Fire hazard prevention and protection in neurosurgical operating rooms revisited: A literature review challenged by a recent incident report

Abstract

We present the case of an 11 month old boy with history of sagittal synostosis who underwent a cranial vault reconstruction for repair. During the case, surgical irrigation spilled onto the plug in the operating room table, resulting in sparks and a small fire. The fire was contained and extinguished. The patient suffered no injury. We discuss previous cases of fires in neurosurgical operating rooms and identify a new source of ignition for fires. We also explore recommended best practices for fire prevention and safety to identify ways to prevent instances like this from occurring in the future.

Keywords

• Electrical fire
• Fire hazards
• Neurosurgery
• Operating room
• Plug
• Safety