• Anaesthesia · Jun 2017

    Case Reports

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

    • D Onwochei, K El-Boghdadly, R Oakley, and I Ahmad.
    • Department of Anaesthesia, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
    • Anaesthesia. 2017 Jun 1; 72 (6): 781-783.

    AbstractWe 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.© 2017 The Association of Anaesthetists of Great Britain and Ireland.

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