Airway Laser Surgery: Equipment Options
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Questions and Answers

What is recommended regarding the surface of surgical instruments to minimize laser beam reflection?

  • Mirrored surfaces
  • Highly reflective surfaces
  • Transparent surfaces
  • Non-reflective (matt) surfaces (correct)
  • What is a key safety measure when handling the active tip of a laser?

  • Visible only when needed
  • Kept close to bronchoscopes and endotracheal tubes
  • Deactivated after removal from the surgical site (correct)
  • Placed directly on the patient when not in use
  • Why should nitrous oxide be avoided in medical settings?

  • It reduces the risk of fire
  • It supports combustion as readily as oxygen (correct)
  • It is essential for patient recovery
  • It enhances surgical procedures
  • When using electrocautery or a laser, what is the ideal timing for discontinuing supplemental oxygen?

    <p>At least one minute before using electrocautery or a laser</p> Signup and view all the answers

    What is the purpose of using helium in place of nitrogen in gas mixtures?

    <p>Reduce the risk of ignition</p> Signup and view all the answers

    How can the time to ignition of surgical drapes be increased according to the text?

    <p>Lowering oxygen concentrations</p> Signup and view all the answers

    What feature of the Mallinckrodt LaserFlex™ endotracheal tube helps alert the surgeon of a rupture?

    <p>Tinted with methylene blue</p> Signup and view all the answers

    What is the purpose of the second cuff in the Mallinckrodt LaserFlex™ endotracheal tube?

    <p>To maintain a secure airway</p> Signup and view all the answers

    What is an alternative, less expensive method to the specially designed laser-resistant tubes for airway laser surgery?

    <p>Endotracheal tubes wrapped in metallic foil</p> Signup and view all the answers

    Which material is NOT recommended for wrapping endotracheal tubes due to its vulnerability during airway laser surgery?

    <p>Alcohol-based skin preparation solutions</p> Signup and view all the answers

    What is a measure to minimize the risk of ignition during airway laser surgery?

    <p>Soaking up flammable agents</p> Signup and view all the answers

    What is the recommended ventilation strategy for patients undergoing procedures involving electrocautery or laser to the airway?

    <p>Ensure the cuff pressure is sufficient to eliminate oxygen leakage into the surgical field</p> Signup and view all the answers

    What action should theatre team members take to effectively manage airway fires?

    <p>Immediately adopt previously assigned and rehearsed roles</p> Signup and view all the answers

    Why are cuffed endotracheal tubes preferred over uncuffed tubes in procedures involving electrocautery?

    <p>To reduce the risk of electrocautery-induced fires</p> Signup and view all the answers

    What technique is recommended to avoid inadvertent cuff puncture during tracheostomy formation?

    <p>Filling cuffs with saline</p> Signup and view all the answers

    Why should supplemental oxygen be provided via a closed circuit or secure airway instead of an open circuit?

    <p>To minimize the risk of electrocautery-induced fires</p> Signup and view all the answers

    What should be ensured when placing endotracheal tubes for high-risk procedures involving laser?

    <p>Maintaining safe distance from vocal cords and carina</p> Signup and view all the answers

    How can leakage from uncuffed endotracheal tubes contribute towards electrocautery-induced fires?

    <p>By allowing gases to escape into the oropharynx</p> Signup and view all the answers

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