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Managing Fires ::

For endotracheal tube fire,
immediately and rapidly:

  • Disconnect breathing circuit from the endotracheal tube
  • Remove endotracheal tube
  • Care for patient
Endotracheal tube shooting rocket-like flames

Health Devices, ECRI

ECRI suggests the following emergency procedure when extinguishing airway fires. This procedure should be reviewed prior to each surgical procedure.

At the first sign of an endotracheal tube fire, disconnect the breathing circuit from the tube. Signs of such a fire are rocket-like flames shooting from the tube or an orange or red glow from the tube or a darkening of the breathing circuit,

Second, remove the endotracheal tube and have another team member extinguish it. Next, remove any cuff protective devices and any segments of burned tube that may remain smoldering in the airway. Reestablish the airway after clearing it of any residual debris and resume ventilation with air. Do not administer 100 percent oxygen until it is absolutely certain that nothing burning remains in the airway.

Finally, examine the airway for the extent of damage and treat the patient accordingly.

If a fire should occur, all materials, devices and equipment involved in the incident should be saved for later investigation.

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