The effect of intraoral suction on oxygen-enriched surgical environments

A mechanism for reducing the risk of surgical fires

Andrea M. Van Cleave, James Jones, James D. McGlothlin, Mark A. Saxen, Brian Sanders, LaQuia Vinson

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

In this study, a mechanical model was applied in order to replicate potential surgical fire conditions in an oxygen-enriched environment with and without high-volume suction typical for dental surgical applications. During 41 trials, 3 combustion events were measured: an audible pop, a visible flash of light, and full ignition. In at least 11 of 21 trials without suction, all 3 conditions were observed, sometimes with an extent of fire that required early termination of the experimental trial. By contrast, in 18 of 20 with-suction trials, ignition did not occur at all, and in the 2 cases where ignition did occur, the fire was qualitatively a much smaller, candle-like flame. Statistically comparing these 3 combustion events in the no-suction versus with-suction trials, ignition (P = .0005), audible pop (P = .0211), and flash (P = .0092) were all significantly more likely in the no-suction condition. These results suggest a possible significant and new element to be added to existing surgical fire safety protocols toward making surgical fires the "never-events" they should be.

Original languageEnglish (US)
Pages (from-to)155-161
Number of pages7
JournalAnesthesia Progress
Volume61
Issue number4
StatePublished - Dec 1 2014

Fingerprint

Suction
Oxygen
Medical Errors
Tooth
Safety
Light

Keywords

  • High-volume suction
  • Oxygen-enriched environments
  • Surgical fires

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

The effect of intraoral suction on oxygen-enriched surgical environments : A mechanism for reducing the risk of surgical fires. / Van Cleave, Andrea M.; Jones, James; McGlothlin, James D.; Saxen, Mark A.; Sanders, Brian; Vinson, LaQuia.

In: Anesthesia Progress, Vol. 61, No. 4, 01.12.2014, p. 155-161.

Research output: Contribution to journalArticle

@article{b762e11427cf49808d68f724765561cf,
title = "The effect of intraoral suction on oxygen-enriched surgical environments: A mechanism for reducing the risk of surgical fires",
abstract = "In this study, a mechanical model was applied in order to replicate potential surgical fire conditions in an oxygen-enriched environment with and without high-volume suction typical for dental surgical applications. During 41 trials, 3 combustion events were measured: an audible pop, a visible flash of light, and full ignition. In at least 11 of 21 trials without suction, all 3 conditions were observed, sometimes with an extent of fire that required early termination of the experimental trial. By contrast, in 18 of 20 with-suction trials, ignition did not occur at all, and in the 2 cases where ignition did occur, the fire was qualitatively a much smaller, candle-like flame. Statistically comparing these 3 combustion events in the no-suction versus with-suction trials, ignition (P = .0005), audible pop (P = .0211), and flash (P = .0092) were all significantly more likely in the no-suction condition. These results suggest a possible significant and new element to be added to existing surgical fire safety protocols toward making surgical fires the {"}never-events{"} they should be.",
keywords = "High-volume suction, Oxygen-enriched environments, Surgical fires",
author = "{Van Cleave}, {Andrea M.} and James Jones and McGlothlin, {James D.} and Saxen, {Mark A.} and Brian Sanders and LaQuia Vinson",
year = "2014",
month = "12",
day = "1",
language = "English (US)",
volume = "61",
pages = "155--161",
journal = "Anesthesia Progress",
issn = "0003-3006",
publisher = "Allen Press Inc.",
number = "4",

}

TY - JOUR

T1 - The effect of intraoral suction on oxygen-enriched surgical environments

T2 - A mechanism for reducing the risk of surgical fires

AU - Van Cleave, Andrea M.

AU - Jones, James

AU - McGlothlin, James D.

AU - Saxen, Mark A.

AU - Sanders, Brian

AU - Vinson, LaQuia

PY - 2014/12/1

Y1 - 2014/12/1

N2 - In this study, a mechanical model was applied in order to replicate potential surgical fire conditions in an oxygen-enriched environment with and without high-volume suction typical for dental surgical applications. During 41 trials, 3 combustion events were measured: an audible pop, a visible flash of light, and full ignition. In at least 11 of 21 trials without suction, all 3 conditions were observed, sometimes with an extent of fire that required early termination of the experimental trial. By contrast, in 18 of 20 with-suction trials, ignition did not occur at all, and in the 2 cases where ignition did occur, the fire was qualitatively a much smaller, candle-like flame. Statistically comparing these 3 combustion events in the no-suction versus with-suction trials, ignition (P = .0005), audible pop (P = .0211), and flash (P = .0092) were all significantly more likely in the no-suction condition. These results suggest a possible significant and new element to be added to existing surgical fire safety protocols toward making surgical fires the "never-events" they should be.

AB - In this study, a mechanical model was applied in order to replicate potential surgical fire conditions in an oxygen-enriched environment with and without high-volume suction typical for dental surgical applications. During 41 trials, 3 combustion events were measured: an audible pop, a visible flash of light, and full ignition. In at least 11 of 21 trials without suction, all 3 conditions were observed, sometimes with an extent of fire that required early termination of the experimental trial. By contrast, in 18 of 20 with-suction trials, ignition did not occur at all, and in the 2 cases where ignition did occur, the fire was qualitatively a much smaller, candle-like flame. Statistically comparing these 3 combustion events in the no-suction versus with-suction trials, ignition (P = .0005), audible pop (P = .0211), and flash (P = .0092) were all significantly more likely in the no-suction condition. These results suggest a possible significant and new element to be added to existing surgical fire safety protocols toward making surgical fires the "never-events" they should be.

KW - High-volume suction

KW - Oxygen-enriched environments

KW - Surgical fires

UR - http://www.scopus.com/inward/record.url?scp=84920935640&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84920935640&partnerID=8YFLogxK

M3 - Article

VL - 61

SP - 155

EP - 161

JO - Anesthesia Progress

JF - Anesthesia Progress

SN - 0003-3006

IS - 4

ER -