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Acute Emergencies in the Dermatology Office

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Complications in Cutaneous Surgery
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Abstract

The dermatologic office emergency is often dismissed as medical oxymoron. The medications administered or procedures performed rarely precipitate a crisis. Nevertheless, certain medical questions and emergencies are relevant to the dermatologic physician, regardless of their low frequency. Based upon the limited literature available and clinical experience, this chapter is designed to offer a practical approach to selected emergency issues that are potentially encountered in the practice of medical and surgical dermatology.

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References

  1. Guidelines for cardiopulmonary resuscitation and emergency cardiac care. Emergency Cardiac Care Committee and Subcommittees, American Heart Association. Part I Introduction. JAMA 1992;268:2171–2183.

    Google Scholar 

  2. Heart and stroke facts: 2000 statistical update. American Heart Association; 1999.

    Google Scholar 

  3. Weaver WD, Hill D, Fahrenbruch CE, et al. Use of automated external defibrillator in the management of out-ofhospital cardiac arrest. N Engl J Med 1988;319:661–666.

    CAS  PubMed  Google Scholar 

  4. Bayes de Luna A, Coumel P, Leclercq JF. Ambulatory sudden cardiac death; mechanisms of production of fatal arrhythmia on the basis of data from 157 cases. Am Heart J 1989;117:151–159.

    Article  CAS  PubMed  Google Scholar 

  5. White RD, Hankins DG, Bugliosi TF. Seven years’ experience with early defibrillation by police and paramedics in an emergency medical services system. Resuscitation 1998;39:145–151.

    Article  CAS  PubMed  Google Scholar 

  6. Kellermann AL, Hackman BB, Somes G, Kreth TK, Nail L, Dobyns P. Impact of first-responder defibrillation in an urban emergency medical services system. JAMA 1993;270:1708–1713.

    Article  CAS  PubMed  Google Scholar 

  7. Varon J, Marik P. Treatment of cardiac arrest with automatic external defibrillators: impact on outcome. Am J Cardiovasc Drugs 2003;3:265–270.

    Article  PubMed  Google Scholar 

  8. Holmberg M, Holmberg S, Herlitz J. The problem of out-of-hospital cardiac arrest prevalence of sudden death in Europe today. Am J Cardiol 1999;83:88D–90D.

    Article  CAS  PubMed  Google Scholar 

  9. Auble TE, Menegazzi JJ, Paris PM. Effect of out-of-hospital cardiac defibrillation by basic life support providers on cardiac arrest mortality; a metaanalysis. Ann Emerg Med 1995;25:642–648.

    Article  CAS  PubMed  Google Scholar 

  10. Cummins RO, Ornato JP, Thies WH, Pepe PE. Improving survival from sudden cardiac arrest: the “chain of survival” concept. A statement for health professionals from the Advanced Cardiac Life Support Subcommittee and the Emergency Cardiac Care Committee, American Heart Association. Circulation 1991;83:1832–1847.

    CAS  PubMed  Google Scholar 

  11. Eisenberg MS, Bergner L, Hallstrom A. Cardiac resuscitation in the community: importance of rapid provision and implications for program planning. JAMA 1979;241:1905–1907.

    Article  CAS  PubMed  Google Scholar 

  12. Weaver WD, Copass MK, Hill D, Fahrenbruch C, Hallstrom AP, Cobb L. Cardiac arrest treated with a new automatic external defibrillator by out-of-hospital first responders. Am J Cardiol 1986;57:1017–1021.

    Article  CAS  PubMed  Google Scholar 

  13. Guidelines of care for office surgical facilities: part I. J Am Acad Dermatol 1992;26:763–765.

    Google Scholar 

  14. Guidelines of care for office surgical facilities: part II. J Am Acad Dermatol 1995;33:265–270.

    Google Scholar 

  15. Kobernick MS. Management of emergencies in the medical office. J Emerg Med 1986;4:71–74.

    Article  CAS  PubMed  Google Scholar 

  16. Fuchs S, Jaffe DM, Christoffel KK. Pediatric emergencies in office practices: prevalence and office preparedness. Pediatrics 1989;83:931–939.

    CAS  PubMed  Google Scholar 

  17. Altieri M, Bellet J, Scott H. Preparedness for pediatric emergencies encountered in the practitioner’s office. Pediatrics 1990;85:710–714.

