Document Detail


Twelve hour anaesthesia in a patient with epidermolysis bullosa.
MedLine Citation:
PMID:  7586115     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Epidermolysis bullosa (EB), an inherited disorder presents clinically with recurrent cutaneous blister formation with possible involvement of mucous membranes and other organs. The sequelae of this disease pose multiple challenges to the anaesthetist and operating room team. Recent literature describes several anaesthetic techniques for the short surgical procedures this patient population may undergo. We describe the anaesthetic technique employed in a 28-yr-old women with recessive dystrophic epidermolysis bullosa who underwent 12 hr reconstructive surgery followed by a review of the literature that includes a recent description of the possible association of EB with at least two distinct neuromuscular diseases. A detailed description of airway and skin management is described in addition to preoperative concerns. We conclude that a prolonged operative procedure can be undertaken successfully in this population with minimal sequelae involving skin integrity and airway management.
Authors:
A E Yonker-Sell; L A Connolly
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Canadian journal of anaesthesia = Journal canadien d'anesthésie     Volume:  42     ISSN:  0832-610X     ISO Abbreviation:  Can J Anaesth     Publication Date:  1995 Aug 
Date Detail:
Created Date:  1995-12-04     Completed Date:  1995-12-04     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8701709     Medline TA:  Can J Anaesth     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  735-9     Citation Subset:  IM    
Affiliation:
Medical College of Wisconsin, Department of Anesthesiology, Milwaukee 53226, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anesthesia, General / methods*
Epidermolysis Bullosa Dystrophica / complications,  genetics,  physiopathology*
Female
Genes, Recessive
Hand / surgery
Humans
Neuromuscular Diseases / complications
Preoperative Care
Respiration
Skin Care
Surgical Flaps / methods
Syndactyly / surgery
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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