Local anesthesia in pediatric dermatologic surgery: Evaluation of a patient-centered approach

May El Hachem, Claudia Carnevale, Andrea Diociaiuti, Cristiana De Ranieri, Simona Giancristoforo, Giovanna Zambruno, Marta L. Ciofi Degli Atti

Research output: Contribution to journalArticlepeer-review


Background/Objectives: A few studies have documented the effect of local anesthesia for minor dermatologic surgical procedures on children and their parents. Our objective was to evaluate the psychological effect and global satisfaction of a patient-centered approach to dermatologic surgery under local anesthesia. Methods: Two self-administered questionnaires were used to evaluate the distress and global satisfaction of 388 children who underwent dermatologic surgery under local anesthesia, accompanied by oral and written therapeutic education measures (structured information and a cartoon brochure illustrating the procedure) addressed to children and parents. Distraction techniques were also used during the procedures. Results: Although 54.5% of patients manifested some degree of fear, all other parameters analyzed (pain, surgery-related distress, surgical team–patient and –family relationship, global satisfaction) indicated that the procedures resulted in limited distress and that the large majority of children and parents tolerated them well. Conclusion: Specific measures for therapeutic pediatric patient education may be helpful in limiting discomfort, anxiety, and pain perception linked to procedures performed under local anesthesia. Further controlled studies are required to more precisely assess the benefits of specific therapeutic education measures.

Original languageEnglish
Pages (from-to)112-116
Number of pages5
JournalPediatric Dermatology
Issue number1
Publication statusE-pub ahead of print - Dec 15 2017


  • distraction techniques
  • distress
  • pain
  • therapeutic patient education

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Dermatology


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