutoffs, although the operating room time was slightly (11.7 minutes) longer for tonsillectomy in patients more than 12 years of age (p = 0.034). Conclusions: The surgical times for the performance of the most common otolaryngological ambulatory procedures are remarkably consistent in the United States. Given the volume and consistency of these surgical procedures, they are ideal candidates for studies of cost and efficiency.

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