Dermatologic surgery emergencies: Complications caused by systemic reactions, high-energy systems, and trauma

J Am Acad Dermatol. 2016 Aug;75(2):265-84. doi: 10.1016/j.jaad.2015.11.054.

Abstract

While the overall incidence of emergencies in dermatologic surgery is low, emergent situations can occasionally pose a risk to patients undergoing such procedures. The clinical importance of several types of emergences related to systemic reactions, high energy systems, and trauma are reviewed, and relevant epidemiology, clinical manifestations, diagnosis, work-up, management, and prevention are discussed. Early detection of surgical emergencies can mitigate any associated adverse outcomes, thereby allowing the outstanding record of safety of dermatologic surgery to continue.

Keywords: anaphylaxis; arrhythmia; complication; dermatologic emergency; fire; hematoma; laser injury; lidocaine toxicity; trauma.

Publication types

  • Review

MeSH terms

  • Anaphylaxis / diagnosis
  • Anaphylaxis / etiology*
  • Anaphylaxis / therapy
  • Anesthetics, Local / adverse effects*
  • Arrhythmias, Cardiac / diagnosis
  • Arrhythmias, Cardiac / etiology
  • Arrhythmias, Cardiac / therapy
  • Dermatologic Surgical Procedures / adverse effects*
  • Emergencies
  • Eye Injuries / diagnosis
  • Eye Injuries / etiology*
  • Eye Injuries / therapy
  • Fires
  • Hematoma / diagnosis
  • Hematoma / etiology
  • Hematoma / therapy
  • Humans
  • Laser Therapy / adverse effects*
  • Orbital Diseases / diagnosis
  • Orbital Diseases / etiology
  • Orbital Diseases / therapy
  • Peripheral Nerve Injuries / diagnosis
  • Peripheral Nerve Injuries / etiology*
  • Peripheral Nerve Injuries / therapy
  • Risk Factors

Substances

  • Anesthetics, Local