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NEWSLETTER The Official Journal of the Anesthesia Patient Safety Foundation

www.apsf.org Volume 26, No. 3, 41-68

Circulation 94,429

Winter 2012

Surgical Fire Injuries Continue to Occur

Prevention May Require More Cautious Use of Oxygen The conditions placing patients at risk for surgical fires on the body surface are well-defined:1-7 • Procedures involving the head, neck, and upper chest (above T5) • Use of an ignition source (electrosurgical or electocautery devices, laser) in proximity to an oxidizerenriched (oxygen, nitrous oxide) atmosphere Steps to decrease the likelihood of surgical fires on the body surface are well defined:1-7 • Determine if the patient is at risk for surgical fire • Surgical team discusses the strategy for preventing and managing a surgical fire in a high risk patient • Minimize the concentration of oxidizer (oxygen, nitrous oxide) near the surgical site • Safely manage ignition sources • Safely manage fuels (alcohol-based skin preps, drapes, oxygen masks, nasal cannulae, patient’s hair). Despite the fact that we know which patients are at risk for fire and understand how to prevent a fire, SURGICAL FIRES CONTINUE TO OCCUR.

A shocking and dramatic picture from the Fire Safety Video. Watch the whole video online at the APSF website home page—www.APSF.org.

See “Fire Safety,” Page 43

Inside: President's Report 2011................................................................................................................................................................................................Page 42 APSF Board of Directors Workshop 2011: Setting Future Patient Safety Initiatives......................................................................................Page 45 Experience with Capnography Monitoring for PCA Patients—Patient Benefits and ROI............................................................................Page 47 Lifebox: Improving Patient Safety in Developing Countries.................................................................................................................................Page 51 APSF Grants 2012 Awards: Postoperative Deterioration Predictors and Extubation Algorithms................................................................Page 55 Letters to the Editor: Look-Alike Propofol Drug, Multimodal Analgesia, and Needle Risks........................................................... Pages 61, 62, 66 Scientific Papers at 2011 ASA Annual Meeting........................................................................................................................................................Page 57 ASA Safety-Related Exhibits 2011..............................................................................................................................................................................Page 59 Preventing Epidural-Intravenous Misconnections................................................................................................................................................Page 63 Q&A: Regulations Requiring Backup Anesthesia Machine Availability?.........................................................................................................Page 67

2012 Winter  

Anesthesia Patient Safety Foundation (APSF) Newsletter - Winter 2012 issue

2012 Winter  

Anesthesia Patient Safety Foundation (APSF) Newsletter - Winter 2012 issue

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