Uso da fotobiomodulação no tratamento de queimaduras: existem parâmetros e protocolos reportados na literatura?

Abstract

Introduction: Burns are injuries caused by trauma from different agents, including thermal, chemical, electrical or radiation. Studies indicate that photobiomodulation favors blood circulation, cellular protection and the properties of collagen, local anti-inflammatory action, increasing tissue repair; Objective: The objective of this study is to identify the photobiomodulation protocols used for the management of survivors of major burns, evaluating the effectiveness of the technique alone and associated with other therapies, with the primary stage being to increase technical repair. Methodology: Systematic review following PRISMA recommendations. The searches were carried out in the SciELO, PubMed and Virtual Health Library (VHL) indexing bases and using the descriptors: Burns AND Wound Healing AND Phototherapy. Results: Initially, 219 studies were collected in the systematic search by blinded pairs. After reading abstracts and titles, 63 papers were evaluated by a third independent evaluator to read the full text. In total, 58 were discarded because they were in disagreement with the inclusion criteria.Finally, only a total of 5 studies met all inclusion criteria for this study. Conclusion: Through this research we identified that photobiomodulation had significant effects on the healing process in grade II and grade III burns, by promoting an acceleration healing, due to neovascularization, increasing epithelialization and collagen production. These findings occurred in both Laser and LED treatments.