Cirurgia a laser e anestesia
Laser surgery and anesthesia
Odilar Paiva Filho; José Reinaldo Cerqueira Braz
Resumo
Palavras-chave
Abstract
BACKGROUND AND OBJECTIVES: Laser surgeries pose risks both to patients and the medical staff. This article aimed at presenting basic notions for laser usage and rules for improving laser procedures safety.
CONTENTS: Notions of physics applied to laser, safety rules and procedures in case of adverse events with laser application are presented.
CONCLUSIONS: When operated by trained professionals, and provided safety rules are followed, laser is useful and safe both for patients and the medical staff.
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References
Ferreira MA, Nakashima ER. Anestesia em cirurgia otorrinolaringológica. Rev Bras Anestesiol. 2000;50:167-177.
Fuller TA. The physics of surgical lasers. Lasers Surg Med. 1980;1:5-14.
Council on Scientific Affairs: Lasers in Medicine and Surgery. JAMA. 1986;256.
Joffe SN, Schröder T. Lasers in general surgery. Adv Surg. 1987;20:125-154.
Rampil IJ. Anesthetic considerations for laser surgery. Anesth Analg. 1992;74:424-435.
Mitchel BS. Anesthesia for Laser Surgery. The Difficult Airway II. 1995;3:725-745.
Padfield A, Stamp JM. Anaesthesia for laser surgery. Eur J Anaesthesiol. 1992;9:353-366.
Bing J, McAuliffe MS, Lupton JR. Regional anesthesia with monitored anesthesia care for dermatologic laser surgery. Dermatologic Clinics. 2002;20:123-134.
Penna C, Fallani MG, Fambrini M. Cervical myomectomy by laser CO2. Minerva Gynecologic. 2002;54:435-438.
Rodrigo AM, Moreno JLP, Jabaloyas JMM. The treatment of ureteral lithiasis with a pulsed dye laser. Actas Urol Españolas. 1999;23:28-34.
Liu HC, Ang SB, Chen FG. Anaesthesia for transmyocardial laser revascularization: initial experience with seven patients. Anaesth Intensive Care. 1998;26:654-657.
Wolf Gl, Simpson JI. Flammability of endotracheal tubes in oxygen and nitrous oxide enriched atmosphere. Anesthesiology. 1987;67:236-239.
Leonard PF. The lower limits of flammability of halothane, enflurane and isoflurane. Anesth Analg. 1975;54:238-239.
Norton ML, Strong MS, Vaughan CW. Endotracheal intubation and Venturi (jet) Ventilation for laser microsurgery of the larynx. Ann Otol Rhinol Laryngol. 1976;85:656-663.
Williams SR, VanHasselt CA, Aun CS. Tubeless anesthetic technique for optimal carbon dioxide laser surgery of the larynx. Am J Otolaryngol. 1993;14:271-274.
Patel KF, Hicks JN. Prevention of fire hazards associated with use of carbon dioxide lasers. Anesth Analg. 1981;60:885-888.
Padfield A, Stamp JM. Anaesthesia for laser surgery. Eur J Anaesthesiol. 1992;9:353-366.
Sher M, Brimacombe J, Laing D. Anaesthesia for laser pharyngoplasty: a comparison of the tracheal tube with the reinforced laryngeal mask airway. Anaesth Intensive Care. 1995;23:149-153.
Yamaguchi S, Miyamoto H, Matsumoto T. Anesthetic management of Nd-YAG laser surgery in the airway using a laryngeal mask. Japan J Anesthesiol. 1995;44:1685-1688.
Abdelmalak B, Ryckman JV, AlHaddad S. Respiratory arrest after successful Nd-YAG laser treatment of subglottic tracheal stenosis. Anesth Analg. 2002;95:485-486.
Moyle JTB, Davey A. Equipamentos em Anestesia. 2000:449-452.