Laserterapia transcutânea para efeitos adversos hematopoiéticos de quimioterápicos antineoplásicos: Ensaio clínico randomizado / Terapia con láser transcutáneo para los efectos adversos hematopoyéticos de la quimioterapia antineoplásica: Ensayo clínico aleatorizado / Transcutaneous laser therapy for hematopoietic adverse effects of antineoplastic chemotherapeutics: Randomized clinical trial

Objetivo. Avaliar a eficácia dos protocolos de aplicação transcutânea do Intravenous Laser Irradiation of Blood 30' e 60', sobre os efeitos adversos no tecido hematopoiético por agentes quimioterápicos antineoplásicos endovenosos em adultos. Método. Ensaio clínico, randomizado e unicego, realizado em serviço ambulatorial de quimioterapia de hospital público do estado de São Paulo realizado de abril de 2018 a março de 2019. A amostra constituiu de 55 pacientes com tumores sólidos, a partir do segundo ciclo de tratamento com fármacos endovenosos citotóxicos para o tecido hematopoiético. O comprimento de onda utilizado foi de 660 nm, por via transcutânea, sob artéria radial. Resultado. Comparado ao tipo de hemocomponente, obtivemos, respectivamente aos protocolos do Intravenous Laser Irradiation of Blood 30' e 60': hemoglobina (85%; 86%), plaquetas (100%; 100%) e neutrófilos (95%; 92%). Conclusão. Considerou-se ambos os protocolos eficazes e, portanto, sugere-se implantá-los em unidades de quimioterapia(AU)

Objective: To evaluate the effectiveness of the protocols for transcutaneous application of the Intravenous Laser Irradiation of Blood 30' and 60', on the adverse effects on hematopoietic tissue by intravenous antineoplastic chemotherapeutic agents in adults. Method. Clinical, randomized and single-blind trial, carried out in an outpatient chemotherapy service of a public hospital in the state of São Paulo, carried out from April 2018 to March 2019. The sample consisted of 55 patients with solid tumors, from the second cycle of treatment with cytotoxic intravenous drugs for hematopoietic tissue. The wavelength used was 660 nm, transcutaneously, under the radial artery. Result. Compared to the type of blood component, we obtained, respectively from the Intravenous Laser Irradiation of Blood 30' and 60' protocols: hemoglobin (85%; 86%), platelets (100%; 100%) and neutrophils (95%; 92%). Conclusion. Both protocols were considered effective and, therefore, it is suggested to implant them in chemotherapy units.(AU)

Objetivo. Evaluar la efectividad de los protocolos de aplicación transcutánea de Irradiación Láser Intravenosa de Sangre 30' y 60', sobre los efectos adversos sobre el tejido hematopoyético por agentes quimioterápicos antineoplásicos intravenosos en adultos. Método. Ensayo clínico, aleatorizado y simple ciego, realizado en un servicio de quimioterapia ambulatoria de un hospital público del estado de São Paulo, realizado de abril de 2018 a marzo de 2019. La muestra estuvo compuesta por 55 pacientes con tumores sólidos, del segundo ciclo. del tratamiento con fármacos intravenosos citotóxicos para el tejido hematopoyético. La longitud de onda utilizada fue de 660 nm, por vía transcutánea, bajo la arteria radial. Resultado. En comparación con el tipo de componente sanguíneo, obtuvimos, respectivamente, de los protocolos de Irradiación Intravenosa con Láser de Sangre 30' y 60': hemoglobina (85%; 86%), plaquetas (100%; 100%) y neutrófilos (95%; 92%). %). Conclusión. Ambos os protocolos se consideraron efectivos, por lo que se sugiere implantarlos en las unidades de quimioterapia(AU)

Actuación de enfermería en el tratamiento del tumor vesical con láser ambulante con anestesia local / No disponible

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[Scars and lasers]. / Cicatrices et lasers.

