Anesthesia for Intense Pulsed Light (IPL) Treatments

  • Ileana Mitre
  • Calin Mitre


Anesthesia can be used for Intense Pulsed Light procedures. In most patients, the procedures can be accomplished without anesthesia. In some cases, local anesthesia is recommended. In most cases topical anesthesia is enough to offer comfort to the patients. In cases of pediatric patients, sedation or even general anesthesia is necessary.

Examination of the patient, the medical and drug history, the organization of the treatment room and skilled medical staff are important to reduce the anesthetic risk in office-based settings. Risks seem to be the same as in the hospital settings. Data recording is important for future approaches.


Intense pulsed light Local anesthetics Topical anesthesia Sedation Anesthesia in office-based settings 


  1. 1.
    Arita R, Mizouguchi T, Fukuona S, Morishige N. IPL treatment for refractory MGD. Cornea. 2018;37:1566–71.CrossRefGoogle Scholar
  2. 2.
    Bossack R, Lieblich S. Anesthesia complications in the dental office. Ames: Wiley Blackwell; 2014.Google Scholar
  3. 3.
    Ellsworth WA, Bob Basu C, Iverson R. Preoperative considerations for patient safety during cosmetic surgery-preventing complications. Can J Plast Surg. 2009;17(1):9–16.CrossRefGoogle Scholar
  4. 4.
    Kang HY, Kim JH, Goo BC. The dual toning technique for melasma treatment with the 1064 nm Nd: YAG LASER: a preliminary study. Laser Ther. 2011;20(3):189–94.CrossRefGoogle Scholar
  5. 5.
    Bettelli G. High risk patients in day surgery. Minerva Anestesiol. 2009;75:259–68.PubMedGoogle Scholar
  6. 6.
    Orr TM, Orr DL. Pulseless ventricular tachycardia during office-based anesthetic in a four-year-old child. Anesth Prog. 2015;62:162–5.CrossRefGoogle Scholar
  7. 7.
    Taifour L, Terezhalmy GT. Pharmacology of local anesthetics: clinical implications. Crest® + Oral-B® at | The trusted resource for dental professionals, pp. 1–25.
  8. 8.
    Zempsky WT. Pharmacologic approaches for reducing venous access pain in children. Pediatrics. 2008;122(Suppl 3):S140.CrossRefGoogle Scholar
  9. 9.
    Yentis S, Hirsch N, Smith G. Anesthesia and intensive care A to Z. An encyclopedia of principles and practice. 2nd ed. Edinburgh: Elsevier Science; 2003.Google Scholar
  10. 10.
    Barash P, Cullen B, Stoelting R. Clinical anesthesia. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2006.Google Scholar
  11. 11.
    Kundu S, Achar S. Principles of office anesthesia: part II. Topical anesthesia. Am Fam Physician. 2002;66(1):99–102.PubMedGoogle Scholar
  12. 12.
    Lee H. Recent advances in topical anesthesia. J Dent Anesth Pain Med. 2016;16(4):237–44.CrossRefGoogle Scholar
  13. 13.
    Kravitz N. The use of compound topical anesthesia. A review. J Am Dent Assoc. 2007;138:1333–9.CrossRefGoogle Scholar
  14. 14.
    Donaldson D, Gelskey SC, Landry RG, Matthews DC, Sandhu HS. A placebo-controlled multi-centred evaluation of an anaesthetic gel (Oraqix) for periodontal therapy. J Clin Periodontol. 2003;30:171–5.CrossRefGoogle Scholar
  15. 15.
    Davies L, Gately C, Holland P, Coulman S, Birchall J. Accelerating topical anaesthesia using microneedles. Skin Pharmacol Physiol. 2017;30:277–83.CrossRefGoogle Scholar
  16. 16.
    MacRae M. Closed claims studies in anesthesia: a literature review and implications for practice. AANA J. 2007;75(4):267–75.PubMedGoogle Scholar
  17. 17.
    Verlinde M, Hollmann M, Stevens M, Hermanns H, Werdehausen R, Lirk P. Local anesthetic–induced neurotoxicity. Int J Mol Sci. 2016;17(339):1–14.Google Scholar
  18. 18.
    Becker D, Reed K. Local anesthetics: review of pharmacological considerations. Anesth Prog. 2012;59:90–102.CrossRefGoogle Scholar
  19. 19.
    Blanton P, Jeske A. Avoiding complications in local anesthesia induction. J Am Dent Assoc. 2003;134:888–93.CrossRefGoogle Scholar
  20. 20.
    Sirtl C, Jesch F. Anasthesiologisches notizbuch, 4 Aufl. Wiesbaden, Wiss Verlag; 1995.Google Scholar
  21. 21.
    Hahn I, Hoffman R, Nelson L. EMLA- induced methemoglobinemia and systemic topical anesthetic toxicity. J Emerg Med. 2003;26(1):85–8.CrossRefGoogle Scholar
  22. 22.
    Covino BG. Pharmacology of local anaesthetic agents. Br J Anaesth. 1986;58:701–16.CrossRefGoogle Scholar
  23. 23.
    Bridenbaugh P. Office- based anesthesia: requirements for patient safety. Anesth Prog. 2005;52:86–90.CrossRefGoogle Scholar
  24. 24.
    Cook-Sather SD, Litman RS. Modern fasting guidelines in children. Best Pract Res Clin Anaesthesiol. 2006;20:471–81.CrossRefGoogle Scholar
  25. 25.
    Smith I, Kranke P, Murrat I, Smith A, O’Sulivan G, Soreide E, Spies C, Velt B. Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology. Eur J Anaesthesiol. 2011;28:556–69.CrossRefGoogle Scholar
  26. 26.
    American Society of Anesthesiologists Committee. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: an updated report by the American Society of Anesthesiologists Committee on Standards and Practice Parameters. Anesthesiology. 2017;126:376–93.CrossRefGoogle Scholar
  27. 27.
    Thomas M, Engelhardt T. Think drink! Current fasting guidelines are outdated. Br J Anaesth. 2017;118(3):291–3.CrossRefGoogle Scholar
  28. 28.
    Buller Y, Sims C. Prolonged fasting of children before anaesthesia is common in private practice. Anaesth Intensive Care. 2016;44(1):107–10.CrossRefGoogle Scholar
  29. 29.
    Girling R, Salisbury M. Sedation monitor for the office-based plastic surgery setting. Semin Plast Surg. 2007;21(2):123–8.CrossRefGoogle Scholar
  30. 30.
    Mason K, Burkle C. Do patients require “escorts” or “carers” for discharge following day surgery and office-based anesthesia? Both sides of the debate explored. Minerva Anestesiol. 2018;84(8):980–6.PubMedGoogle Scholar
  31. 31.
    Friedberg B. Propofol in office-based plastic surgery. Semin Plast Surg. 2007;21(2):128–32.CrossRefGoogle Scholar
  32. 32.
    Stoelting R, Hillier S. Pharmacology and physiology in anesthetic practice. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2006.Google Scholar
  33. 33.
    Vinnik C. Dissociative anesthesia in plastic surgery practice. Semin Plast Surg. 2007;21(2):109–14.CrossRefGoogle Scholar
  34. 34.
    Urman R, Punwani N, Shapiro F. Educating practitioners about safety in the office-based setting. Ochsner J. 2012;12:383–8.PubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Ileana Mitre
    • 1
  • Calin Mitre
    • 1
  1. 1.“Iuliu Haţieganu” University of Medicine and PharmacyCluj-NapocaRomania

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