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Anesthesia for pediatric airway laser surgery requires careful management of the compromised airway, maintenance of homeostasis, and strict adherence to medical laser safety precautions.
Provides an overview of the challenges, safety precautions, and institutional practices for anesthesia during pediatric airway laser surgery.
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Emphasizes protocol adherence in pediatric laser airway anesthesia; leaves open the need for prospective outcome trials.
Anesthesia for laser surgery in children carries a number of particular challenges and pitfalls. The anesthetist must be aware not only of the problems of anesthetizing a patient with a potentially compromised airway but also of how to maintain homeostasis when surgery is taking place, as procedures may make a bad situation temporarily worse. Personnel must also be very aware of the benefits and dangers of medical lasers, and what safety precautions must be taken to ensure their proper use. This section will deal with the properties of lasers, how and why they are used, and a description of how these procedures are carried out in our own institution.
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Crispin Best (2009) conducted a review in Laser surgery of the airway. Anesthesia for laser surgery was evaluated. Anesthesia for pediatric airway laser surgery requires careful management of the compromised airway, maintenance of homeostasis, and strict adherence to medical laser safety precautions.
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