Fire during pulmonary bullectomy by video-assisted thoracoscopic surgery

Fire in the operation room is an example of a never event, which should never happen. An oxidizer, fuel, and ignition source are necessary for a fire and these all exist in the operating room (1). General anesthesia requires the use of 100% oxygen. Drapes, surgical gauzes, and alcohol-based prep solutions are usually combustible substances. Electric scalpels or other energy devices can be the source of ignition. Most operation fires were caused during head and neck surgery owing to the presence of oxygen and the use of a laser (2). Surgeons need to be careful not to cause a fire. At the time of thoracic surgery, a high concentration of oxygen is required for anesthesia with one-lung ventilation, which increases the risk of fire. We report a case of fire during video-assisted thoracoscopic surgery (VATS) with one-lung ventilation for the treatment of both sides of bilateral pneumothorax at the same time