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.
Keywords
Referências
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.