[Local anesthetic procedures in dermatology: Part 1: principles]

Most dermatologic surgery is performed under local anesthesia. The choice of the type of anesthesia depends on the age, ability to cooperate and comorbidities of the patient. Anesthetics of the amide type are generally preferred for local infiltration. A solid anatomic background is required to perform effective peripheral nerve blocks. If the methods of action, toxic effects and potential drug interactions are considered, then local anesthetics have a low risk of complications. One must also not overlook the need for regular training in managing anesthetic emergencies for the entire operating room team, especially with the increasing age of our patients.