Office-based surgery clinical guidelines
Office-based surgery guideline
Access the full office-based surgery guideline from JAAD (free access).
Go to the guidelineGuideline highlights
Addresses the clinical use and safety of local anesthetics (topical, infiltrative, and infiltrative tumescent) commonly used in office-based dermatologic surgery for adult and pediatric patients.
While anxiolytics, sedatives, and other systemic medications may be used for office-based procedures, these methods are not discussed in this guideline, as they are forms of systemic and not local anesthesia.
Anesthetic toxicity is rare in the dermatologic office setting, and therefore management of local anesthetic toxicity is not addressed in this guideline.
Other aspects, such as physician and staff certification, credentialing and privileging, facility accreditation, office equipment and set-up requirements, and legal/regulatory compliance, or any other administrative requirements and regulations fall beyond the scope of this guideline.
The work group was composed of dermatologist experts in different areas (including pediatric population), an anesthesiologist, and a patient advocate from the Dermatologist Nurses’ Association.