In the rarest complication, a flash fire broke out inside the exposed chest cavity of a 60-year-old man who was undergoing emergency heart surgery in Australia.
The incident, which happened in August 2018, was presented over the weekend at the Euroanaesthesia Congress in Vienna, reported the EurekAlert.
Dr. Ruth Shaylor and his colleagues from Austin Hospital in Melbourne, where the fire incident happened, warned that dry surgical packs in the oxygen-rich environment of operating theatres where electrosurgical devices are being used present a fire risk.
The man in which the fire broke out had a history of chronic obstructive pulmonary disease (COPD) and had already undergone surgery just a year earlier. He had arrived at the hospital needing emergency surgery for a rupture in the inner wall of his aorta.
But during the surgery, a large blister in one of the man’s lung, related to the COPD, got punctured, releasing fluid into his chest cavity.
Fearing that the patient would suffer respiratory distress, doctors decided to give him more anesthesia and 100 percent oxygen.
They then used an electric cauterization tool to seal off bleeding tissue. That’s when a spark from the electrocautery device ignited the dry surgical pack that was placed near the man’s exposed chest cavity.
Doctors immediately took control of the situation and put out the fire with no injury to the patient, and the rest of the surgery was completed without a hassle.
“While there are only a few documented cases of chest cavity fires—three involving thoracic surgery and three involving coronary bypass grafting—all have involved the presence of dry surgical packs, electrocautery, increased inspired oxygen concentrations, and patients with COPD or pre-existing lung disease,” Dr. Shaylor said at the meeting.