Conscious sedation with inhaled 50% nitrous oxide/oxygen premix in photodynamic therapy sessions for vulvar lichen sclerosus treatment
An. bras. dermatol
;
90(1): 120-122, Jan-Feb/2015. graf
Artigo
em Inglês
| LILACS
| ID: lil-735734
ABSTRACT
Photodynamic therapy has been described as an effective therapeutic option in selected cases of anogenital lichen sclerosus that are refractory to first-line treatments. However, procedure-related pain is a limiting factor in patient adherence to treatment. The authors report the case of a 75-year-old woman with highly symptomatic vulvar lichen sclerosus, successfully treated with photodynamic therapy. An inhaled 50% nitrous oxide/oxygen premix was administered during sessions, producing a pain-relieving, anxiolytic, and sedative effect without loss of consciousness. This ready-to-use gas mixture may be a well-tolerated and accepted alternative to classical anesthetics in Photodynamic therapy, facilitating patients' adherence to illumination of pain-prone areas.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Oxigênio
/
Fotoquimioterapia
/
Sedação Consciente
/
Anestésicos Inalatórios
/
Líquen Escleroso Vulvar
/
Óxido Nitroso
Limite:
Idoso
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
An. bras. dermatol
Assunto da revista:
Dermatologia
Ano de publicação:
2015
Tipo de documento:
Artigo
País de afiliação:
Portugal
Instituição/País de afiliação:
Centro Hospitalar de Lisboa Central/PT
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