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In-Office Endoscopic Laryngeal Laser Procedures: A Patient Safety Initiative.

Jennifer Anderson1, Yael Bensoussan2, Richard Townsley3

  • 11 Department of Otolaryngology-Head and Neck Surgery, St Michaels Hospital, Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|May 9, 2018
PubMed
Summary
This summary is machine-generated.

Implementing a standardized safety protocol for in-office laryngeal laser procedures resulted in a low 4.8% complication rate. This approach demonstrates safe patient outcomes for office-based laryngeal treatments.

Keywords:
laryngeal endoscopylaser treatmentpatient safety

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Area of Science:

  • Otolaryngology
  • Laser Surgery
  • Patient Safety

Background:

  • The shift towards office-based procedures necessitates robust safety protocols.
  • Laryngeal laser procedures require careful management to minimize risks.

Purpose of the Study:

  • To evaluate complications of in-office endoscopic laryngeal laser procedures.
  • To assess the effectiveness of a standardized safety protocol in reducing adverse events.

Main Methods:

  • Retrospective review of 145 KTP laser procedures over 2 years.
  • Analysis of complication rates, hemodynamic changes, and procedure parameters.
  • Implementation of a safety protocol including patient screening and checklists.

Main Results:

  • Overall complication rate was 4.8%, with no major complications.
  • Minor complications included vasovagal episodes and patient intolerance (13.1% early termination).
  • The safety protocol was implemented in 98% of cases.

Conclusions:

  • In-office laryngeal laser treatment under a standardized protocol is associated with low complication rates.
  • Office-based procedures can achieve safe patient outcomes, supporting a trend away from operating rooms.
  • New processes are essential for promoting patient safety in ambulatory surgical settings.