Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
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Intravenous conscious sedation is currently being widely utilized for outpatient surgery including dermatologic surgery. Even though this type of anesthesia is typically administered by a trained, licensed anesthetist, it is important for dermatologists who either intend to or are currently utilizing this type of anesthesia to be familiar with some of the methods and agents that are commonly employed. ⋯ Propofol when used in conjunction with fentanyl appears to be a safe, quick, and effective method of providing conscious sedation.
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Multiple anesthetic approaches exist for full-face laser resurfacing. The propofol-ketamine technique is reviewed as a reasonable alternative to providing adequate anesthesia for full-face laser resurfacing in the office environment. ⋯ The propofol-ketamine technique appears to be an excellent alternative anesthetic approach to EMLA cream, tranquilizer-opioid regimens, or general inhalational anesthesia for facial laser resurfacing.
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EMLA cream is commonly used as a topical anesthetic by physicians performing dermatologic surgery. ⋯ EMLA cream should be used with extreme caution near the eye and probably should be avoided when there is a need to insert laser eye shields.