Abstract

The use of the laser in surgery has led to a resurgence of an old problem that had been considered eliminated: the danger of fires and explosions. Anesthesiologists remember very well the fires and explosions that occurred when combustible anesthetics such as ether were used. Now we are finding however, that when using the laser, a medium that has a high energy density and collimation, that we are seeing a resurgence of such fires. In anesthesiology, we have a special problem regarding combustion because of the proximity of the laser to the endotracheal tube during laser airway surgery.The use of the laser in surgery has led to a resurgence of an old problem that had been considered eliminated: the danger of fires and explosions. Anesthesiologists remember very well the fires and explosions that occurred when combustible anesthetics such as ether were used. Now we are finding however, that when using the laser, a medium that has a high energy density and collimation, that we are seeing a resurgence of such fires. In anesthesiology, we have a special problem regarding combustion because of the proximity of the laser to the endotracheal tube during laser airway surgery.

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