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    Standard practices for cutaneous surgery

     

    The ‘Standard Practice’ Checklist

    This list summarizes the review findings to enhance efficacy, patient safety and comfort when performing large cutaneous surgical resections under local anesthesia:

    • Music and anxiolytics reduce patient anxiety, prevent cardiovascular compromise and improve patient satisfaction.

    • Anticoagulant and antiplatelet medication should continue during cutaneous surgery, if deemed medically necessary.

    • Surgeons and support staff should carefully consider the dose and injection angle of local anesthetic.

    • Postoperative opioids and topical antibiotics should be avoided, as they can cause harm to patients.

    • Acetaminophen and ibuprofen provide adequate pain control with fewer adverse effects than opioid medications.

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