The use of lasers in the field of Otorhinolaryngology - Head and Neck Surgery (Orl-HNS) has augmented the physician’s ability to take care of problems for the patient in a manner which is much improved over previous techniques. The treatment of some airway diseases has been particularly enhanced by the use of the laser.

Orl-HNS is virtually unique among the medical specialties in that a wide variety of lasers are utilized on many different types of lesions via all available delivery systems. Therefore, almost any conceivable combination of laser-tissue interaction must be considered by the surgeon. Because of this fact, it is very important that comprehensive laser safety training and laser safety programs be stressed to those members of our specialty using lasers.

To this end, this presentation will review those items of laser safety that should be addressed in residency training programs as well as in postgraduate courses. In addition, a model laser safety program for a healthcare facility, specific to the nature of this program, many other specialties will find useful information here and the program could easily be used as a basis for expansion into a hospital-wide program.

Finally, reviews will be presented to support the efficacy of both safety training and safety programs in order to show that they really do make a difference.

1.
Campbell
,
C. J.
,
Ritter
,
M. C.
,
Koster
,
C. J.
, “
The Optical Laser as a Retinal Coagulator: An Evaluation
.”,
Trans. Amer. Acad. Opthal. Otolaryng.
67
:
58
67
,
1963
.
2.
Rathey
,
A. S.
, “
Accidental Laser Burn of the Macula
.”
Arch. Opthalmol
,
74
:
346
348
,
1965
.
3.
Coleman
,
J. A.
,
Ossoff
,
R. H.
,“
Laser Safety in Otolaryngology-Head and Neck Surgery
.”
International Laser Safety Conference Proceedings
, Nov. 27-30
1990
,
LIA
Orlando, FL
: Sec. 6.27-6.37.
4.
Lobraico
,
R. V.
, “Overview of Laser Safety in Health Care Facilities.”
International Laser Safety Conference Proceedings
, Nov. 27-30
1990
,
LIA
Orlando, FL
: SEC 6.1-6.7.
5.
Smalley
,
P. J.
, “
Clinical Laser Safety Issues-A Nursing Perspective
.”
International Laser Safety Conference Proceedings
, Nov. 27-30
1990
,
LIA
Orlando, FL
: Sec. 6.17-6.21.
6.
American National Standard for the Safe Use of Lasers in Health Care Facilities - ANSI Z136.3
,
Laser Institute of America
,
Orlando, FL
.
7.
Accreditation Manual for Hospitals, 1993, Vol
2
,
Joint Commission on the Accreditation of Healthcare Organizations, Oakbrook Terrace, III.
,
1992
.
8.
Rowland
,
H.S.
,
Rowland
,
B.L.
:Hospital Quality Assurance Manual, Vol
2
,
Aspen Publishers, Inc.
,
Gaithersburg Md.
,
1991
.
9.
Ossoff
,
R. H.
,
Hotaling
,
A. J.
,
Karlin
,
M. S.
et al: “
CO2 Lasing in Otolaryngological-Head and Neck Surgery: A Retrospective Analysis of Complications
,”
Laryngoscope
93
: 12871289,
1983
.
10.
Rodriquez
,
J. G.
,
Sattin
,
R. W.
, “
Injuries as an Adverse Reaction to Clinically Used Laser Devices
,”
Lasers in Surg. and Med.
,
7
:
457
490
,
1987
.
11.
Charschan
,
S. S.
, “
Laser Safety Instant Reports Illustrate Deficiencies in Reporting and Training
,”
J. Laser Application
4
:
13
14
,
1992
.
This content is only available via PDF.
You do not currently have access to this content.