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Does low-level laser therapy enhance the efficacy of intravenous regional anesthesia?
Pain research & management : the journal of the Canadian Pain Society = journal de la société canadienne pour le traitement de la douleur
The use of intravenous regional anesthesia (IVRA) is limited by pain resulting from the application of tourniquets and postoperative pain. To assess the efficacy of low-level laser therapy added to IVRA for improving pain related to surgical fixation of distal radius fractures. The present double-blinded, placebo-controlled, randomized clinical trial involved 48 patients who were undergoing surgical fixation of distal radius fractures. Participants were randomly assigned to either an intervention group (n=24), who received 808 nm laser irradiation as 4 J⁄point for 20 s over ipsilateral three nerve roots in the cervical region corresponding to C5-C8 vertebrae, and 808 nm laser irradiation as 0.1 J⁄cm2 for 5 min in a tangential scanning mode over the affected extremity; or a control group (n=24), who underwent the same protocol and timing of laser probe application with the laser switched off. Both groups received the same IVRA protocol using 2% lidocaine. The mean visual analogue sca...
A randomized study of local or general anesthesia for laser conization of the cervix
Archives of Gynecology and Obstetrics, 1998
Laser Conization of the cervix was performed in both inpatient and outpatient settings with either local or general anesthesia. All of the patients included had abnormal cervical smears, abnormal colposcopic findings and were allocated to one of two groups, A and B. Patients in group A had general anesthesia while patients in group B had only local anesthesia. A standard operative technique, was used and all patients had estimation of blood loss, recording of operative time, surgical suite time, anesthesia induction time, and assessment of postoperative pain and morbidity. Statistical analysis was performed using the student t-test. We concluded that laser conization of the cervix can be performed more cheaply with local anesthesia than with general anesthesia and with little discomfort, less nausea, and vomitting.
Painless injections–a possibility with low level laser therapy
Journal of Dental Anesthesia and Pain Medicine
Background: Dental procedures commonly involve the injection of local anesthetic agents, which causes apprehension in patients. The objective of dental practice is to provide painless treatment to the patient. The purpose of this study was to evaluate the effect of Low Level Laser Therapy (LLLT) in reducing the pain due to local anesthetic injection. Materials and Methods: A prospective, split-mouth study was conducted on 25 patients. In Condition A, LLLT was administered followed by the administration of a standard local anesthetic agent. Patients' perception of pain with use of LLLT was assessed based on a Visual Analogue Scale (VAS). In Condition B, LLLT was directed to the mucosa but not activated, followed by the administration of local anesthesia. VAS was used to assess the pain level without the use of LLLT. Results: Comparison between Condition A and Condition B was done. A P value < 0.001 was considered significant, indicating a definite statistical difference between the two conditions. Conclusion: In our study, we observed that LLLT reduced pain during injection of local anesthesia. Further multi-centric studies with a larger sample size and various modifications in the study design are required.
Ann Vasc Surg, 2015
Background: This study aims to investigate the efficacy of lidocaine, prilocaine, and bupivacaine used in tumescent solution during endovenous laser treatment (EVLT) on intraoperative and postoperative pain. Methods: This prospective randomized study included 90 patients. The patients were divided into 3 groups including 30 patients in each group, according to the content of local anesthetics in tumescent solution. All patients received EVLT treatment with lidocaine in group 1, prilocaine in group 2, and bupivacaine in group 3. Visual analog scale was used for the evaluation of intraoperative and postoperative pain. Results: The mean intraoperative pain score was 2.27 ± 1.53 in group 1, 1.97 ± 1.54 in group 2, and 3.05 ± 0.73 in group 3. On the first day postoperatively, the mean pain score was 2.57 ± 1.7 in group 1, 3.27 ± 1.23 in group 2, and 1.13 ± 0.94 in group 3 (P ¼ 0.0001). Intraoperative and postoperative mean pain scores during first day follow-up were significantly lower in group 3. Conclusions: Tumescent anesthesia is the most critical component of EVLT to improve comfort by reducing the pain. Therefore, we conclude that bupivacaine is an optimal alternative to lidocaine and prilocaine in tumescent anesthesia and can be used safely.
International Journal of Clinical Pediatric Dentistry, 2024
ORIGINAL RESEARCH anesthesia; group II: PBM and precooling of injection site; and group III: PBM and vibration. Institutional Ethics Committee and Review Board approval was secured for the study (EC No: EC650). Patients indicated for bilateral extraction and requiring inferior alveolar nerve block (IANB), aged 6-13 years, classified as positive on Frankl's behavior rating scale, and parents and patients who willingly gave informed consent and assent, respectively, were included in the study. The study excluded individuals with specific needs, those allergic to local anesthetic, those experiencing local inflammation or tenderness at the injection site, those exhibiting acute symptoms necessitating immediate medical attention, and those who had previously experienced painful dental procedures. A diode laser of 980 nm with a single dosage wavelength of 15 J/cm 2 was used to irradiate with a low-level laser tip for 20 seconds before anesthesia was administered to accomplish PBM. Lidocaine
Lasers in surgery and medicine
Physics in Medicine and Biology, 1984
Background and Objectives: To assess the improvement on pelvic floor distress (PFD)-related urogenital symptoms using validated questionnaires after intravaginal CO 2 laser treatment. Study Design/Materials and Methods: Forty postmenopausal women with genitourinary symptoms of menopause (GSM) were enrolled into this prospective cohort study and underwent vaginal laser treatment using MonaLisa Touch ® fractional CO 2 laser system. Patients received three vaginal laser treatments with 360°probe 4 weeks apart. A three-component Pelvic Floor Distress Inventory (PFDI-20) validated questionnaire was filled out by each patient before each session and 4 weeks after the final treatment. Wilcoxon rank sum test was used to compare the before and after treatment scores. Results: Pelvic Organ Prolapse Distress Inventory (POPDI-6) scores were not significantly different after the first treatment compared with baseline (mean ± standard deviation [SD], 21 ± 18 vs. 17 ± 15, P = 0.44). However, each subsequent treatment resulted in further, statistically significant improvement in symptom scores (14 ± 15, P = 0.03 and 13 ± 13, P = 0.01, after the second and third treatments, respectively). Similarly, Urinary Distress Inventory (UDI-6) scores were not significantly different after the first laser treatment (mean ± SD, 36 ± 25 vs. 29 ± 23, P = 0.36). After the second and third treatments there were significant improvement in the standardized scores (24 ± 20, P = 0.03 and 22 ± 21, P = 0.01). Colorectal-Anal Distress Inventory (CRADI-8) scores did not change significantly after three laser treatments. Conclusions: Three sessions of microablative fractional CO 2 vaginal laser treatment significantly improves patient reported urinary and pelvic organ prolapse symptoms.
Low level laser therapy: current clinical practice, analgesic and neurophysiological effects
1991
4 two-stage postal survey was carried out among Chartered physiotherapists in Northern Ireland to ashess current clinical practice in low level laser therapy (LLLT). and thus indicate appropriate areas for future research. Results from the analysis of 116 returned completed questionnaires (response rate=63.1%) are presented. These show that LLLT has become a relatively popular treatment modality within the province. Based upon the subjective ratings of respondent,, LLLT seenib indicated for a range of conditions, including rheumatoid arthritis. shingle,, and various types of ulcerbut especially for hurns, for which LLLT was rated 'very effective'.