Guidelines for the use of local anesthesia in office-based dermatologic surgery

David J. Kouba, Matteo C. Lopiccolo, Murad Alam, Jeremy S. Bordeaux, Bernard Cohen, C. William Hanke, Nathaniel Jellinek, Howard I. Maibach, Jonathan W. Tanner, Neelam Vashi, Kenneth G. Gross, Trudy Adamson, Wendy Smith Begolka, Jose V. Moyano*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

95 Scopus citations


There are an increasing number and variety of dermatologic surgical procedures performed safely in the office setting. This evidence-based guideline addresses important clinical questions that arise regarding the use and safety of local anesthesia for dermatologic office-based procedures. In addition to recommendations for dermatologists, this guideline also takes into account patient preferences while optimizing their safety and quality of care. The clinical recommendations presented here are based on the best evidence available as well as expert opinion.

Original languageEnglish (US)
Pages (from-to)1201-1219
Number of pages19
JournalJournal of the American Academy of Dermatology
Issue number6
StatePublished - Jun 1 2016


  • anesthesia
  • clinical guideline
  • dermatology
  • education
  • epinephrine
  • infiltration
  • local anesthesia
  • local nerve block
  • office-based surgery
  • pain
  • safety
  • topical
  • tumescent

ASJC Scopus subject areas

  • Dermatology


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