Perspectives on oral benzodiazepine use for anxiety in Mohs micrographic surgery: A response to the Australian survey.

Australas J Dermatol

Department of Addiction Psychiatry, Taoyuan Psychiatric Center, Ministry of Health and Welfare, Taoyuan City, Taiwan.

Published: December 2024

AI Article Synopsis

  • This letter discusses a recent Australian survey on the use of oral benzodiazepines for managing anxiety during Mohs micrographic surgery (MMS).
  • It commends the survey's authors while providing insights on current practices, new evidence, and safety concerns related to benzodiazepines.
  • The letter emphasizes the need for standardized guidelines and further research, along with highlighting the importance of non-drug interventions and the availability of flumazenil.

Article Abstract

This letter responds to the recent Australian survey by Harris and Lee (Australas J Dermatol, 2024, doi: 10.1111/ajd.14361) on the use of oral benzodiazepines for anxiety management in Mohs micrographic surgery (MMS). While commending the authors' efforts, we provide additional perspectives on current practices, recent evidence and safety considerations. We highlight the alignment with U.S. practices, discuss a recent randomized controlled trial supporting diazepam's efficacy and emphasize the importance of non-pharmacological interventions. The letter also addresses the need for flumazenil availability and calls for standardized guidelines and further research to optimize patient care in MMS.

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Source
http://dx.doi.org/10.1111/ajd.14378DOI Listing

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