Abstract
Minimizing a patient’s pain is one of the most important components of skin cancer surgery. When done well, it makes the surgical experience much more pleasant for both the surgeon and the patient. There are several variables that can make local anesthesia more effective, safer, and less painful including types of and additives to anesthetics, patient-specific cautions, injection techniques, and other tips for increasing patient comfort.
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McLure HA, Rubin AP. Review of local anaesthetic agents. Minerva Anestesiol. 2005;71:59–74.
Eggleston ST, Lush LW. Understanding allergic reactions to local anesthetics. Ann Pharmacother. 1996;30:851–857.
Malamed SF. Handbook of Local Anesthesia. 4th ed. St. Louis: Mosby; 1997.
Jackson D, Chen AH, Bennett CR. Identifying true lidocaine allergy. J Am Dental Assoc. 1994;125:1362–1366.
Friedman PM, Mafong EA, Friedman ES, Geronemus RG. Topical anesthetics update: EMLA and beyond. Dermatol Surg. 2001;27:1019–1026.
Cohen MJ, Schecter WP. Perioperative pain control: A strategy for management. Surg Clin North Am. 2005;85:1243–1257.
Perusse R, Coulet JP, Turcotte JY. Contraindications to vasoconstrictors in dentistry: Part III pharmacological interactions. Oral Surg Oral Med Oral Pathol. 1992;74:687–691.
Yagiela JA. Adverse drug interactions in dental practice: interactions associated with vasoconstrictors. Part V. J Am Dent Assoc. 1999;130:701–709.
Yagiela JA, Neidle EA, Dowd FJ, eds. Pharmacology and Therapeutics for Dentistry. 4th ed. St. Louis: Mosby; 1998.
Budenz AW. Local anesthetics and medically complex patients. J Calif Dent Assoc. 2000;28:611–619.
Dzubow LM. The interaction between propanolol and epinephrine as observed in patients undergoing Mohs surgery. JAAD. 1986;15:71–75.
Stewart JH, Chinn SE, Cole GW, et al. Neutralized lidocaine with epinephrine for local anesthesia-II. J Dermatol Surg Oncol. 1990;16:842–845.
Stewart JH, Cole GW, Klein JA. Neutralized lidocaine with epinephrine for local anesthesia. J Dermatol Surg Oncol. 1989;15(10):1081–1083.
Local anesthetic agents, infiltrative administration. http://www.emedicine.com/proc/topic149178.htm. Accessed January 19, 2009.
Larson PO, Ragi G, Swandby M, Darcey B, Polzin G, Carey P. Stability of buffered lidocaine and epinephrine used for local anesthesia. J Dermatol Surg Oncol. 1991;17:411–414.
Bartfield JM, Holmes TJ, Raccio-Robak N. A comparison of proparacaine and tetracaine eye anesthetics. Acad Emerg Med. 1994;1:364–367.
Local anesthesia and regional nerve block anesthesia. http://www.emedicine.com/derm/topic824.htm. Accessed January 19, 2009.
Hruza GJ. Anesthesia.In: Bolognia JL, Jorizzo JL, Rapini RP, eds. Dermatology. 1st ed. St. Louis: Mosby; 2008:2233–2242.
Klein JA. Tumescent technique for regional anesthesia permits lidocaine doses of 35 mg/kg for liposuction. J Dermatol Surg Oncol. 1990;16:248–263.
Ramirez OM, Galdino G. Does tumescent infiltration have a deleterious effect on undermined skin flaps? Plast Reconstr Surg. 1999;104:2269–2272.
Thomson CJ, Lalonde DH, Denkler KA, et al. A critical look at the evidence for and against elective epinephrine use in the finger. Plast Reconstr Surg. 2007;119:260–266.
Digital nerve block. http://www.nda.ox.ac.uk/wfsa/html/u02/u02_007.htm. Accessed January 19, 2009.
Regional blocks at the wrist. http://www.nda.ox.ac.uk/wfsa/html/u12/u1204_01.htm. Accessed January 19, 2009.
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Collier, S.L., Hruza, G.J. (2009). Anesthesia. In: MacFarlane, D.F. (eds) Skin Cancer Management. Springer, New York, NY. https://doi.org/10.1007/978-0-387-88495-0_9
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DOI: https://doi.org/10.1007/978-0-387-88495-0_9
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