AADA Policy

• Regulations pertaining to anesthesia services in medical offices must be reasonable, appropriate and fir.

• The AADA supports state regulations that would severely restrict or ban the use of general anesthesia except in accredited medical facilities.

• The AADA supports state regulations that ensure that medical offices have adequate and appropriate anesthesia services available for patient safety.

Message Points

• Most surgical procedures performed by dermatologists and dermatologic surgeons require only local anesthesia and are safely, conveniently and affordably performed in the doctor’s office.

• Office-based surgical procedures range from the surgical removal of moles to liposuction. In fact, dermatologists developed a liposuction procedure called tumescent liposuction, which uses only local anesthesia. It is considered the gold standard and is safer and requires less recovery time than liposuction performed in a hospital under general anesthesia.

• Some procedures require higher levels of anesthesia, such as those that put the patient to sleep. In these cases, the AADA supports state regulations that ensure that medical offices have adequate anesthesia services, such as appropriate medications, equipment and procedures.

• The AADA supports banning or severely restricting the use of general anesthesia except in accredited medical facilities. Patients under general anesthesia are completely unconscious and require close monitoring of their vital signs, functions such as breathing.

• Patients having office-based procedures should know what type of anesthesia will be used, what types of anesthesia services the office provides and safety procedures it follows.

• Patients considering liposuction should know what type of anesthesia will be used, what types of anesthesia services the office provides and the safety procedures it follows.

• Patients considering liposuction should have the procedure performed by a board-certified dermatologist, with special training in this area, using local (tumescent) anesthesia only.

• Patients whose procedures require general anesthesia should have the procedure performed in an accredited medical facility.

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