Benefits, safety and side effects of tumescent local anesthesia in dermatologic surgery in infants.

Alisa Roerden, Felix Neunhoeffer, Angelika Götz, Hans-Martin Häfner, Lukas Kofler

Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG 2021 Mar

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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. © 2021 The Authors. Journal der Deutschen Dermatologischen Gesellschaft published by John Wiley & Sons Ltd on behalf of Deutsche Dermatologische Gesellschaft.

Citation

Alisa Roerden, Felix Neunhoeffer, Angelika Götz, Hans-Martin Häfner, Lukas Kofler. Benefits, safety and side effects of tumescent local anesthesia in dermatologic surgery in infants. Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG. 2021 Mar;19(3):352-357