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Updated: Jul 17, 2026

CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
Skin surgery in children: local anaesthesia and sedation techniques
Li-Fang Yeo1, Lawrence F Eichenfield, Yuin-Chew Chan
1National University of Singapore, Singapore.
Insights
Effective pain management is crucial for pediatric patients undergoing dermatological surgery. Recognizing that children, even neonates, feel pain is essential for preventing long-term physical and psychological effects.
Area of Science:
- Pediatric Anesthesiology
- Dermatological Surgery
- Pain Management
Background:
- Historically, undertreatment of procedural pain in children stemmed from misconceptions about their pain pathways.
- Current understanding confirms that neonates and children experience pain, with significant implications.
- Untreated acute pain in childhood can lead to lasting physiological and psychological issues.
Purpose of the Study:
- To discuss anesthetic strategies for pediatric patients undergoing dermatological procedures.
- To highlight the importance of adequate pain control in this population.
Main Methods:
- Literature review and expert discussion on anesthetic options.
- Analysis of pain management in pediatric dermatologic surgery.
Main Results:
- Detailed exploration of various anesthetic techniques suitable for pediatric dermatological surgery.
- Emphasis on the necessity of appropriate pain management protocols.
Conclusions:
- Optimizing anesthetic choices is vital for safe and effective dermatological surgery in children.
- Proper acute pain management in pediatric patients is critical for preventing adverse long-term outcomes.
Abstract:
In the past, procedural pain control in young children was undertreated as it was incorrectly alleged that their neuronal pain pathways were undeveloped. However, it is now recognised that even neonates are able to experience pain. Moreover, intensely painful physical experiences in childhood can have persisting physiological and psychological consequences. Therefore, the management of acute pain is essential. In this paper, the authors provide an in-depth discussion regarding the anaesthetic options for paediatric patients undergoing dermatological surgery.
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