Document Detail

Fatal inhalation injury caused by airway fire during tracheostomy.
MedLine Citation:
PMID:  17378792     Owner:  NLM     Status:  MEDLINE    
A 45-year-old man needed emergency tracheostomy and cranioplasty. He was intubated with a cuffed oral polyvinylchloride endotracheal tube and ventilated with 100% oxygen before tracheal incision. During opening of the trachea using diathermy, a popping sound was heard and flames originating from the tracheal incision were observed. The endotracheal tube was charred and its lumen had melted. Immediately after the incident, bronchofibroscopic examination revealed inhalation injury. After remaining for 8 weeks in hospital, the patient was transferred to a health care centre, where he was found dead in his bed.
M Niskanen; S Purhonen; V Koljonen; A Ronkainen; E Hirvonen
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta anaesthesiologica Scandinavica     Volume:  51     ISSN:  0001-5172     ISO Abbreviation:  Acta Anaesthesiol Scand     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-03-23     Completed Date:  2007-07-03     Revised Date:  2008-01-22    
Medline Journal Info:
Nlm Unique ID:  0370270     Medline TA:  Acta Anaesthesiol Scand     Country:  England    
Other Details:
Languages:  eng     Pagination:  509-13     Citation Subset:  IM    
Department of Anaesthesiology and Intensive Care, ENT Hospital, Helsinki University Central Hospital, Helsinki, Finland.
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MeSH Terms
Burns, Inhalation / complications,  etiology*
Diathermy / adverse effects*
Electrocoagulation / adverse effects
Fatal Outcome
Intubation, Intratracheal / methods
Middle Aged
Oxygen / administration & dosage
Polyvinyl Chloride
Respiratory Tract Infections / etiology
Tracheostomy / adverse effects*
Reg. No./Substance:
7782-44-7/Oxygen; 9002-86-2/Polyvinyl Chloride
Comment In:
Acta Anaesthesiol Scand. 2007 Nov;51(10):1406   [PMID:  17944652 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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