Clinical Procedures in Laser Skin Rejuvenation - part 1 ppsx

[...]... are administered either by inhalation or topically should be nonflammable  01 Carniol-8028.qxd 8 8/23/2007 3:30 PM Page 8 Clinical procedures in laser skin rejuvenation PREPARING FOR FIRES It is imperative to develop a laser- fire protocol Being prepared for fire is an inexpensive insurance and will minimize the cost in dollars, loss in time, emotional shock, injury, and possibly death Preparation involves... pulse dye laser; Review of the Literature and Safety Recommendations Dermatol Surg 19 96;22: 699–702  01 Carniol-8028.qxd 8/23/2007 3:30 PM Page 10 02 Carniol-8028.qxd 12 8/23/2007 10 :24 AM Page 12 Clinical procedures in laser skin rejuvenation Table 2 .1 Example of age-specific and non-age-specific features Aged features Youthful features It depends!!!! • • • • • • • • • • • • • • • • • Wrinkles, fine and... developing criteria and authorizing procedures involving the use of lasers within the facility, and ensuring that adequate protective measures for control of laser hazards exist and that there exist a mechanism for reporting accidents or incidents involving the laser 9 It is also important that accurate records be maintained for lasers, as well as laser- related injuries SUMMARY Lasers can be employed in. .. instruments Lasers Surg Med 19 92 ;12 :675–8 9 Ries WR, Clymer MA, Reinisch L Laser safety features of eye shields Lasers Surg Med 19 96 ;18 :309 15 10 Olbricht SM, Stern RS, Tany SV, Noe JM, Arndt KA Complications of cutaneus laser surgery A survey Arch Dermatol 19 87 ;10 3:345–9 11 Baggish MS Complications associated with CO2 laser surgery in gynecology Am J Obstet Gynecol 19 81; 13 9:658 12 Fretzin S, Beeson WH, Hanke... accepted certification or training organization It is, therefore, important to consider the ANSI guidelines as well as the recommendations of various professional medical societies in this regard (Boxes 1. 1 and 1. 2) Box 1. 1 Recommendations for establishing laser program and clinical setting 1 Check with medical licensing board in your state regarding laser regulations 2 Develop laser safety protocols for... Document training for yourself and your staff 3 Consider formal laser safety officer training and appoint a laser safety officer 4 Monitor changes in accreditation standards and ANSI Z -1 3 6.3 guidelines 5 Check with your medical liability carrier Obtain delineation of coverage for yourself and your staff regarding the use of lasers in your practice Box 1. 2 Information resources for laser safety guidelines... physician  01 Carniol-8028.qxd 2 8/23/2007 3:30 PM Page 2 Clinical procedures in laser skin rejuvenation using the alignment beam and be aware that ocular damage can occur with misuse Class III-B lasers comprise those in the 5–500 mW output range Even momentary viewing of class III-B lasers is potentially hazardous Class IV lasers are those emitting > 500 mW (0.5 W) radiant power Most surgical lasers fall... Standards Institute, 2004 5 Sliney DH Laser safety Lasers Surg Med 19 85 ;16 : 215 –25 6 US Department of Labor, Title 29: Codes of the Federal Regulations, Occupational Health and Safety 7 ANSI Z -1 3 6. 3 -1 996: American National Standard for Safe Use of Lasers in Healthcare Facilities New York: American National Standards Institute 8 Wood RL, Sliney DH, Basye RA Laser reflections from surgical instruments Lasers... practice in small clinical settings, the physician who owns and runs the practice or clinic is very likely to serve as the laser safety officer All laser users must adhere to the following principles: • Laser safety requirements are no less stringent in private practice than in a hospital setting • The individual laser user must know all professional standards and regulations and be thoroughly trained in laser. .. to laser use in the medical setting In 2005, the Joint Commission, currently in its sentinel event program, adopted measures for its accredited organizations to utilize in an attempt to reduce the likelihood of patient injury from fire resulting from the use of lasers in the operating room Since the Joint Commission accredits the vast majority of hospitals in the USA and since all Joint Commission-accredited . 18 418 455 31 8.Avi Shai, Howard I Maibach, Robert Baran. Handbook of Cosmetic Skin Care. ISBN: 18 418 417 93 Prelims Carniol-8028.qxd 8/23/2007 10 :37 AM Page ii Clinical Procedures in Laser Skin Rejuvenation Edited. ISBN: 18 4 214 2445 3. Jean Carruthers, Alistair Carruthers. Using Botulinum Toxins Cosmetically. ISBN: 18 418 4 217 6 4. David Goldberg. Ablative and Non-Ablative Facial Skin Rejuvenation. ISBN: 18 418 417 57 5 Library. Library of Congress Cataloging -in- Publication Data Data available on application ISBN -1 0 : 0 415 414 13 X ISBN -1 3 : 978 0 415 414 13 5 Distributed in North and South America by Taylor