52818 Easy on the Hands: Utilization of a Foot Pedal for Tumescent Anesthesia Delivery
Recommended Citation
Masood M, Fakhoury J, Parks-Miller A, Hamzavi I. 52818 Easy on the Hands: Utilization of a Foot Pedal for Tumescent Anesthesia Delivery. J Am Acad Dermatol 2024; 91(3):AB34.
Document Type
Conference Proceeding
Publication Date
9-1-2024
Publication Title
J Am Acad Dermatol
Abstract
Hidradenitis Suppurativa (HS) is a chronic inflammatory disorder characterized by painful development of sinus tracts and scarring.1 Treatment of HS is multifactorial with medical treatment targeting inflammation but areas with recurrent disease activity, scarring, and sinus tract formation may require surgical intervention.1,2 Carbon dioxide (CO2) laser evaporation of HS lesions has led to successful resolution of disease activity at affected sites with low rates of recurrence and high rates of patient satisfaction.2 Tumescent anesthesia is delivered in the subcutaneous plane for pain management.3 However, delivery of the tumescent anesthesia via an infiltration pump by hand requires frequent communication between the physician navigating the large bore needle and the nursing staff (i.e. “start, stop”). Additionally, physically pumping the anesthetic infiltrate by hand is an arduous task, especially if the area requiring anesthetic has any resistance from scarring or covers a large body surface area. Here, we share the utility and ease of a foot pedal mechanism for tumescent anesthetic infiltration delivery. With the foot pedal, the physician navigates the large bore needle while pressing the foot pedal to start and stop the delivery of anesthetic infiltrate. Results of surveys to staff about fatigue and ease of use of the two methods will also be presented. We have found great use of the foot pedal in decreasing physical strain on our nursing staff, reducing delivery time of anesthesia, and improved overall satisfaction between team members. The foot pedal pump has further applications in the realm of tumescent anesthetic delivery in dermatologic surgery.
Volume
91
Issue
3
First Page
AB34
