Guidelines for the use of local anesthesia in office-based dermatologic surgery

J Am Acad Dermatol. 2016 Jun;74(6):1201-19. doi: 10.1016/j.jaad.2016.01.022. Epub 2016 Mar 4.

Abstract

There are an increasing number and variety of dermatologic surgical procedures performed safely in the office setting. This evidence-based guideline addresses important clinical questions that arise regarding the use and safety of local anesthesia for dermatologic office-based procedures. In addition to recommendations for dermatologists, this guideline also takes into account patient preferences while optimizing their safety and quality of care. The clinical recommendations presented here are based on the best evidence available as well as expert opinion.

Keywords: anesthesia; clinical guideline; dermatology; education; epinephrine; infiltration; local anesthesia; local nerve block; office-based surgery; pain; safety; topical; tumescent.

Publication types

  • Practice Guideline

MeSH terms

  • Administration, Topical
  • Ambulatory Care*
  • Anesthesia, Local / adverse effects
  • Anesthesia, Local / methods
  • Anesthesia, Local / standards*
  • Anesthetics, Local / administration & dosage*
  • Anesthetics, Local / adverse effects
  • Dermatologic Surgical Procedures*
  • Epinephrine / administration & dosage
  • Evidence-Based Medicine
  • Humans
  • Hyaluronoglucosaminidase / administration & dosage
  • Nerve Block
  • Pain / prevention & control*
  • Patient Preference
  • Sodium Bicarbonate / administration & dosage
  • Vasoconstrictor Agents / administration & dosage

Substances

  • Anesthetics, Local
  • Vasoconstrictor Agents
  • Sodium Bicarbonate
  • Hyaluronoglucosaminidase
  • Epinephrine