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Anesthesia for Intense Pulsed Light (IPL) Treatments

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Aesthetic Applications of Intense Pulsed Light

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Abstract

Anesthesia can be used for Intense Pulsed Light procedures. In most patients, the procedures can be accomplished without anesthesia. In some cases, local anesthesia is recommended. In most cases topical anesthesia is enough to offer comfort to the patients. In cases of pediatric patients, sedation or even general anesthesia is necessary.

Examination of the patient, the medical and drug history, the organization of the treatment room and skilled medical staff are important to reduce the anesthetic risk in office-based settings. Risks seem to be the same as in the hospital settings. Data recording is important for future approaches.

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Change history

  • 04 October 2020

    The original version of this chapter is revised as follows

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Author information

Authors and Affiliations

  1. “Iuliu Haţieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania

    Ileana Mitre & Calin Mitre

Authors
  1. Ileana Mitre
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  2. Calin Mitre
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Editor information

Editors and Affiliations

  1. Emergency District Hospital, Cluj Napoca, Romania

    Lucian Fodor

  2. Director Plastic and Reconstructive Surgery Department, Rambam Health Care Campus, Haifa, Israel

    Yehuda Ullmann

Multiple Choice Questions

Multiple Choice Questions

5.1.1 Q1: Regarding the IPL Procedures, the Following Statements Are True:

  1. (a)

    Local anesthesia is mandatory;

  2. (b)

    Sedation can be used;

  3. (c)

    Sedation is mandatory;

  4. (d)

    Topical anesthesia is mandatory;

  5. (e)

    It is possible to be done without anaesthesia.

5.1.2 Q2: Local Anaesthetics :

  1. (a)

    Their chemical structure contains a lipophilic part;

  2. (b)

    Their chemical structure contains a hydrophilic part;

  3. (c)

    Are classified in esthers and amides;

  4. (d)

    Esters local anesthetic doesn’t contain a lipophilic part;

  5. (e)

    Only amides local anesthetics block the sodium channel.

5.1.3 Q3: Regarding Topical Anaesthetics:

  1. (a)

    Topical anesthetics must penetrate stratum corneum to reach the action site;

  2. (b)

    Topical anesthetics are formulated in hydrophilic solutions;

  3. (c)

    Ointments are utilized for topical anesthetic preparation;

  4. (d)

    Gels are not utilized for topical administration;

  5. (e)

    Prilocaine is an ideal topical anesthetic.

5.1.4 Q4: Topical Anesthesia :

  1. (a)

    Can be used in patients for IPL;

  2. (b)

    The penetration through the skin can be realized by passive diffusion of anesthetic;

  3. (c)

    Iontophoresis can enhance skin penetration of local anesthetic;

  4. (d)

    Amethocaine is not utilized as topical anesthetic;

  5. (e)

    Lidocaine is an esther type local anesthetic.

5.1.5 Q5: Lidocaine:

  1. (a)

    Can be incorporated in liposomes;

  2. (b)

    Application of liposomal lidocaine must be performed with occlusive dressing;

  3. (c)

    Liposomes make reduce lidocaine absorption;

  4. (d)

    Onset time for liposomal lidocaine is faster than for lidocaine cream;

  5. (e)

    Maximum safe dose is approx. 4.5 mg/kg.

5.1.6 Q6: EMLA Cream

  1. (a)

    Contains lidocaine and prilocaine in the same concentration;

  2. (b)

    Can be applied on intact skin area;

  3. (c)

    The occlusive dressing is not necessary;

  4. (d)

    The onset time for anesthetic effect is 10 min;

  5. (e)

    The onset time for anesthetic effect is more than 45 min.

5.1.7 Q7: Local Anesthetics Toxicity :

  1. (a)

    It is not encountered after local anesthetic;

  2. (b)

    Can appears after application on a large area of skin;

  3. (c)

    Can appears in conditions that enhances absorption;

  4. (d)

    Small children need special attention in dosing local anesthetic;

  5. (e)

    Toxic plasma level for lidocaine are up 10 μg/ml.

5.1.8 Q8: The Following Symptoms Can Appear in Case of Local Anesthetics Toxicity:

  1. (a)

    Agitation;

  2. (b)

    Oral tingling;

  3. (c)

    Convulsions;

  4. (d)

    Contact dermatitis;

  5. (e)

    Generalized erythema.

5.1.9 Q9: Methemoglobinemia :

  1. (a)

    Can appear due to high doses in case of extensive application;

  2. (b)

    Can appear in case of enhanced absorption;

  3. (c)

    Prilocaine, xylocaine and benzocaine are involved in appearance of methemoglobinemia;

  4. (d)

    The patients present cyanosis, tachypnea, tachycardia, confusion, headache;

  5. (e)

    Treatment is done with reducing agent methylene blue i.v. or with ascorbic acid intravenously.

5.1.10 Q10: Sedation/General Anesthesia for IPL:

  1. (a)

    Is not necessary in this regard;

  2. (b)

    Preanesthetic fasting is not necessary for IPL procedures made in sedation;

  3. (c)

    Midazolam can be used;

  4. (d)

    Dissociative anaesthesia can offer good cardiovascular stability;

  5. (e)

    Propofol is most utilised drug for outpatient setting.

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Mitre, I., Mitre, C. (2020). Anesthesia for Intense Pulsed Light (IPL) Treatments. In: Fodor, L., Ullmann, Y. (eds) Aesthetic Applications of Intense Pulsed Light. Springer, Cham. https://doi.org/10.1007/978-3-030-22829-3_5

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  • DOI: https://doi.org/10.1007/978-3-030-22829-3_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-22828-6

  • Online ISBN: 978-3-030-22829-3

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