    CAS  PubMed  Google Scholar 

  18. Emergency Cardiac Care Committee and subcommittees, American Heart Association. Guidelines for cardiopulmonary resuscitation and emergency cardiac care, II: adult basic life support. JAMA 1992;268:2184–2198.

    Article  Google Scholar 

  19. Emergency Cardiac Care Committee and subcommittees, American Heart Association. Guidelines for cardiopulmonary resuscitation and emergency cardiac care, III: adult advanced cardiac life support. JAMA 1992;268:2199–2241.

    Article  Google Scholar 

  20. BLS for healthcare providers. American Heart Association; 2001.

    Google Scholar 

  21. Emergency Cardiac Care Committee and subcommittees, American Heart Association. Guidelines for cardiopulmonary resuscitation and emergency cardiac care, IX; ensuring effectiveness of communitywide emergency cardiac care. JAMA 1992;268:2289–2295.

    Article  Google Scholar 

  22. Thomas RM, Amonette RA. Emergencies in skin surgery. In: Roenigk RK, Roenigk HH, eds. Dermatologic surgery, principles and practice. 2nd ed. New York: Marcel Dekker; 1996:77–89.

    Google Scholar 

  23. Nagi C, Thomas RM. Recognition and management of office medical and surgical emergencies. In: Wheeland RG, ed. Cutaneous surgery. Philadelphia: Saunders; 1994:150–158.

    Google Scholar 

  24. Cummins RO. From concept to standard-of-care? Review of the clinical experience with automated external defibrillators. Ann Emerg Med 1989;18:1269–1275.

    Article  CAS  PubMed  Google Scholar 

  25. Cummins RO, Thies W. Encouraging early defibrillation: the American Heart Association and automated external defibrillators. Ann Emerg Med 1990;19:1245–1248.

    Article  CAS  PubMed  Google Scholar 

  26. Weisfeldt ML, Kerber RE, McGoldrick RP, et al., for the American Heart Association Task Force on automatic external defibrillation. Public access to defibrillation. Circulation 1995;92:2763.

    CAS  PubMed  Google Scholar 

  27. Marenco JP, Wang PJ, Link MS, et al. Improving survival from sudden cardiac arrest: the role of the automated external defibrillator. JAMA 2001;285:1193–1200.

    Article  CAS  PubMed  Google Scholar 

  28. Cummins RO, Eisenberg M, Bergner L, Murray JA. Sensitivity, accuracy, and safety of an automatic external defibrillator. Lancet 1984;2:318–320.

    Article  CAS  PubMed  Google Scholar 

  29. Liner BE, Jorgenson DB, Poole JE, et al., for the LIFE Investigators. Treatment of out-of-hospital cardiac arrest with low-energy impedance-compensating biphasic waveform automatic external defibrillators. Biomed Instrum Technol 1998;32:631–644.

    Google Scholar 

  30. Stults KR, Brown DD, Cooley F, et al. Self-adhesive monitor/defibrillator pads improve pre-hospital defibrillation success. Ann Emerg Med 1987;16:872–877.

    Article  CAS  PubMed  Google Scholar 

  31. Carlson MD, Freeman CS, Garan H, Ruskin JN. Sensitivity of an automatic external defibrillator for ventricular tachyarrhythmias in patients undergoing electrophysiologic studies. Am J Cardiol 1988;61:787–790.

    Article  CAS  PubMed  Google Scholar 

  32. Poole JE, White RD, Kanz KG, et al. Low-energy impedance-compensating biphasic waveforms terminate ventricular fibrillation at high rates in victims of out-of-hospital cardiac arrest. J Cardiovasc Electrophysiol 1997;8:1373–1385.

    Article  CAS  PubMed  Google Scholar 

  33. Ramaswamy K, Page RL. The automated external defibrillator: critical link in the chain of survival. Ann Rev Med 2003;54:235–243.

    Article  CAS  PubMed  Google Scholar 

  34. Varon J, Marik PE. Treatment of cardiac arrest with automatic external defibrillators: impact on outcome. Am J Cardiovasc Drugs 2003;3:265–270.

    Article  PubMed  Google Scholar 

  35. Das MK, Zipes DP. Sudden cardiac arrest and automated external defibrillators. Circ J 2003;67:975–982.

    Article  PubMed  Google Scholar 

  36. Liddle R, Davies CS, Colquhoun M, Handley AJ. ABC of resuscitation: the automated external defibrillator. BMJ 2003;327:1216–1218.

