title: Acute pain management in dermatology: risk assessment and treatment.
abstract: Dermatologists perform many procedures that require acute pain control with local anesthesia and, in some cases, management of postoperative pain. Identifying early risk factors before a procedure can better prepare both the patient and provider anticipate acute postsurgical pain needs. Taking a multimodal, algorithmic approach to managing acute postsurgical pain in dermatology practice can effectively attenuate acute postsurgical paint and reduce patient opioid requirements.
authors.affiliation: Department of Dermatology, Naval Medical Center Portsmouth, Portsmouth, Virginia.
authors.forename: Jonathan S
authors.initials: JS
authors.lastname: Glass
authors.affiliation: Department of Graduate Medical Education, Naval Medical Center Portsmouth, Portsmouth, Virginia.
authors.forename: C Lamar
authors.initials: CL
authors.lastname: Hardy
authors.affiliation: Eastern Virginia Medical School, Norfolk, Virginia.
authors.forename: Natalie M
authors.initials: NM
authors.lastname: Meeks
authors.affiliation: Department of Dermatology, Eastern Virginia Medical School, Norfolk, Virginia. Electronic address: CarrolBT@evms.edu.
authors.forename: Bryan T
authors.initials: BT
authors.lastname: Carroll
mesh_terms: D059787:Acute Pain / Q000175:diagnosis / Q000188:drug therapy; D000700:Analgesics / Q000627:therapeutic use; D000701:Analgesics, Opioid / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D062109:Dermatologic Surgical Procedures / Q000009:adverse effects / Q000379:methods; D003880:Dermatology / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000175:diagnosis* / Q000188:drug therapy*; D018570:Risk Assessment; D016896:Treatment Outcome
chemical_list: D000700:Analgesics; D000701:Analgesics, Opioid; D000894:Anti-Inflammatory Agents, Non-Steroidal
keywords: Mohs micrographic surgery; acute postsurgical pain; cosmetic surgery; hyperalgesia; multimodal analgesia; nonsteroidal antiinflammatory drugs; opioids; preventive analgesia; skin cancer surgery