Treatment errors resulting from use of lasers and IPL by medical laypersons: results of a nationwide survey

Hammes, Stefan; Karsai, Syrus; Metelmann, Hans‐Robert; Pohl, Laura; Kaiser, Kathrine; Park, Bo-Hyun; Raulin, Christian

doi:10.1111/j.1610-0387.2012.08042.x

Cited by 31 publications

(24 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recommendation We recommend that the health care provider should possess competence required to diagnose the patient's cutaneous vascular disorder, establish and explain his/her treatment needs, recognize and manage risks and deliver safe and appropriate laser/IPL treatment to remove or reduce vascular lesions in accordance with current standards of care and patient's expectations (GRADE 1C) …”

Section: Qualification Of Providers Of Laser And/or Ipl Treatmentmentioning

confidence: 99%

“…Recommendation 2: We recommend that the health care provider should possess competence required to diagnose the patient's cutaneous vascular disorder, establish and explain his/her treatment needs, recognize and manage risks and deliver safe and appropriate laser/IPL treatment to remove or reduce vascular lesions in accordance with current standards of care and patient's expectations (GRADE 1C). [24][25][26][27][28][29][30][31][32][33] Lasers used to treat vascular lesions are high energy devices and as such may induce serious side-effects. 30,32 A multitude of vascular lesions, isolated or as part of many complex diseases, needs proper diagnosis and treatment.…”

Section: Qualification Of Providers Of Laser And/or Ipl Treatmentmentioning

confidence: 99%

See 1 more Smart Citation

Guidelines of care for vascular lasers and intense pulse light sources from the European Society for Laser Dermatology

Adamič¹,

Pavlović

Rubin

et al. 2015

Acad Dermatol Venereol

View full text Add to dashboard Cite

Aim Lasers and non-coherent intense pulse light sources (IPLS) are based on the principle of selective photothermolysis and can be used for the treatment of many vascular skin lesions. A variety of lasers has been developed for the treatment of congenital and acquired vascular lesions which incorporate these concepts into their design. Although laser and light sources are very popular due to their non-invasive nature, caution should be considered by practitioners and patients to avoid permanent side-effects. The aim of these guidelines is to give evidence-based recommendations for the use of lasers and IPLS in the treatment of vascular lesions. Results Lasers and IPLS are very useful and sometimes the only available method to treat various vascular lesions. It is of a paramount importance that the type of laser or IPLS and their specific parameters are adapted to the indication but also that the treating physician is familiar with the device to be used. The crucial issue in treating vascular lesions is to recognize the immediate end-point after laser treatment. This is the single most important factor to ensure both the efficacy of the treatment and avoidance of serious side-effects. Methods Conflicts of interestNone declared. Funding sourceNone.Since the publication of previous European Society of Laser Dermatology (ESLD) guidelines in 2007, there have been significant advances in the field of laser treatment of common vascular lesions.1 These guidelines have been updated by the Consensus Panel under the auspices of the ESLD. Methodology, search strategy and recommendation formulation are described in Appendix II. A brief overview of vascular lasersStandard vascular lasers include pulsed dye lasers (585 and 595 nm), and KTP-lasers (532 nm), followed by longer wavelength lasers such as alexandrite lasers (755 nm), diode lasers (800-900 nm) and millisecond Nd:YAG lasers (1064 nm). New developments include a non-uniform pulse sequence or a dual-wavelength modality (combined dual wavelength 595 and 1064 nm-pulsed dye and Nd:YAG laser) and microsecond Nd: YAG lasers. [2][3][4][5][6] Even fractional photothermolysis has begun to be used for selected vascular lesions. Lasers' and intense pulse light sources (IPLS) effects are based on the principle of selective photothermolysis. In general, they deliver a precisely graded aliquot of energy to a defined area of the skin in a reproducible, standardized manner that almost always involves addition or evacuation of heat. The greatestThe first two authors have contributed equally to the manuscript.

show abstract

Section: Qualification Of Providers Of Laser And/or Ipl Treatmentmentioning

confidence: 99%

Section: Qualification Of Providers Of Laser And/or Ipl Treatmentmentioning

confidence: 99%

Guidelines of care for vascular lasers and intense pulse light sources from the European Society for Laser Dermatology

Adamič¹,

Pavlović

Rubin

et al. 2015

Acad Dermatol Venereol

View full text Add to dashboard Cite

show abstract

“…The most reported complications were pigmentation changes in 81% of patients, scarring in 25% of patients, textural changes in 14%, and inadequate treatment in 5% of patients. 50 The sources of error included excessive energy application in 63% of cases, improper laser selection in 40%, inappropriate use of laser on skin type in 21% of cases, inadequate cooling in 7%, and inadequate information to patients in 5% of cases.…”

Section: Complications and Legal Issues Arising With Cosmetic Extendementioning

confidence: 99%

Patient safety in procedural dermatology

Lolis

Dunbar

Goldberg

et al. 2015

Journal of the American Academy of Dermatology

View full text Add to dashboard Cite

“…The most common source of complications are “health care providers” (that is, non‐medical personnel). Approximately 30 % of complications, such as burns, scars, dyspigmentation, and infections, can be attributed to these individuals alone , whereas all other user groups are less commonly responsible for said adverse events. More than two‐thirds of all complications are caused by incorrect parameter selection .…”

Section: Introductionmentioning

confidence: 99%

“…Approximately 30 % of complications, such as burns, scars, dyspigmentation, and infections, can be attributed to these individuals alone , whereas all other user groups are less commonly responsible for said adverse events. More than two‐thirds of all complications are caused by incorrect parameter selection . By contrast, trained dermatologists with years of experience can achieve a complication rate as low as 0.24 % .…”

Section: Introductionmentioning

confidence: 99%

New lasers and light sources – old and new risks?

Paasch

Schwandt²,

Seeber

et al. 2017

J Deutsche Derma Gesell

View full text Add to dashboard Cite

Recent developments (new wavelengths, treatment concepts, and combinations) in the field of lasers, intense pulsed light (IPL), LED, as well as new energy and light sources have opened up new therapeutic options that extend beyond mere aesthetic indications. Thus, while fractional lasers used to be employed to merely treat wrinkles, the same devices - in the context of laser-assisted drug delivery - have now become important tools in the treatment of scars, field cancerization, and epithelial tumors. The requirements posed to physicians, both with respect to establishing the indication and conducting treatment, have been growing along with the increase in technological complexity as well as the rising number of comorbidities and comedications in a patient population that continues to age. At the same time, home-use devices have been introduced for a variety of indications. These devices are characterized by low power and special safety features aimed at preventing accidents, risks, and side effects. Despite the reduced efficacy of such self-treatment devices, there is an increased risk of misuse, given that the basic prerequisite for adequate treatment cannot be ensured, to wit, the exact diagnosis and therapeutic indication. Consequently, during hair removal or anti-wrinkle treatment, pigmented lesions and cutaneous neoplasms may be altered, thus giving rise to expected, unexpected and new side effects and complications. In the aforementioned setting, it is important that all potential users of these new technologies be properly trained in a manner that ensures those treated a maximum of safety and efficacy in accordance with the guiding principle "diagnosis certa - ullae therapiae fundamentum".

show abstract

Treatment errors resulting from use of lasers and IPL by medical laypersons: results of a nationwide survey

Cited by 31 publications

References 24 publications

Guidelines of care for vascular lasers and intense pulse light sources from the European Society for Laser Dermatology

Guidelines of care for vascular lasers and intense pulse light sources from the European Society for Laser Dermatology

Patient safety in procedural dermatology

New lasers and light sources – old and new risks?

Contact Info

Product

Resources

About