    Article  PubMed  Google Scholar 

  37. Soto-Aguilar MC, deShazo RD, Waring NP. Anaphylaxis: why it happens and what to do about it. Postgrad Med 1987;82:154–170.

    CAS  PubMed  Google Scholar 

  38. McLean-Tooke APC, Bethune CA, Fay AC, Spickett GP. Adrenaline in the treatment of anaphylaxis: what is the evidence? BMJ 2003;327:1332–1334.

    Article  PubMed  Google Scholar 

  39. Tang AW. A practical guide to anaphylaxis. Am Fam Physician 2003;68:1325–1332.

    PubMed  Google Scholar 

  40. Bochner BS, Lichtenstein LM. Anaphylaxis. N Engl J Med 1991;324:1785–1790.

    Article  CAS  PubMed  Google Scholar 

  41. Malde B, Ditto AM. Anaphylaxis. Allergy Asthma Proc 2004;25:S52–S53.

    PubMed  Google Scholar 

  42. Kemp SF, Lockey RF, Wolf BL, et al. Anaphylaxis — a review of 266 cases. Arch Intern Med 1995;155:1749–1754.

    Article  CAS  PubMed  Google Scholar 

  43. Lieberman P. Anaphylaxis and anaphylactoid reactions. In: Middleton E, ed. Allergy: principles and practice. 5th ed. St. Louis: Mosby; 1998:1079–1089.

    Google Scholar 

  44. Ditto AM, Grammer LG. Food allergy. In: Grammer LG, Greenberger PA, eds. Patterson’s allergic diseases. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2002:260.

    Google Scholar 

  45. Thong BY, Chan Y. Anaphylaxis during surgical and interventional procedures. Ann Allergy Asthma Immunol 2004;92:619–628.

    Article  CAS  PubMed  Google Scholar 

  46. Joint Task Force on Practice Parameters. The diagnosis and management of anaphylaxis. J Allergy Clin Immunol 1998;101:S465–S528.

    Google Scholar 

  47. Neugut A, Ghatak, AT, Miller RL. Anaphylaxis in the United States: an investigation into its epidemiology. Arch Intern Med 2001;161:15–21.

    Article  CAS  PubMed  Google Scholar 

  48. Pippen R. Anaphylactoid reaction after Chymacort ointment. BMJ 1966;1:1168–1172.

    Article  Google Scholar 

  49. Comaish JS, Cunliffe WJ. Absorption of drugs from various ulcers: a cause of anaphylaxis. Br J Clin Pract 1967;21:97.

    CAS  PubMed  Google Scholar 

  50. Roupe G, Strennegard O. Anaphylactic shock elicited by topical administration of bacitracin. Arch Dermatol 1969;100:450–452.

    Article  CAS  PubMed  Google Scholar 

  51. Daughters D, Zackheim H, Maibach H. Urticaria and anphylactoid reactions after topical application of mechlorethamine. Arch Dermatol 1973;107:429–430.

    Article  CAS  PubMed  Google Scholar 

  52. Vale MA, Connolly A, Epstein AM, et al. Bacitracin-induced anaphylaxis. Arch Dermatol 1978;114:800.

    Article  CAS  PubMed  Google Scholar 

  53. Schechter JF, Wilkison RD, Carpio JD. Anaphylaxis following the use of bacitracin ointment. Arch Dermatol 1984;120:909–911.

    Article  CAS  PubMed  Google Scholar 

  54. Phillips TJ, Rogers GS, Kanj LF. Bacitracin anaphylaxis. J Geriatr Dermatol 1995;3:83–85.

    Google Scholar 

  55. Okano M, Nomura M, Hata S, et al. Anaphylactic symptoms due to chlorhexidine gluconate. Arch Dermatol 1989;125:50–52.

    Article  CAS  PubMed  Google Scholar 

  56. Pharm NH, Weiner JM, Reisner GS, Baldo BA. Anaphylaxis to chlorhexidine: case report: implication of immunoglobulin E antibodies and identification of an allergenic determinant. Clin Exp Allergy 2000;30:1001–1007.

    Article  Google Scholar 

  57. Garvey LH, Roed-Petersen J, Husum B. Anaphylaxis I anesthetized patients: four cases of chlorhexidine allergy. Acta Anaesthesiol Scand 2001;45:1290–1294.

