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Review of the Evaluation and Treatment of Vasovagal Reactions in Outpatient Procedures

Wu, Wesley J., MD*; Goldberg, Leonard H., MD; Rubenzik, Marc K., MD, PhD*; Zelickson, Blake R., MD, PhD

doi: 10.1097/DSS.0000000000001598
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BACKGROUND A vasovagal reaction is a commonly encountered event in outpatient procedures. There is a paucity of discussion on vasovagal reactions (VVRs) in the dermatologic surgery literature. However, recent investigations in the physiology, evaluation, and treatment of VVRs have been reported in other specialties.

OBJECTIVE A comprehensive review of the physiology, evaluation, treatment, and prevention of VVRs.

MATERIALS AND METHODS A search as performed using the PubMed/MEDLINE databases. Search terms included “vasovagal,” “vasovagal reaction,” “syncope,” “reflex syncope,” “neurocardiogenic syncope,” and “fainting.”

RESULTS Studies demonstrate greater understanding in the physiology of a vasovagal reaction. Although permanent sequelae are uncommon, it is important to respond in a prompt manner. A variety of treatment and prevention options are presented.

CONCLUSION Vasovagal reactions should be carefully evaluated. Additional studies may provide greater data in understanding and managing vasovagal reactions.

*Department of Dermatology, Houston Methodist Hospital, Houston, Texas;

DermSurgery Associates, Houston, Texas

Address correspondence and reprint requests to: Leonard H. Goldberg, MD, DermSurgery Associates, 7515 S Main Street, Suite 240, Houston, TX 77030, or e-mail: goldb1@dermsurgery.org

The authors have indicated no significant interest with commercial supporters.

© 2018 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.
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