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    Local anesthetics in dermatologic surgery: a review of adjuncts and pain reduction techniques

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    Author
    Gnanappiragasam, Dushyanth
    Veitch, David
    Wernham, Aaron
    Keyword
    Local anaesthetics
    Dermatologic surgery
    Pain
    Date
    2022-05-27
    
    Metadata
    Show full item record
    DOI
    doi.org/10.1111/ced.15277
    Publisher's URL
    https://onlinelibrary.wiley.com/doi/10.1111/ced.15277
    Abstract
    A variety of local anesthetic adjuncts exist for dermatological surgery. Similarly, many options to reduce the pain of local anesthesia exist. This review aims to summarise the evidence relating to local anesthetic adjuncts and methods to reduce the pain of local anesthesia. Adjuncts to local anesthetics can be an important consideration to optimise anesthetic effect. Current evidence suggests that buffering and warming local anesthetics, skin cooling, pinching, as well as administering vibrations to the skin are effective at reducing pain during administration. No significant difference was found between administering vibrations and skin cooling with regards to reducing pain. Studies demonstrate that overall, local anesthesia injection into distal sites is safe. However, there remains limited evidence specific to dermatologic surgery supporting ways to reduce pain during local anesthetic injection, and in determining the safety of local anesthetics for distal sites with confidence. Further high-quality research in the form of multi-centre randomised trials is required.
    Citation
    Charalambides M, Yannoulias B, Gnanappiragasam D, Veitch D, Wernham A. Local anesthetics in dermatologic surgery: a review of adjuncts and pain reduction techniques. Clin Exp Dermatol. 2022 May 27.
    Type
    Article
    URI
    http://hdl.handle.net/20.500.12904/15620
    Collections
    Dermatology

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