    Article  CAS  PubMed  Google Scholar 

  58. Gordon BR. Prevention and management of office allergy emergencies. Otolaryngol Clin North Am 1992;25:119–134.

    CAS  PubMed  Google Scholar 

  59. Martin JB, Ruskin J. Faintness, syncope, and seizures. In: Wilson JD, et al., eds. Harrison’s principles of internal medicine. 12th ed. New York: McGraw-Hill; 1991:134–140.

    Google Scholar 

  60. Mook WH. Skin reactions to apothesin and quinine in susceptible persons. Arch Dermatol 1920;1:651–655.

    Google Scholar 

  61. Mackley CL, Marks JG. Lidocaine hydrochloride. Am J Contact Dermat 2003;14:221–223.

    PubMed  Google Scholar 

  62. Chiu C, Lin T, Hsia S, et al. Systemic anaphylaxis following local lidocaine administration during a dental procedure. Ped Emerg Care 2004;20:178–180.

    Article  Google Scholar 

  63. Giovannitt J, Bennett CR. Assessment of allergy to local anesthetics. J Am Dent Assoc 1979;98:701–706.

    Google Scholar 

  64. Chin TM, Fellner MJ. Allergic hypersensitivity to lidocaine hydrochloride. Int J Dermatol 1980;19:147–148.

    Article  CAS  PubMed  Google Scholar 

  65. Verrill PJ. Adverse reactions to local anesthetics and vasoconstrictor drugs. Practitioner 1975;214:380–387.

    CAS  PubMed  Google Scholar 

  66. Amsler E, Flahault A, Mathelier-Fusade P, Aractingi S. Evaluation of re-challenge in patients with suspected lidocaine allergy. Dermatology 2004;208:109–111.

    Article  CAS  PubMed  Google Scholar 

  67. Curley RK, Macfarlane AW, King CM. Contact sensitivity to the amide anesthetics lidocaine, prilocaine, and mepivacaine: case report and review of the literature. Arch Dermatol 1986;122:924–926.

    Article  CAS  PubMed  Google Scholar 

  68. Bircher AJ, Messmer SL, Surber C, Rufli T. Delayed-type hypersensitivity to subcutaneous lidocaine with tolerance to articaine: confirmation by in vivo and in vitro tests. Contact Dermatitis 1996;24:387–389.

    Article  Google Scholar 

  69. Whalen JD. Delayed-type hypersensitivity after subcutaneous administration of amide anesthetic. Arch Dermatol 1996;132:1256–1257.

    Article  CAS  PubMed  Google Scholar 

  70. Briet S, Rueff F, Przybilla B. “Deep impact” contact allergy after subcutaneous injection of local anesthetics. Contact Dermatitis 2001;45:296–297.

    Article  Google Scholar 

  71. Downs AM, Lear JT, Wallington TB, Sansom JE. Contact sensitivity and systemic reaction to pseudoephedrine and lignocaine. Contact Dermatitis 1998;39:33.

    Article  CAS  PubMed  Google Scholar 

  72. Kaufman JM, Hale EK, Ahinoff RA, Cohen DE. Cutaneous lidocaine allergy confirmed by patch testing. J Drugs Dermatol 2002;2:192–194.

    Google Scholar 

  73. Finucane BT. Allergies to local anesthetics — the real truth. Can J Anesth 2003;50:869–874.

    Article  PubMed  Google Scholar 

  74. Macy E. Local anesthetic adverse reaction evaluations: the role of the allergist. Ann Allergy Asthma Immunol 2003;91:319–320.

    Article  PubMed  Google Scholar 

  75. Chandler MJ, Grammer LC. Provocative challenge with local anesthetics in patients with a prior history of reaction. J Allergy Clin Immunol 1987;79:883–886.

    Article  CAS  PubMed  Google Scholar 

  76. Lu D. Managing patients with local anesthetic complications using alternative methods. Penn Dent J 2002;69(3):22–29.

    Google Scholar 

  77. Bronner LL, Kanter DS, Manson JE. Primary prevention of stroke. N Engl J Med 1995;333:1392–1400.

    Article  CAS  PubMed  Google Scholar 

  78. Pepe PE. The chain of recovery from brain attack: access, pre-hospital care, and treatment. In: Proceedings of the National Symposium on Rapid Identification and Treatment of Acute Stroke. Bethesda, MD: The National Institute of Neurological Disorders and Stroke; 1996:20–42.

    Google Scholar 

  79. Broderick JP, Brott T, Tomsick T, et al. The risk of subarachnoid and intracerebral hemorrhages in blacks as compared with whites. N Engl J Med 1992;326:733–736.

