OSHA Hazard Information Bulletins, Hazard of Laser Surgery Smoke

The use of laser to perform surgery has gained wide acceptance in recent years. Carbon dioxide laser is the most frequently used laser in surgery due to its precise cutting ability, coagulating effect on small blood vessels, and low trauma to surrounding tissue areas. The energy supplied at the focal point of the carbon dioxide laser is so great that the tissue and fluid are vaporized. Researchers have suggested that the smoke may act as a vector for cancerous cells which may be inhaled by the surgical team and other exposed individuals.

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AST developed the following Recommended Standards of Practice to support health care facilities (HCF) reinforce best practices, related to laser safety in the perioperative setting. The purpose of the Recommended Standards is to provide an outline that surgical team members can use to develop and implement policies and procedures for laser safety. The Recommended Standards are presented with the understanding that it is the responsibility of the HCF to develop, approve and establish policies and procedures for laser safety, according to established HCF protocols.

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