Prevention and Treatment of Perioperative Pain and Anxiety

  • Kristina Navrazhina
  • Cerrene N. Giordano
  • Kira MinkisEmail author


A rise in skin cancer incidence alongside the increasing popularity of dermatologic procedures necessitates continued advances in dermatologic surgery. Unlike other types of surgeries, the majority of patients are conscious during dermatologic surgery, and thus it is critical for physicians and the medical team to minimize pain and anxiety levels associated with the procedure. Perioperative anxiety can lead to elevated blood pressure, syncope, and increased risk of intraoperative and postoperative bleeding (2b, 3a) (Ravitskiy et al, J Am Acad Dermatol 64:310–322, 2011; Kreicher and Bordeaux, JAMA Facial Plast Surg, 2016). Importantly, a negative surgical experience may hinder the patient from seeking dermatologic care in the future. This chapter assesses the current evidence regarding prevention and treatment of perioperative pain and anxiety.


Perioperative anxiety Perioperative pain Anxiolytics Analgesia Topical anesthetics Infiltrative anesthetics Regional nerve blocks Pain management 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Kristina Navrazhina
    • 1
  • Cerrene N. Giordano
    • 2
  • Kira Minkis
    • 1
    Email author
  1. 1.New York Presbyterian and Weill Cornell MedicalNew YorkUSA
  2. 2.Mount Sinai HospitalNew YorkUSA

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