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Chapter-02 Local Anesthesia for Dermatosurgical Procedures

BOOK TITLE: Procedural Dermatosurgery—A Step by Step Approach

Author
1. Tahiliani Sushil
2. AS Savitha
ISBN
9789352702121
DOI
10.5005/jp/books/14212_3
Edition
1/e
Publishing Year
2018
Pages
12
Author Affiliations
1. BKC, Bandra (East), Mumbai, Maharashtra, India, Mumbai, Maharashtra, India, Hinduja Hospital and Research Center, Bharatiya Arogya Nidhi Hospital, Asian Heart Institute, Mumbai, Maharashtra, India, Hinduja Hospital and Research Center, Mumbai, Maharashtra, India
2. Bangalore Medical College and Research Institute, Bengaluru, India, Victoria Hospital, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India, Sapthagiri Institute of Medical Sciences, Bengaluru, Karnataka, India, Sapthagiri Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India, Sapthagiri Institute of medical sciences and research institute, Bengaluru, Karnataka, India, Sapthagiri Institute of Medical Sciences and Research Center, Bengaluru, Karnataka, India, Saptagiri Institute of Medical Sciences and Research Center, Bengaluru, Karnataka, India
Chapter keywords
Dermatologist, local anesthesia, dermatosurgical procedure, local anesthetic, surface anesthesia, infiltrative anesthesia, tumescent anesthesia, nerve block, aesthetic procedure

Abstract

Dermatologists routinely perform procedures, which may either be diagnostic or therapeutic. Most of these procedures are performed under local anesthesia in an outpatient setting. The chapter discusses about the local anesthesia used for various dermatosurgical procedures. The structure of local anesthetics can be divided into three distinct parts: an aromatic portion (lipophilic), intermediate chain (composed of either ester or amide linkage), and amine group (hydrophilic). Different types of administration of local anesthesia are surface anesthesia, infiltrative anesthesia, tumescent anesthesia and nerve blocks. The chapter covers tips for reducing pain during anesthesia. It is said that if one can provide a nearly painless procedure with proper local anesthesia for aesthetic procedures, then half the battle is won.

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