KEY POINTS
- The energy of a photon depends on its frequency. Higher-frequency photons
(toward ultraviolet) have more energy than lower-frequency photons (toward the infrared
range).
- Stimulated emission is the basis of laser phenomena. Stimulated emission
creates a chain reaction leading to the creation of many photons of the same energy.
- The biomedical application of laser light involves its ability to focus
intense energy in a small area. Focus is determined by monochromicity, collimation,
and phase synchrony, all of which are superior in laser light than in ordinary light.
- CO2
lasers pose a high risk of remote fires. CO2
laser light is invisible infrared and usually transmitted to the surgical site in
a beam through free air.
- KTP-type lasers are not usually transmitted through air. These lasers
are conducted by fiberoptics to a direct contact tip that creates heat from light,
coagulating adjacent tissue.
- Infrared laser light at 10.6 µm is strongly absorbed by water molecules.
This frequency of laser light, generated by CO2
laser, explosively converts
water to steam.
- Different laser sources require different eye protection. Any glass or
plastic lens can block CO2
laser light, but other lasers require type-specific
protection.
- All nonmetal endotracheal tubes have the potential to burn in the airway.
- Nitrous oxide should not be used to dilute the FIO2
during airway surgery. Nitrous oxide supports combustion just like oxygen.
- If possible the FIO2
should
be held below 40% during airway surgery.
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