• B K Chen and L F Eichenfield.
• Department of Pediatrics, University of California, San Diego School of Medicine, San Diego, California, USA.
• Dermatol Surg. 2001 Dec 1; 27 (12): 1010-8.

BackgroundDermatologic procedures in children may require the use of topical and local anesthetics, sedatives, and general anesthesia.ObjectiveTo review developments in topical and local anesthetics, sedatives, and general anesthesia relevant to dermatologic procedures in children.MethodsReview of the medical literature.ResultsTopical anesthetics, including EMLA and liposome-encapsulated lidocaine cream, amethocaine, cetacaine, and benzocaine products may be useful for decreasing the pain of cutaneous procedures including intra-lesional lidocaine infiltration. A variety of sedative and hypnotic agents may be utilized for pediatric dermatology procedures, and guidelines for their appropriate use have been published. General anesthesia for dermatologic procedures in the pediatric population is appropriate for a variety of procedures including laser treatment of capillary malformations.ConclusionA variety of anesthetic, analgesic, and sedatives may be useful for pediatric cutaneous surgery.

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