Pearls for Dermatologic Surgery in Pediatric Patients

Dermatol Clin. 2019 Jul;37(3):387-395. doi: 10.1016/j.det.2019.03.008. Epub 2019 Apr 19.

Abstract

To achieve successful dermatologic surgery in a pediatric patient, several factors should be considered, including recognizing a child's inherent anxiety, ability to understand/comply with instructions, engaging their caregiver, and minimizing pain. Distraction techniques, including use of smart devices or classic play, have been shown to reduce anxiety, perception of pain, and increase overall satisfaction with the needed procedure. Customizing the child's need based on their stage of development and family preferences further improves how effectively the techniques are deployed. Because children are naturally playful, suturing techniques and dressing of surgical wounds may also require modification for best possible outcome.

Keywords: Anesthesia; Caregiver; Dermatology; Distraction; Pearls; Pediatric; Surgery.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Anesthesia, Local
  • Anxiety / etiology
  • Anxiety / prevention & control*
  • Caregivers*
  • Child
  • Child, Preschool
  • Dermatologic Surgical Procedures / adverse effects
  • Dermatologic Surgical Procedures / instrumentation
  • Dermatologic Surgical Procedures / methods*
  • Humans
  • Infant
  • Infant, Newborn
  • Patient Positioning
  • Patient Selection
  • Skin Diseases / surgery*