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Guidelines for administration of local anesthesia for dermatosurgery and cosmetic dermatology procedures
Indian Journal of Dermatology, Venereology and Leprology , 08/17/09

Mysore V et al. – Most dermatosurgeries are performed in an outpatient setting and as day care surgeries, under local anesthesia. Hence, it is important to improve patient comfort during all procedures. Different methods include topical anesthesia, field block, ring block, local infiltration and nerve block. Also, it includes use of local anesthetics for anesthetizing oral and genital mucosa. Tumescent anesthesia is a special form of local anesthesia used in liposuction and certain selected procedures. Different local anesthetics are available such as lignocaine, prilocaine, bupivacaine. Various local and systemic side effects and complications arising from administration of local anesthetics have to be timely recognized and treated effectively. Skin testing prior to administration of local anesthetic is recommended.

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