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[Local and regional anesthesia].

W Meigel1, W Lengen

  • 1Dermatologische Abteilung, Allgemeines Krankenhaus St. Georg Hamburg.

Zeitschrift Fur Hautkrankheiten
|January 1, 1988
PubMed
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Local anesthesia is a safe and effective method for cutaneous surgery, suitable for high-risk patients. While generally well-tolerated, potential adverse reactions like toxicity and nerve damage require careful consideration.

Area of Science:

  • Dermatology and surgical procedures.
  • Anesthesiology and pain management.

Context:

  • Cutaneous surgeries are frequently performed.
  • Local anesthesia is the primary anesthetic method used.
  • Specific nerve or field block techniques are employed for certain anatomical sites.

Purpose:

  • To review the applications and considerations of local anesthesia in cutaneous surgery.
  • To highlight the advantages of local anesthesia over general anesthesia for specific patient groups.
  • To outline potential adverse reactions associated with local anesthetic administration.

Summary:

  • Local infiltrative anesthesia is the most common technique for skin procedures.
  • Nerve or field blocks are utilized for sensitive areas like the ear, nose, digits, and penis.

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  • Local anesthesia offers rapid efficacy and a favorable safety profile, especially for patients with comorbidities such as ischemic heart disease or respiratory conditions.

    • Impact:

    • Facilitates outpatient surgical procedures with reduced systemic risks.
    • Provides a viable anesthetic option for patients who are poor candidates for general anesthesia.
    • Emphasizes the importance of vigilance regarding potential adverse effects, including toxicity, allergic reactions, and iatrogenic nerve or vessel injury.