The endotracheal tube problem in CO2 laser surgery of the upper aerodigestive tract

The CO2 laser was first Introduced for surgery of the aerodigestive tract in 1971. Since that time, great advances in application have been made in both the adult and pediatric population. Recent reports of isolated complications have appeared in the literature. However, a realistic complication rate in a large series of patients has yet to be reported. This report relates the combined experience of the authors in a total of 4416 cases during the 11–year period from 1971 to 1982. There were nine instances of complications, representing a complication rate of 0.2%. These complications provided a unique learning experience for the authors, and led to the establishment of certain basic principles that should be followed in all laser operations. This survey indicates that the CO2 laser is a safe, extremely useful surgical modality in the aerodigestive tract.

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THE PROTECTIVE EFFECT OF HELIUM OH SILICONE ENDOTRACHEAL TUBE FLAMMABILITY DURING CO2 LASER SURGERY

Anesthesiology ◽

10.1097/00000542-199109001-00393 ◽

1991 ◽

Vol 75 (3) ◽

pp. A393-A393

Author(s):

John a. Goode ◽

Thomas R. Hurray ◽

Patricis Hurray ◽

Michael Harbaugh

Keyword(s):

Protective Effect ◽

Endotracheal Tube ◽

Co2 Laser ◽

Laser Surgery ◽

Co2 Laser Surgery

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Complications of CO2 Laser Surgery of the Larynx

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348948109000207 ◽

1981 ◽

Vol 90 (2) ◽

pp. 132-134 ◽

Cited By ~ 43

Author(s):

Arlen Meyers

Keyword(s):

Endotracheal Tube ◽

Polyvinyl Chloride ◽

Co2 Laser ◽

Laser Surgery ◽

Recent Experience ◽

Potential Hazard ◽

Endotracheal Tubes ◽

Factors Associated ◽

Co2 Laser Surgery

Since the introduction of CO2 laser surgery, surgeons have stressed the importance of protecting nontarget structures from errant irradiation. Although striking areas outside the intended field may inflict little or no damage, irradiating an exposed endotracheal tube may result in an endotracheal fire. Recent experience with a case of endotracheal tube ignition led to a reevaluation of those factors associated with this serious complication. In an attempt to determine the best endotracheal tube to use during laser surgery of the larynx, the flammability of polyvinyl chloride and red rubber endotracheal tubes was compared. Several factors were noted to contribute to the potential hazard of endotracheal tube ignition. Since red rubber tubes are less flammable, they should be used during laryngeal CO2 laser surgery.

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Treatment of Bartholin gland cyst with CO2laser

Einstein (São Paulo) ◽

10.1590/s1679-45082016ao3568 ◽

2016 ◽

Vol 14 (1) ◽

pp. 25-29 ◽

Cited By ~ 2

Author(s):

Neila Maria de Góis Speck ◽

Karol Pereira Ruela Boechat ◽

Georgia Mouzinho Lima dos Santos ◽

Julisa Chamorro Lascasas Ribalta

Keyword(s):

Laser Beam ◽

Co2 Laser ◽

Laser Surgery ◽

Skin Incision ◽

Co2 Laser Surgery ◽

Results Of Treatment

ABSTRACT Objective To describe the results of treatment with CO2 laser for Bartholin gland cysts. Methods Thirty-one women with Bartholin gland cysts were treated with CO2laser at an outpatient´s setting. Skin incision was performed with focused laser beam, the capsule was opened to drain mucoid content, followed by internal vaporization of impaired capsule. Results There were no complications. Five patients had recurrence of the cyst and were submitted to a second and successful session. Conclusion CO2 laser surgery was effective to treat Bartholin gland cysts with minimal or no complications, and can be performed at an outpatient´s setting.

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