Current Dermatology Reports

, Volume 5, Issue 3, pp 156–165 | Cite as

Premedication, Sedation, and Pain Medication in Dermatologic Surgery

  • Shali Zhang
  • Misha M. Heller
  • Grant R. Plost
  • Travis W. Blalock
Medical Surgery (M Alam, Section Editor)
First Online:
Part of the following topical collections:
  1. Topical Collection on Medical Surgery

Abstract

Dermatologists and providers of dermatologic care perform a wide array of cutaneous procedures including biopsies, cryotherapy, curettage, excisions, flaps, grafts, chemical peels, ablative lasers, as well as many other invasive and non-invasive procedures. Patient management beyond the actual procedure continues to be an important aspect of patient care that impacts disease outcomes, patient outcomes, and patient satisfaction. With the potential morbidity involved with inadequate management of perioperative factors, a reminder of the need to be intentional and effective is necessary when it comes to the administration of antibiotics, pain control, and sedation. Here we discuss and review the selection and use of premedication, sedation, and pain medication when providing care for dermatologic surgery patients. We also discuss potential gaps regarding perioperative care and the ensuing research needs in this area.

Keywords

Prophylactic antibiotics Surgical site infection Infective endocarditis Total joint prosthesis Anxiolysis Conscious sedation Deep sedation General anesthesia Benzodiazepines Pain management Acetaminophen Nonsteroidal anti-inflammatory drugs Opioids Analgesia 
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Notes

Compliance with Ethics Standards

Conflict of Interest

Dr. Shali Zhang, Dr. Misha M. Heller, Dr. Grant R. Plost, Dr. Travis W. Blalock declare that they have no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Papers of particular interest, published recently, have been highlighted as: •• Of major importance

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Shali Zhang
    • 1
  • Misha M. Heller
    • 1
  • Grant R. Plost
    • 1
  • Travis W. Blalock
    • 1
  1. 1.Department of DermatologyEmory University School of MedicineAtlantaUSA

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