    Article  CAS  PubMed  Google Scholar 

  80. Brott T, Thalinger K, Hertzberg V. Hypertension as a risk factor for spontaneous intracerebral hemorrhage. Stroke 1986;17:1078–1083.

    CAS  PubMed  Google Scholar 

  81. Broderick JP, Brott TG, Tomsick T, et al. Ultra-early evaluation of intracerebral hemorrhage. J Neurosurg 1990;72:195–199.

    Article  CAS  PubMed  Google Scholar 

  82. The NINDS rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med 1995;333:1581–1587.

    Article  Google Scholar 

  83. Hacke W, Kaste M, Fieschi C, et al. Intravenous thrombolysis with recombinant tissue plasminogen activator for acute hemispheric stroke: the European Cooperative Acute Stroke Study (ECASS). JAMA 1995;274:1017–1025.

    Article  CAS  PubMed  Google Scholar 

  84. Kwiatkowski TG, Libman RB, Frankel M, et al. Effects of tissue plasminogen activator for acute ischemic stroke at one year. N Engl J Med 1999;340:1781–1787.

    Article  CAS  PubMed  Google Scholar 

  85. Albers GW, Bates VE, Clark WM, et al. Intravenous tissuetype plasminogen activator for treatment of acute stroke: the Standard Treatment with Alteplase to Reverse Stroke (STARS) Study. JAMA 2000;283:1145–1150.

    Article  CAS  PubMed  Google Scholar 

  86. Hazinki MF. Demystifying recognition and management of stroke. Curr Emerg Cardiac Care 1996;7:8.

    Google Scholar 

  87. Barsan WG, Brott TG, Broderick JP, et al. Time of hospital presentation in patents with acute stroke. Arch Intern Med 1993;153:2558–2561.

    Article  CAS  PubMed  Google Scholar 

  88. Feldmann E, Gordon N, Brooks JM, et al. Factors associated with early presentation of acute stroke. Stroke 1993;24:1805–1810.

    CAS  PubMed  Google Scholar 

  89. Kothari R, Pancioli A, Liu T, et al. Cincinnati Prehospital Stroke Scale: reproducibility and validity. Ann Emerg Med 1999;33:373–378.

    Article  CAS  PubMed  Google Scholar 

  90. Selbst SM. Office management of status epilepticus. Pediatr Emerg Care 1991;7:106–109.

    Article  CAS  PubMed  Google Scholar 

  91. Delgado-Escueta AV, Wasterlain C, Treiman DM, et al. Management of status epilepticus. N Engl J Med 1982;306:1337–1340.

    Article  CAS  PubMed  Google Scholar 

  92. Handley AJ, Becker LB, Allen M, et al. Single-rescuer adult basic life support: an advisory statement from the Basic Life Support Working Group of the International Liaison Committee on Resuscitation. Resuscitation 1997;34:101–108.

    Article  CAS  PubMed  Google Scholar 

  93. Turner S, Turner I, Chapman D, et al. A comparative study of the 1992 and 1997 recovery positions for use in the UK. Resuscitation 1998;39:153–160.

    Article  CAS  PubMed  Google Scholar 

  94. Emergency Cardiac Care Committee and subcommittees, American Heart Association. Guidelines for cardiopulmonary resuscitation and emergency cardiac care, IV: special resuscitation situations. JAMA 1992;268:2242–2250.

    Article  Google Scholar 

  95. Sebben JE. Electrosurgery and cardiac pacemakers. J Am Acad Dermatol 1983;9:457–463.

    Article  CAS  PubMed  Google Scholar 

  96. Popkin GL. Electrosurgery. In: Epstein E, ed. Skin surgery. Springfield, IL: Thomas; 1982:385–404.

    Google Scholar 

  97. Escher DJW. Types of pacemakers and their complications. Circulation 1973;47:1119–1129.

    CAS  PubMed  Google Scholar 

  98. Krull EA, Pickard SD, Hall JC. Effects of electrosurgery on cardiac pacemakers. J Derm Surg 1975;1:43–45.

    CAS  Google Scholar 

  99. Wajszezak WJ, Mowry RM, Dugan WL. Deactivation of a demand pacemaker by transurethral electrocautery. N Engl J Med 1969;280:34–35.

