title: Guidelines for the use of local anesthesia in office-based dermatologic surgery.
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.
authors.affiliation: Toledo Clinic Facial Plastics and Dermatology, Toledo, Ohio.
authors.forename: David J
authors.initials: DJ
authors.lastname: Kouba
authors.affiliation: Toledo Clinic Facial Plastics and Dermatology, Toledo, Ohio; Department of Dermatology, Henry Ford Health System, Detroit, Michigan; Dermatology Specialists of Shelby, Shelby, Michigan.
authors.forename: Matteo C
authors.initials: MC
authors.lastname: LoPiccolo
authors.affiliation: Department of Dermatology, Northwestern Memorial Hospital, Chicago, Illinois.
authors.forename: Murad
authors.initials: M
authors.lastname: Alam
authors.affiliation: Department of Dermatology, University Hospitals Case Medical Center, Cleveland, Ohio.
authors.forename: Jeremy S
authors.initials: JS
authors.lastname: Bordeaux
authors.affiliation: Department of Dermatology-Pediatrics, Johns Hopkins Children's Center, Baltimore, Maryland.
authors.forename: Bernard
authors.initials: B
authors.lastname: Cohen
authors.affiliation: Laser and Skin Surgery Center of Indiana PC, Carmel, Indiana.
authors.forename: C William
authors.initials: CW
authors.lastname: Hanke
authors.affiliation: Department of Dermatology, Brown University, East Greenwich, Rhode Island.
authors.forename: Nathaniel
authors.initials: N
authors.lastname: Jellinek
authors.affiliation: Department of Dermatology, UCSF School of Medicine, San Francisco, California.
authors.forename: Howard I
authors.initials: HI
authors.lastname: Maibach
authors.affiliation: Department of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: Jonathan W
authors.initials: JW
authors.lastname: Tanner
authors.affiliation: Department of Dermatology and Center for Ethnic Skin, Boston University School of Medicine, Boston, Massachusetts.
authors.forename: Neelam
authors.initials: N
authors.lastname: Vashi
authors.affiliation: Skin Surgery Medical Group, Inc, San Diego, California.
authors.forename: Kenneth G
authors.initials: KG
authors.lastname: Gross
authors.affiliation: Department of Nursing, Mayo Clinic College of Medicine, Rochester, Minnesota.
authors.forename: Trudy
authors.initials: T
authors.lastname: Adamson
authors.affiliation: Department of Science, Quality and Practice, American Academy of Dermatology, Schaumburg, Illinois.
authors.forename: Wendy Smith
authors.initials: WS
authors.lastname: Begolka
authors.affiliation: Department of Science, Quality and Practice, American Academy of Dermatology, Schaumburg, Illinois. Electronic address: guidelines@aad.org.
authors.forename: Jose V
authors.initials: JV
authors.lastname: Moyano
mesh_terms: D000287:Administration, Topical; D000553:Ambulatory Care; D000772:Anesthesia, Local / Q000009:adverse effects / Q000379:methods / Q000592:standards*; D000779:Anesthetics, Local / Q000008:administration & dosage* / Q000009:adverse effects; D062109:Dermatologic Surgical Procedures; D004837:Epinephrine / Q000008:administration & dosage; D019317:Evidence-Based Medicine; D006801:Humans; D006821:Hyaluronoglucosaminidase / Q000008:administration & dosage; D009407:Nerve Block; D010146:Pain / Q000517:prevention & control*; D057240:Patient Preference; D017693:Sodium Bicarbonate / Q000008:administration & dosage; D014662:Vasoconstrictor Agents / Q000008:administration & dosage
chemical_list: D000779:Anesthetics, Local; D014662:Vasoconstrictor Agents; D017693:Sodium Bicarbonate; D006821:Hyaluronoglucosaminidase; D004837:Epinephrine
keywords: anesthesia; clinical guideline; dermatology; education; epinephrine; infiltration; local anesthesia; local nerve block; office-based surgery; pain; safety; topical; tumescent