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Related Concept Videos

Local Anesthetics: Common Agents and Their Applications01:23

Local Anesthetics: Common Agents and Their Applications

Local anesthetics (LAs) are commonly used for various applications in medical and dental procedures. Some of the common agents used are cocaine, lidocaine, and bupivacaine.
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
Local Anesthetics: Adverse Effects01:12

Local Anesthetics: Adverse Effects

While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...

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Using a 1064-nm Picosecond Neodymium-Doped Yttrium Aluminum Garnet Laser for Periorbital Hyperpigmentation
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Periocular anesthesia in aesthetic surgery.

Bentley C Skibell1, Charles N S Soparkar, Robert N Tower

  • 1Plastic Eye Surgery Associates, L.L.P., Houston, Texas.

Seminars in Plastic Surgery
|June 23, 2010
PubMed
Summary
This summary is machine-generated.

This article discusses anesthesia for periocular aesthetic procedures, especially office-based ones without sedation. It stresses patient communication and warns of anesthetic toxicity, ocular injuries, and muscle damage.

Keywords:
Anesthesiaaestheticoculoplasticsperiocularsurgery

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Area of Science:

  • Anesthesiology
  • Ophthalmology
  • Cosmetic Surgery

Background:

  • Periocular aesthetic procedures are increasingly common.
  • Office-based anesthesia requires specific considerations.
  • Patient safety is paramount in aesthetic treatments.

Purpose of the Study:

  • To outline anesthesia administration for periocular aesthetic procedures.
  • To emphasize strategies for office-based settings.
  • To identify potential complications and their management.

Main Methods:

  • Review of current anesthesia practices for periocular procedures.
  • Focus on non-sedated, office-based techniques.
  • Discussion of risk mitigation strategies.

Main Results:

  • Local anesthesia is frequently used for office-based periocular procedures.
  • Effective patient communication is crucial for managing expectations and anxiety.
  • Potential risks include systemic toxicity, ocular trauma, and orbicularis muscle injury.

Conclusions:

  • Safe anesthesia for periocular aesthetics relies on careful technique and patient selection.
  • Awareness of potential complications is essential for prevention and prompt management.
  • Open communication enhances patient safety and satisfaction in office-based settings.