190. Sedation and Anaesthesia

  1. Alan D. Irvine MD, FRCPI, FRCP4,5,
  2. Peter H. Hoeger MD6,7 and
  3. Albert C. Yan MD, FAAP, FAAD8,9
  1. Yuin-Chew Chan MBBS, MRCP (UK), FAMS (Dermatology)1 and
  2. Lawrence F. Eichenfield MD2,3

Published Online: 24 MAY 2011

DOI: 10.1002/9781444345384.ch190

Harper's Textbook of Pediatric Dermatology, Volume 1, 2, Third Edition

Harper's Textbook of Pediatric Dermatology, Volume 1, 2, Third Edition

How to Cite

Chan, Y.-C. and Eichenfield, L. F. (2011) Sedation and Anaesthesia, in Harper's Textbook of Pediatric Dermatology, Volume 1, 2, Third Edition (eds A. D. Irvine, P. H. Hoeger and A. C. Yan), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444345384.ch190

Editor Information

  1. 4

    Trinity College, Dublin, Ireland

  2. 5

    Our Lady's Children's Hospital, Dublin, Ireland

  3. 6

    University of Hamburg, Hamburg, Germany

  4. 7

    Catholic Children's Hospital Wilhelmstift, Hamburg, Germany

  5. 8

    University of Pennsylvania School of Medicine, Philadelphia, PA, USA

  6. 9

    The Children's Hospital of Philadelphia, Philadelphia, PA, USA

Author Information

  1. 1

    Dermatology Associates, Gleneagles Medical Centre, Singapore

  2. 2

    University of California, San Diego School of Medicine, San Diego, CA, USA

  3. 3

    Pediatric and Adolescent Dermatology, Rady Children's Hospital, San Diego, CA, USA

Publication History

  1. Published Online: 24 MAY 2011
  2. Published Print: 3 JUN 2011

ISBN Information

Print ISBN: 9781405176958

Online ISBN: 9781444345384



  • Sedation;
  • anaesthesia;
  • paediatric;
  • pain;
  • analgesia;
  • dermatology;
  • skin;
  • laser


Procedural pain control in children is essential as children of all ages, including infants, are able to experience pain, and painful physical experiences in children can have persisting physiological and psychological consequences. Anaesthetic options for paediatric patients undergoing dermatological and laser surgery are discussed. Techniques to decrease the pain of injection of local anaesthetics and to alleviate anxiety are essential. Topical anaesthetics are convenient, cost-effective and associated with few adverse effects. Sedation should be considered as a continuum within which a patient may drift from a state of consciousness to deep sedation and on to general anaesthesia.