Different lasers are used to improve scars in combination with other therapies. The pulsed dye laser is considered to be the gold standard for hypertrophic scars and keloids. Ablative laser treatments are used with atrophic scars. Ablative or non-ablative fractional laser treatments are developing rapidly due to the lower risk of infection and easier follow-up care.

Rosacea: symptoms and support.

Rosacea is a common skin condition, especially for middle-aged and some older adults. However, it is often wrongly perceived as cosmetic facial redness caused by alcohol. This can be very distressing for rosacea patients, as it is a facial vascular condition with subtypes, varying in severity. Rosacea should be effectively treated, as physical symptoms such as burning, stinging and soreness, as well as facial disfigurement are very distressing and can have a major impact on quality of life. This articles seeks to explain what rosacea is, including a description of sub-types and possible causes and trigger factors. Treatments for different severities of rosacea and the nurse's role in supporting patients will also be discussed.

Extending a nurse practitioner's role to include the undertaking of advanced procedures.

This article outlines an initiative to develop an ophthalmic nurse practitioner's role to carry out YAG laser peripheral iridotomy. It details the training and competency assessment needed to extend this role, and the results of an initial audit. Advice for trusts planning similar projects is also given.

Ocular complications associated with diabetes mellitus.

Diabetes is a progressive disease that may adversely affect healthy functioning of the body. The eyes are often indicators of systemic disease and are particularly vulnerable to the pathophysiological changes that occur as a result of diabetes. This article provides an overview of five main ocular complications associated with diabetes, cataract, diabetic retinopathy, central retinal vein occlusion, central retinal artery occlusion and neovascular glaucoma. The assessment and treatment of such complications and the role of the nurse in the care and management of patients are discussed.

Nurse-administered laser in dermatology.

Nurses have become an essential part of patient care in laser therapy. In dermatology, the potential for helping patients achieve excellent results for individual skin needs is exponential when combined with appropriate technology, evidence-based care, and a competent, conscientious nurse. This article explains how a laser functions, outlines the use of lasers in treating particular dermatologic conditions, provides guidelines for posttreatment care, and discusses the nurse's role in providing laser treatment.

Photoselective vaporization of the prostate in ambulatory surgery.

PHOTOSELECTIVE VAPORIZATION of the prostate is a significant advancement in the treatment of benign prostatic hypertrophy (BPH), one of the most common ailments experienced by men older than age 50. MANY MEN WITH BPH who are not candidates for transurethral resection of the prostate because they are undergoing anticoagulation therapy may be excellent candidates for the photoselective vaporization procedure. BENEFITS of the photoselective vaporization procedure over conventional procedures include reduced length of the procedure, decreased length of hospital stay, reduced postoperative recovery time, fewer complications, little or no pain, and faster return to normal activities.

Safe use of lasers in the operating room-what perioperative nurses should know.

SAFETY HAZARDS are inherent in laser use, but they can be eliminated or significantly reduced with adherence to proper procedures. THIS ARTICLE reviews beam-related and nonbeam-related safety hazards, including eye injuries, fire and thermal injuries, smoke plume, and electrical hazards, as well as safety measures to avoid these hazards. EDUCATION IN LASER SCIENCE and safety is key to recognizing potential hazards and ensuring that safety parameters are followed.

Laser technology--a surgical tool of the past, present, and future.

EINSTEIN IDENTIFIED the stimulated emission of radiation, a theory that eventually sparked development of the laser. Beginning in 1960, when the first surgical laser was produced, researchers adapted the laser for various surgical needs. They continue to look for new ways to refine and apply this technology. KNOWING THE BASICS of laser science helps OR nurses understand their roles and responsibilities during laser surgery. SURGICAL NURSES must stay current and competent with laser equipment and related safety issues, so health care facilities need to determine the best way to provide ongoing education and training.

Nonfacial laser rejuvenation.

With continuing developments in laser rejuvenation of nonfacial skin, dermatology nurses and support staff need to stay abreast of procedural, preoperative, and postoperative aspects of new therapies.