Letter to the Editor
Safety in Dermatologic Procedures: An Article Series to Improve Safety in Dermatologic Care
Seguridad en procedimientos dermatológicos. Una serie para mejorar la seguridad en la atención dermatológica
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"apellidos" => "Martin-Gorgojo" "email" => array:1 [ 0 => "alejandromartingorgojo@aedv.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "E." "apellidos" => "Del Río-De la Torre" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "I." "apellidos" => "García-Doval" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de ITS/Dermatología, Sección de Especialidades Médicas, Ayuntamiento de Madrid, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Clinica Dermalar, Santiago de Compostela, La Coruña, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Dermatología, Complexo Hospitalario Universitario de Vigo, Vigo, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Seguridad en procedimientos dermatológicos. Una serie para mejorar la seguridad en la atención dermatológica" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Medical-surgical dermatology and venereology is closely linked with performing surgery and other therapeutic procedures. In fact, historically, from the beginning of the eighteenth century, surgery has been a cornerstone of our specialty.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">1</span></a> Serious complications associated with dermatologic procedures are infrequent, and so it is unlikely that there are many dermatologists with experience in their management. It is therefore essential to define protocols to manage these exceptional circumstances, encourage proactive prevention, and provide a rapid response when they do occur.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Commercial airlines are a model to follow in risk management. In that field, experts are aware of infrequent risks with potentially serious consequences and have established a series of structured steps (in the form of check lists) to prevent and resolve them. Closer to dermatology, the workflows for emergency rooms and medical emergencies are also based on this system. And, following this model, we proposed a series of short articles under the general title of “Safety in dermatologic procedures,” aimed at preventing and responding to risks associated with our techniques in cases where the previous training of dermatologists may be insufficient. For each article, the dermatologists’ point of view has been formed with at least one subject matter expert and a direct and specific style was used for recommendations.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The content of the 11 topics proposed in the original series was presented during the course of 2021 in a series of on-line lectures with subsequent colloquium within the dermatological Dermachat forum (which currently includes almost 1000 dermatologists from Spain, Europe, and Latin America).<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">2</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">The articles published to date include those on aspects such as prevention and treatment of medical complications, for example syncope and presyncope, anaphylaxis,<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">3</span></a> arrythmias, hypertensive crisis,<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">4</span></a> and cardiorespiratory arrest.<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">5</span></a> Emergency situations have also been considered, such as surgical bleeding,<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">6</span></a> ocular complications,<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">7</span></a> or vascular occlusion in aesthetic surgery (which is now commonplace and integrated into our clinical practice as part of dermatology).<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">8</span></a> Management of errors and medical-legal complications is another topic discussed.<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">9</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">In the coming months, the series will probably be extended with new chapters on topics such as damage to deep-lying structures, risk of infection, and physical risks, including fire in the operating room. Contributions that may be of interest to dermatologists would be welcome. We consider it a series with a novel focus, of a highly practical nature with content and information difficult to find, except in articles widely dispersed in the scientific literature. The time required to locate such articles could be precious in situations where minutes matter.</p><p id="par0030" class="elsevierStylePara elsevierViewall">For safer dermatologic care, we suggest that you read and keep to hand these articles that form part of the series.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0035" class="elsevierStylePara elsevierViewall">No funding.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicts of interest</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest with respect to the content of the article.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflicts of interest" ] 2 => array:2 [ "identificador" => "xack645075" "titulo" => "Acknowledgment" ] 3 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:9 [ 0 => array:3 [ "identificador" => "bib0050" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.J. Plenck" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "Doctrina de morbis cutaneis. Viena" "fecha" => "1783" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0055" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Attendee survey and practical appraisal of a telegram®-based dermatology congress during the COVID-19 confinement" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A. Martin-Gorgojo" 1 => "J. Bernabeu-Wittel" 2 => "M. Linares-Barrios" 3 => "F. Russo-de la Torre" 4 => "I. García-Doval" 5 => "E. del Río-de la Torre" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ad.2020.08.009" "Revista" => array:6 [ "tituloSerie" => "Actas Dermosifiliogr (Engl Ed)" "fecha" => "2020" "volumen" => "111" "paginaInicial" => "852" "paginaFinal" => "860" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32946805" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0060" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Safety in dermatologic procedures: anaphylaxis vasovagal reaction, and hyperventilation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "B. Lobo-Valbuena" 1 => "A. Martin-Gorgojo" 2 => "I. Zafra-Cobo" 3 => "J. Sanchez-Estella" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ad.2021.02.010" "Revista" => array:2 [ "tituloSerie" => "Actas Dermosifiliogr (Engl Ed)" "fecha" => "2021" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0065" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Safety in dermatologic procedures: hypertensive crises and potentially fatal arrhythmias" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P. Rodriguez-Jiménez" 1 => "R. Sampedro-Ruiz" 2 => "P. Chicharro" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Actas Dermosifiliogr" "fecha" => "2021" "volumen" => "112" "paginaInicial" => "516" "paginaFinal" => "519" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0070" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Safety in dermatologic procedures: basic and advanced cardiopulmonary resuscitation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "B. Lobo-Valbuena" 1 => "A. Martin-Gorgojo" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ad.2022.03.004" "Revista" => array:2 [ "tituloSerie" => "Actas Dermosifiliogr" "fecha" => "2022" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0075" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Safety in dermatologic procedures: how to prevent recognize, and treat bleeding complications in dermatologic surgery" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M.E. Iglesias Zamora" 1 => "J. Arostegui Aguilar" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ad.2021.05.014" "Revista" => array:6 [ "tituloSerie" => "Actas Dermosifiliogr" "fecha" => "2022" "volumen" => "113" "paginaInicial" => "67" "paginaFinal" => "71" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/34116026" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0080" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Safety in dermatologic procedures: ophthalmologic complications" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J. Aróstegui-Aguilar" 1 => "J. Bernabeu-Wittel" 2 => "M.E. Mantrana-Bermejo" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ad.2021.05.024" "Revista" => array:2 [ "tituloSerie" => "Actas Dermosifiliogr" "fecha" => "2022" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0085" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Safety in dermatologic procedures: vascular occlusion by filling materials" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "E. Vargas-Laguna" 1 => "J. Garcia-Gavin" 2 => "E. Barcena-Ruiz" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ad.2021.04.007" "Revista" => array:2 [ "tituloSerie" => "Actas Dermosifiliogr (Engl Ed)" "fecha" => "2021" ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0090" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "What to do in cases of error involving professional responsibility to prevent administrative or legal complications: a checklist for dermatologic surgery" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J. Andres-Lencina" 1 => "E. del Rio de la Torre" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ad.2021.02.026" "Revista" => array:2 [ "tituloSerie" => "Actas Dermosifiliogr" "fecha" => "2021" ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack645075" "titulo" => "Acknowledgment" "texto" => "<p id="par0045" class="elsevierStylePara elsevierViewall">Dedicated to Dr. Juan Sánchez Estella, one of the proponents of the series and author of an article, who died of COVID-19.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/00017310/0000011400000001/v1_202301060625/S0001731022009309/v1_202301060625/en/main.assets" "Apartado" => array:4 [ "identificador" => "6165" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Cartas al Director" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/00017310/0000011400000001/v1_202301060625/S0001731022009309/v1_202301060625/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731022009309?idApp=UINPBA000044" ]
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