Question

Case study: Daniela is a CST working with the day shift. She is scheduled to be the first scrub on a procedure in which a laser will be used to ablate abnormal laryngeal tissue and in preparing the room.

                     Questions

Q1. What specific safety issues should Daniela consider in preparing for this case?

Q2. What policies and procedures should be in place to ensure the patient's safety?

Q3. What are the possible concerns regarding the anesthetic used in this case?

Please the subject: surgical technologist course but no option to choose from.

Answer 1

Airway fires is the main serious threat during laryngeal surgery. Laser heat can increase scarring and cause damage to adjacent tissues. Studies show that some people got serious injuries and some were affected with minimal injury. There can be chances of:

Endo tracheal explosion

Can mange with paying attention to safety and delivery as well as using laser resistant endo tracheal tube . Wrap the tube in saline coated gauze pad, even though the moisture remain as a challenge, it's an option. Limit the oxygen content in anaesthetic gas, not using a tube, wrap the tube in a reflective metal, using a metal tube and jet ventilating with a needle or metal tube.

Facial burns

Mucosal burns

Using a higher pulse power for a shorter period of time results in less tissue damage than using a lower power for a longer period of time .

Skip techique is beneficial because laser bursts immediately next to each other create the risk of thermal overlap and tissue damage.

Vocal folds webs

Stenosis and

Glottis incompetence