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

https://doi.org/10.1016/j.jaad.2016.01.022Get rights and content

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.

Key words

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

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Funding sources: None.

This guideline was developed in accordance with the Academy's Administrative Regulations for Evidence-Based Guidelines, and followed a strong disclosure and conflict of interest management plan consistent with Institute of Medicine and Council of Medical Specialty Society standards. The authors' conflict of interest disclosure statements appear at the end of this article.

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