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Pediatric anesthesia in dermatologic surgery: when hand-holding is not enough
1Department of Pediatrics, University of California, San Diego School of Medicine, San Diego, California, USA.
Insights
Pediatric dermatologic procedures can utilize various anesthetics and sedatives to manage pain and anxiety. Reviewing these options ensures safe and effective pain control for children undergoing skin treatments.
Area of Science:
- Pediatric Dermatology
- Anesthesiology
- Pain Management
Background:
- Dermatologic procedures in children often necessitate the use of anesthetics and sedatives.
- Pain and anxiety management are critical considerations in pediatric cutaneous surgery.
Purpose of the Study:
- To review advancements in anesthetic and sedative options for pediatric dermatologic procedures.
- To provide an overview of agents relevant to pain control in children undergoing skin treatments.
Main Methods:
- A comprehensive review of the existing medical literature.
- Analysis of current developments in pediatric anesthesiology and dermatology.
Main Results:
- Topical anesthetics like EMLA and liposome-encapsulated lidocaine cream are effective for procedural pain.
- Various sedative and hypnotic agents are available for pediatric dermatology, with published guidelines for use.
- General anesthesia is suitable for complex pediatric dermatologic procedures, including laser treatments.
Conclusions:
- Multiple anesthetic, analgesic, and sedative options are beneficial for pediatric cutaneous surgery.
- Effective pain management strategies are crucial for successful dermatologic interventions in children.
Background:
Dermatologic procedures in children may require the use of topical and local anesthetics, sedatives, and general anesthesia.
Objective:
To review developments in topical and local anesthetics, sedatives, and general anesthesia relevant to dermatologic procedures in children.
Methods:
Review of the medical literature.
Results:
Topical anesthetics, including EMLA and liposome-encapsulated lidocaine cream, amethocaine, cetacaine, and benzocaine products may be useful for decreasing the pain of cutaneous procedures including intra-lesional lidocaine infiltration. A variety of sedative and hypnotic agents may be utilized for pediatric dermatology procedures, and guidelines for their appropriate use have been published. General anesthesia for dermatologic procedures in the pediatric population is appropriate for a variety of procedures including laser treatment of capillary malformations.
Conclusion:
A variety of anesthetic, analgesic, and sedatives may be useful for pediatric cutaneous surgery.