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

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• 作者：David J. Kouba ; MD ; PhD^a (Chair) ; Matteo C. LoPiccolo ; MD^a ; ^b ; ^c ; Murad Alam ; MD^d ; Jeremy S. Bordeaux ; MD ; MPH^e ; Bernard Cohen ; MD^f ; C. William Hanke ; MD^g ; Nathaniel Jellinek ; MD^h ; Howard I. Maibach ; MDⁱ ; Jonathan W. Tanner ; MD ; PhD^j ; Neelam Vashi ; MD^k ; Kenneth G. Gross ; MD^l ; Trudy Adamson ; MSN ; RN ; DNC^m ; Wendy Smith Begolka ; MBSⁿ ; Jose V. Moyano ; PhDⁿ ; ^{guidelines@aad.org" class="auth_mail" title="E-mail the corresponding author}
• 关键词：anesthesia ; clinical guideline ; dermatology ; education ; epinephrine ; infiltration ; local anesthesia ; local nerve block ; office-based surgery ; pain ; safety ; topical ; tumescent
• 刊名：Journal of the American Academy of Dermatology
• 出版年：2016
• 出版时间：June 2016
• 年：2016
• 卷：74
• 期：6
• 页码：1201-1219
• 全文大小：350 K

文摘

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.