Operating room safety during laser surgery

Laser surgery has been advocated for treatment of many laryngeal lesions. Although the CO2 laser has many advantages, its safe use requires special education of the surgeon and operating room team, and considerable surgical skill. Several dangers inherent in laser use for laryngeal surgery must be considered. These include vocal fold scarring secondary to thermal injury, loss of histopathologically important tissue through vaporization, airway fire and others. Laser-related complications must be considered whenever use of this instrument is contemplated.

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Anesthesia for Laser Surgery of the Airway

Otorhinolaryngology Clinics - An International Journal ◽

10.5005/jp-journals-10003-1250 ◽

2017 ◽

Vol 9 (1) ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Indrani Hemantkumar

Keyword(s):

Operating Room ◽

Laser Surgery ◽

Anesthetic Management ◽

Medical Lasers

ABSTRACT Anesthesia for laser surgery carries a number of particular challenges and pitfalls. The airway is not only shared with the surgeon but also being operated upon. Personnel working inside the operating room must also be very aware of the benefits and dangers of medical lasers, and safety precautions must be taken to ensure their proper use. The anesthetist must have the knowledge and expertise to anesthetize a patient with a potentially compromised airway. This article deals with the anesthetic management of a patient presenting for laser surgery of the airway. How to cite this article Hemantkumar I. Anesthesia for Laser Surgery of the Airway. Int J Otorhinolaryngol Clin 2017;9(1):1-5.

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Anesthetic Challenges During Laser Surgery of the Larynx Part 2. Operating Room Fire

International Bulletin of Otorhinolaryngology ◽

10.14748/orl.v15i3.6696 ◽

2019 ◽

Vol 15 (3) ◽

pp. 14

Author(s):

Ts. Marinov ◽

M. Belitova ◽

T. Popov ◽

N. Nizamova ◽

J. Rangachev ◽

...

Keyword(s):

Operating Room ◽

Laser Surgery

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Laryngeal Laser Surgery for Recurrent Respiratory Papillomatosis, Cancer and Dysplasia: Operating Room and Office

Perspectives on Voice and Voice Disorders ◽

10.1044/vvd19.2.74 ◽

2009 ◽

Vol 19 (2) ◽

pp. 74-83

Author(s):

Steven M. Zeitels ◽

Robert E. Hillman

Keyword(s):

Laser Treatment ◽

Operating Room ◽

Laser Surgery ◽

Vocal Fold ◽

Recurrent Respiratory Papillomatosis ◽

Ktp Laser ◽

Thulium Laser ◽

Skill Sets ◽

The Cost ◽

Angiolytic Laser

Abstract Since their introduction in laryngology over 30 years ago, lasers have facilitated critically-important innovations that have now evolved into office-based surgery. Recent advances include the application of angiolytic lasers that treat vocal fold lesions by ablating vasculature and the use of the thulium laser as a more efficient and versatile tissue dissector. In our experience, the 532nm pulsed KTP laser has emerged thus far as the optimal angiolytic laser to treat vocal-fold lesions both in the operating room and in the clinic setting. Despite the fact that the skill-sets to adopt office-based laser treatment are an easy transition for most laryngological surgeons, the primary impediment to widespread adoption is the cost of the technology. Furthermore, critical development of these new lasers will occur with broader use of these lasers in other surgical disciplines, which should diminish costs for all surgeons and thereby promote better outcomes for individuals with voice disorders.

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Laser Surgery and Operating Room Fires

Anesthesia Secrets ◽

10.1016/b978-0-323-06524-5.00076-3 ◽

2011 ◽

pp. 518-521

Author(s):

James Duke

Keyword(s):

Operating Room ◽

Laser Surgery ◽

Room Fires

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Precaution and Safety in Carbon Dioxide Laser Surgery

Otolaryngology ◽

10.1177/019459988609500221 ◽

1986 ◽

Vol 95 (2) ◽

pp. 239-241 ◽

Cited By ~ 4

Author(s):

Romeo Y. Lim ◽

Catherine L. Kenney

Keyword(s):

Carbon Dioxide ◽

Head And Neck ◽

Operating Room ◽

Laser Surgery ◽

Carbon Dioxide Laser ◽

Years Of Experience ◽

Laryngeal Papilloma ◽

Surgical Tool ◽

New Period ◽

Head Neck

The introduction of the carbon dioxide laser—(in 1972) by Strong and Jako 1 as a surgical tool for removal of laryngeal papilloma—heralded a new period of surgical refinement and precision in otolaryngology and also led to adjustment and precautions in operating room setup and in the administration of anesthetics. This article recounts 8 years of experience in carbon dioxide laser surgery on 3500 head and neck patients. Techniques and precautions of administering anesthetics for laser surgery are presented. The management of a laser-ignited burn is also discussed. (OTOLARYNGOL HEAD NECK SURG 95:239,1986.)

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Carbon-Dioxide-Laser-Assisted Lower Facelift: A Preliminary Report

The American Journal of Cosmetic Surgery ◽

10.1177/074880689200900208 ◽

1992 ◽

Vol 9 (2) ◽

pp. 159-169 ◽

Cited By ~ 1

Author(s):

David M. Morrow ◽

Linda B. Morrow

Keyword(s):

Carbon Dioxide ◽

Postoperative Pain ◽

Operating Room ◽

Laser Surgery ◽

Preliminary Report ◽

Carbon Dioxide Laser ◽

Flap Necrosis ◽

Room Fires

This report describes our experience over a 36-month period with 110 lower facelift surgeries using the CO2 laser as the primary or only cutting and undermining instrument. Carbon dioxide laser surgery was safe and effective in these 110 cases. Using the laser provided excellent hemostasis, absence of postoperative pain, and minimal postoperative bruising and swelling. There were no complications specific to the laser. There were no operating room fires and no laser accidents to the skin, eyes, or other tissues of the patients or operative personnel. Postoperatively there were no hematomas, no infections, no unusual scarring, no flap necrosis, and no dehiscence of incision lines.

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Biomedical applications: Pitfalls in the practice

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100169626 ◽

1994 ◽

Vol 52 ◽

pp. 378-379

Author(s):

J. D. Shelburne ◽

Peter Ingram ◽

Victor L. Roggli ◽

Ann LeFurgey

Keyword(s):

Operating Room ◽

Liquid Nitrogen ◽

Lung Tissue ◽

Biomedical Applications ◽

Microprobe Analysis ◽

Tissue Sample ◽

Cellular Level ◽

Tissue Samples ◽

Asbestos Fibers

At present most medical microprobe analysis is conducted on insoluble particulates such as asbestos fibers in lung tissue. Cryotechniques are not necessary for this type of specimen. Insoluble particulates can be processed conventionally. Nevertheless, it is important to emphasize that conventional processing is unacceptable for specimens in which electrolyte distributions in tissues are sought. It is necessary to flash-freeze in order to preserve the integrity of electrolyte distributions at the subcellular and cellular level. Ideally, biopsies should be flash-frozen in the operating room rather than being frozen several minutes later in a histology laboratory. Electrolytes will move during such a long delay. While flammable cryogens such as propane obviously cannot be used in an operating room, liquid nitrogen-cooled slam-freezing devices or guns may be permitted, and are the best way to achieve an artifact-free, accurate tissue sample which truly reflects the in vivo state. Unfortunately, the importance of cryofixation is often not understood. Investigators bring tissue samples fixed in glutaraldehyde to a microprobe laboratory with a request for microprobe analysis for electrolytes.

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