{"id":16032,"date":"2017-08-07T15:22:53","date_gmt":"2017-08-07T19:22:53","guid":{"rendered":"https:\/\/aerolase.com\/?p=16032"},"modified":"2017-08-07T15:22:53","modified_gmt":"2017-08-07T19:22:53","slug":"considerations-treating-children-lasers","status":"publish","type":"blog","link":"https:\/\/www.varshabi.com\/Aerolase\/blog\/considerations-treating-children-lasers\/","title":{"rendered":"Considerations when treating children with lasers"},"content":{"rendered":"<p><a href=\"http:\/\/dermatologytimes.modernmedicine.com\/dermatology-times\/news\/considerations-when-treating-children-lasers\" target=\"_blank\" rel=\"noopener\">Dermatology Times\u00a0<\/a>By Karen Appold<\/p>\n<p>A laser is a suitable mode of treatment for certain dermatologic conditions in pediatric patients; however, there are certain procedural aspects that physicians should consider when treating younger children.<\/p>\n<p>\u201cIndications for children are typically different than those for adults,\u201d notes E. Victor Ross, M.D., dermatologist, Scripps Clinic Carmel Valley, San Diego, Calif. \u201cMost children I treat with lasers have had their conditions since birth, such as birthmarks, whereas adults have conditions brought on by the sun.\u201d<\/p>\n<p>Lawrence F. Eichenfield, M.D., chief of pediatric and adolescent dermatology at Rady Children&#8217;s Hospital\u2014San Diego; vice chair of the department of dermatology, and professor of dermatology and pediatrics at the University of California, San Diego School of Medicine, uses lasers to treat children for vascular lesions, including hemangiomas and port-wine stains, pigmented lesions, hamartomas, scars, and laser hair removal.<\/p>\n<p><strong>Considerations:<\/strong> If a child is scared about having a laser procedure \u2014 whether they are needle phobic, procedure phobic, or pain phobic, a physician may need to take steps to ensure a successful experience.<\/p>\n<p>\u201cWe use techniques to minimize pain and anxiety to make it as pain-free and stress-free as possible, including applying topical numbing agents and oral analgesics, and using general anesthesia for larger treatment areas,\u201d Dr. Eichenfield says.<\/p>\n<p>When using numbing cream, Dr. Ross cautions to not use too much, as it can be toxic for children aged one to three.<\/p>\n<p>\u201cTheir skin surface ratio compared to the volume of their body is very high, so only use around 15 grams of numbing cream,\u201d he advises.<\/p>\n<p>Dr. Ross says the child sets the tone for a procedure.<\/p>\n<p>\u201cI can usually tell within the first 30 seconds after entering the exam room if a child will require a lot of reassurance and possibly holding or holding down,\u201d he says. \u201cThe key is for the physician to begin the procedure as soon as possible upon entering the room, so the child has less time to think about backing out of it. Therefore, staff should complete preparations for a procedure prior to a physician\u2019s entrance.\u201d<\/p>\n<p>If a dermatologist is performing a treatment on a child\u2019s face, and the child has been equipped with goggles, have a staff person watch the child and make sure the child doesn\u2019t remove them. Likewise, when placing shields over their eyes, expect some children to be apprehensive.<\/p>\n<p>\u201cSometimes we have to talk to the child throughout the procedure\u2019s duration to reassure them that we are still here,\u201d Dr. Ross says. \u201cParents have different roles in these encounters \u2014 they may hold their child\u2019s hand or even hold a smaller child. But we have to make sure the parent doesn\u2019t get in the way of a procedure,\u201d he adds.<\/p>\n<p>\u201cA goal is to not have a child, parent, physician, or staff member become traumatized,\u201d Dr. Ross continues. \u201cSometimes, if a child becomes too overwhelmed, they will have to come back another time.\u201d<\/p>\n<p>If using general anesthesia, which would typically be done for larger lesions requiring lengthier procedures, make sure family members are aware of what is known and not known about the potential risks of using it.<\/p>\n<p>\u201cBalance the appropriateness of employing laser therapy with its potential risks,\u201d Dr. Eichenfield says.<\/p>\n<p>Typically, the physician will apply the laser in the same way for children as for adults. However, their approach might change, such as they may administer treatment more slowly.<\/p>\n<p>\u201cI might do a few pulses and then stop, so the child can acclimate themselves to the situation and become more comfortable,\u201d Dr. Ross says.<\/p>\n<p><strong>When lasers aren\u2019t appropriate:<\/strong> When a child has a skin condition with minimal cosmetic impact, a physician may want to recommend laser treatment at a later time if there\u2019s no significant benefit from early treatment.<\/p>\n<p>\u201cFor certain port wine stains, there may be advantages to treating them during an infant\u2019s first year,\u201d he says. \u201cBut for other conditions, it might be appropriate to wait for a child to get older to determine if laser treatment is truly warranted.\u201d<\/p>\n<p>Also, consider whether the child\u2019s condition might improve with time before treating it with a laser, Dr. Ross says. For example, if a six-year-old child has a prominent spider angioma on his face, discuss the likelihood of it getting better, or rarely getting worse. Or, if a parent or child\u2019s expectation for a procedure isn\u2019t realistic, then forgo treatment.<\/p>\n<p>\u201cLasers are one of the most challenging and rewarding aspects of my practice,\u201d Dr. Eichenfield concludes. \u201cAlthough it sometimes requires extra work to get children through procedures, it is worth it, given the significant impact the surgeries can make for the rest of their lives. Observable and functional deformities have lifetime influences. I have seen tremendous psychological effects from birthmarks that haven\u2019t been treated, as well as tremendous satisfaction from intervention with laser technology \u2014 which is generally safe and effective.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dermatology Times\u00a0By Karen Appold A laser is a suitable mode of treatment for certain dermatologic conditions in pediatric patients; however, there are certain procedural aspects that physicians should consider when treating younger children. \u201cIndications for children are typically different than those for adults,\u201d notes E. Victor Ross, M.D., dermatologist, Scripps Clinic Carmel Valley, San Diego, [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":16233,"menu_order":0,"template":"","format":"standard","blog_category":[59],"blog_tag":[58],"class_list":["post-16032","blog","type-blog","status-publish","format-standard","has-post-thumbnail","hentry","blog_category-best-practices","blog_tag-laser-therapy"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.7 (Yoast SEO v22.8) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Considerations when treating children with lasers &#8226; Aerolase<\/title>\n<meta name=\"description\" content=\"Here are some helpful insights to consider when you&#039;re treating children with aesthetic and medical lasers.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Considerations when treating children with lasers\" \/>\n<meta property=\"og:description\" content=\"Here are some helpful insights to consider when you&#039;re treating children with aesthetic and medical lasers.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.varshabi.com\/Aerolase\/blog\/considerations-treating-children-lasers\/\" \/>\n<meta property=\"og:site_name\" content=\"Aerolase\" \/>\n<meta property=\"article:publisher\" content=\"http:\/\/www.facebook.com\/aerolase\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.varshabi.com\/Aerolase\/wp-content\/uploads\/2017\/08\/pediatric.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"600\" \/>\n\t<meta property=\"og:image:height\" content=\"360\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@aerolase\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.varshabi.com\/Aerolase\/blog\/considerations-treating-children-lasers\/\",\"url\":\"https:\/\/www.varshabi.com\/Aerolase\/blog\/considerations-treating-children-lasers\/\",\"name\":\"Considerations when treating children with lasers &#8226; 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