To manage this event during the anesthetic procedure, the first thing is to close gas flow, remove the burnt ortra-cheal tube, reintubate the patient, flush the bronchi with normal saline solution, perform a fiberoptic bronchoscopy to visualize the extent of the lesion and flush thoroughly; management with bronchodilators is controversial, but it is said that it increases mucociliary function; the recommended mode of ventilation is CPAP; steroids and antibiotics are not recommended; tracheostomy will depend on the individual patient; and fiberoptic bronchoscopy must be repeated after six weeks.
Aunque los incendios en el quirófano son raros, y aún más en la vía aérea, hemos de tener claro que lo mejor es prevenirlos, conocer el riesgo de fuego en el procedimiento que se va a realizar.