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In this issue of the journal, Culp et al. WHAT can you say to a patient having a skin lesion excised under monitored anesthesia care (MAC) who suffers severe burns to the neck and face from a surgical-site fire caused by unnecessary supplemental nasal cannula oxygen leaking under drapes and towels into the surgical field where electrocautery was used? “Oops!” is clearly insufficient.

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Although “I’m sorry” and then an outline of exactly what happened may be a start, there is often a significant difference between an explanation and an excuse.. With the recent widespread emphasis on the risk of surgical-site fires and new knowledge about the flammability of surgical drapes and materials, there can be no excuse.

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