Dataset Information

The Use of Locally Applied Vibration to Minimize Pain during Fractional CO₂ Laser Therapy in Living Liver-Donor Scar Management.

ABSTRACT:

Background

Fractional CO₂ laser is an effective treatment for scars, but most patients complain about sharp burning pain, even after the application of lidocaine ointment. This study analyzed the impact of a vibrating device to nonpharmacologically reduce the acute pain of laser treatment, in accordance with the gate control theory of pain management.

Methods

This is a prospective study performed from May 2013 through March 2014. Fifty-three patients (mean age, 26.7 years; range, 16-44 years) who had donated livers for liver transplantation were treated with a fractional CO₂ laser (10,600 nm; model eCO₂, Lutronic Corp) for their abdomen scars. Laser treatment was applied 4 months after surgery. A commercially available, locally applied vibrating device (model UM-30M, Unix Electronics Co. Ltd.) was used, in an on-and-off pattern, together with the CO₂ laser. A visual analogue scale (VAS; 0, no pain; 10, most severe pain) of pain sensation was assessed and statistically analyzed using a paired t-test.

Results

The average VAS score for pain with the vibrating device was 4.60 and the average VAS score without the vibrating device was 6.11. The average difference between scores was 1.51 (P=0.001).

Conclusions

A locally applied vibrating device was demonstrated to be effective in reducing pain when treating with a fractional CO₂ laser. Vibration treatment could be helpful when treating scars with fractional CO₂ laser in pain-sensitive patients, particularly children.

SUBMITTER: Song S

PROVIDER: S-EPMC5122548 | biostudies-literature | 2016 Nov

REPOSITORIES: biostudies-literature

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Publications

The Use of Locally Applied Vibration to Minimize Pain during Fractional CO<sub>2</sub> Laser Therapy in Living Liver-Donor Scar Management.

Song Sinyoung S Choi Dong Hoon DH Oh Tae Suk TS

Archives of plastic surgery 20161118 6

<h4>Background</h4>Fractional CO<sub>2</sub> laser is an effective treatment for scars, but most patients complain about sharp burning pain, even after the application of lidocaine ointment. This study analyzed the impact of a vibrating device to nonpharmacologically reduce the acute pain of laser treatment, in accordance with the gate control theory of pain management.<h4>Methods</h4>This is a prospective study performed from May 2013 through March 2014. Fifty-three patients (mean age, 26.7 yea ...[more]

PMID: 27896190

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Project description:BackgroundPoor sleep quality is associated with a decrease in quality of life in patients with major burn scars, combined with pruritus and pain. Few interventions have been reported to improve the sleep quality of patients with scars. In the current prospective cohort study, we investigated the efficacy of CO2-ablative fractional laser (AFL) surgery vs conventional surgery in post-burn patients with hypertrophic scars with sleep quality as the primary study outcome.MethodsIn total 68 consecutive patients undergoing scar surgical treatment were recruited, including a CO2-AFL surgery cohort (n = 35) and a conventional surgery cohort (n = 33). A subgroup from the AFL cohort was selected. Sleep quality, pain and pruritus were evaluated. Multiple linear regression analyses were performed to reveal the effect of CO2-AFL surgery.ResultsThe CO2-AFL surgery cohort had significantly lower Pittsburgh sleep quality index (PSQI) global scores than the conventional surgery cohort after the last surgical treatment. In the subgroup of patients receiving hardware sleep monitoring, CO2-AFL markedly increased deep sleep time, deep sleep efficiency and reduced initial sleep latency. Compared to the conventional surgery cohort, the CO2-AFL cohort presented significantly lower pain and pruritus scores. Correlation analysis showed pain and pruritus were significantly associated with PSQI scores, and there were also significant correlations between pain and pruritus scores. Multiple linear regression analysis showed that surgery method was negatively linearly correlated with visual analog scale (VAS) pain score, brief pain inventory (BPI) total, VAS pruritus score, 5-D itch scale total, four-item itch questionnaire (FIIQ) total and PSQI total.ConclusionsCO2-AFL surgery significantly improved sleep quality and reduced pain and pruritus of hypertrophic scar patients. The alleviation of sleep disorder was associated with improvement of deep sleep quality including deep sleep time and deep sleep deficiency.Trial registrationThe Chinese Clinical Trial Registry (ChiCTR200035268) approved retrospectively registration on 5 May 2020.

Dataset Information

The Use of Locally Applied Vibration to Minimize Pain during Fractional CO₂ Laser Therapy in Living Liver-Donor Scar Management.

Background

Methods

Results

Conclusions

Publications

The Use of Locally Applied Vibration to Minimize Pain during Fractional CO<sub>2</sub> Laser Therapy in Living Liver-Donor Scar Management.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

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Dataset Information

The Use of Locally Applied Vibration to Minimize Pain during Fractional CO2 Laser Therapy in Living Liver-Donor Scar Management.

Background

Methods

Results

Conclusions

Publications

The Use of Locally Applied Vibration to Minimize Pain during Fractional CO<sub>2</sub> Laser Therapy in Living Liver-Donor Scar Management.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets

The Use of Locally Applied Vibration to Minimize Pain during Fractional CO₂ Laser Therapy in Living Liver-Donor Scar Management.