    Article  Google Scholar 

  100. Schwingshackl H, Maurer R, Amor H. Interfering influence of low frequency alternating currents on asynchronous and controlled pacemaker systems during the use of electrosurgical devices. Schweiz Med Wochenschr 1971;101:46–52.

    CAS  PubMed  Google Scholar 

  101. Green LF, Merideth J. Transurethral operations employing high frequency electrical currents in patients with demand cardiac pacemakers. J Urol 1972;108:446–448.

    Google Scholar 

  102. Smith BR, Wise WS. Pacemaker malfunction from urethral electrocautery. JAMA 1971;218:256.

    Article  CAS  PubMed  Google Scholar 

  103. Batra YK, Bali IM. Effect of coagulation and cutting current on a demand pacemaker during transurethral resection of the prostate. A case report. Can Anaesth Soc J 1978;25:65.

    Article  CAS  PubMed  Google Scholar 

  104. O’Donoghue JK. Inhibition of a demand pacemaker by electrocautery. Chest 1973;64:664–666.

    Article  PubMed  Google Scholar 

  105. Parsonnet V, Furman S, Smyth NPD, et al. Optimal resources for implantable cardiac pacemakers. Intersociety commission for heart disease resources. Circulation 1980;68:226A.

    Google Scholar 

  106. Domino KB, Smith TC. Electrocautery-induced reprogramming of a pacemaker using a precordial magnet. Anesth Analg 1983;62:609–612.

    Article  CAS  PubMed  Google Scholar 

  107. Schultz W. Transurethral electro-resection in patients with cardiac pacemakers. Urologe 1979;18:247–249.

    Google Scholar 

  108. Levine PA, Balady GJ, Lazar HL, et al. Electrocautery and pacemakers: management of the paced patient subject to electrocautery. Ann Thorac Surg 1986;41:313–317.

    Article  CAS  PubMed  Google Scholar 

  109. Hayes DL, Vlietstra RE. Pacemaker malfunction. Ann Intern Med 1993;119:828–835.

    CAS  PubMed  Google Scholar 

  110. Kellow NH. Pacemaker failure during transurethral resection of the prostate. Anaesthesia 1993;48:136–138.

    Article  CAS  PubMed  Google Scholar 

  111. Goodman NW. Diathermy and failure of cardiac pacemakers. Anaesthesia 1993;48:824.

    Article  CAS  PubMed  Google Scholar 

  112. Furman S. Electrosurgical device interference with implanted pacemakers. JAMA 1978;239:1910.

    Google Scholar 

  113. Pinski SL. Emergencies related to implantable cardioverter-defibrillators. Crit Care Med 2000;28(Suppl):N174–N180.

    Article  CAS  PubMed  Google Scholar 

  114. Niehaus M, Tebbenjohanns J. Electromagnetic interference in patients with implanted pacemakers or cardioverter-defibrillators. Heart 2001;86:246–248.

    CAS  PubMed  Google Scholar 

  115. Madigan JD, Choudhri AF, Chen J, et al. Surgical management of the patient with an implanted cardiac device: implications of electromagnetic interference. Ann Surg 1999;230:639–647.

    Article  CAS  PubMed  Google Scholar 

  116. LeVasseur JG, Kennard CD, Finly EM, Muse RK. Dermatologic electrosurgery in patients with implantable cardioverter-defibrillators and pacemakers. Dermatol Surg 1998;24:233–240.

    Article  CAS  PubMed  Google Scholar 

  117. Sebben JE. The status of electrosurgery in dermatologic practice. J Am Acad Dermatol 1988;19:542–549.

    Article  CAS  PubMed  Google Scholar 

  118. El-Gamal HM, Dufresne RG, Saddler K. Electrosurgery, pacemakers and ICDs: a survey of precautions and complications experienced by cutaneous surgeons. Dermatol Surg 2001;27:385–390.

    Article  CAS  PubMed  Google Scholar 

  119. Riordan AT, Gamache C, Fosko SW. Electrosurgery and cardiac devices. J Am Acad Dermatol 1997;37:250–255.

    Article  CAS  PubMed  Google Scholar 

  120. Martinelli PT, Schultze KE, Nelson BR. Mohs micrographic surgery in a patient with a deep brain stimulator: a review of the literature on implantable electrical devices. Dermatol Surg 2004;30:1021–1030.

    Article  PubMed  Google Scholar 

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Fader, D.J. (2008). Acute Emergencies in the Dermatology Office. In: Gloster, H.M. (eds) Complications in Cutaneous Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-73152-0_2

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