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Benefits, safety and side effects of tumescent local anesthesia in dermatologic surgery in infants
Author(s) -
Roerden Alisa,
Neunhoeffer Felix,
Götz Angelika,
Häfner HansMartin,
Kofler Lukas
Publication year - 2021
Publication title -
jddg: journal der deutschen dermatologischen gesellschaft
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 60
eISSN - 1610-0387
pISSN - 1610-0379
DOI - 10.1111/ddg.14340
Subject(s) - medicine , dosing , topical anesthesia , anesthesia , surgery , broad spectrum , dermatologic surgery , local anesthesia , surgical procedures , chemistry , combinatorial chemistry , pharmacology
Summary Tumescent local anesthesia (TLA) plays an important role in dermatosurgical procedures. TLA has several benefits such as long‐lasting anesthesia, reduced bleeding during surgery and the avoidance of general anesthesia‐associated complications. Convenience and a favorable risk profile along with a broad spectrum of indications are further reasons why TLA is increasingly applied in infants as well. There are not only a variety of indications for surgical excisions in infancy, such as congenital nevi, but also substantial benefits when performing these excisions at an early age. These include the smaller size of the lesions as well as the unproblematic wound healing and tissue regeneration in infancy. Nevertheless, several aspects need to be considered when applying TLA in infants including dosing, altered plasma protein binding and the need for adequate and long‐lasting pain control.