Surgical fires can occur when an oxidizer, an ignition source and a fuel source are all present. Ignition sources include electrosurgical units, electrocautery devices, lasers and fiber-optic illumination systems, and fuel sources include surgical drapes, alcohol-based skin preparation agents and the patient’s tissue, hair or skin.
Here are the FDA’s recommendations for preventing surgical fires. Further guidance on safe use can be found on the FDA’s website.
1. Perform a fire risk assessment at the start of every surgery.
2. Encourage communication between the anesthesia professional delivering medical gases, the surgeon controlling the ignition source and the operating room staff applying skin preparation agents and drapes.
3. Practice safe use and administration of oxidizers.
4. Ensure safe use of any devices that may serve as an ignition source.
5. Safely use surgical suite items that are potential fuel sources, including surgical drapes, towels, sponges and gauze.
6. Plan and practice how to manage a surgical fire.
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