Epidermolizis bullozada anestezi (Olgu sunumu)

Anaesthesia in epidermolysis bullosa (Case report)

Epidermolysis bullosa is a rarae, genetically determined disorder, clnically presentes recurrent cutaneous blister formation with possible involvement pf mucous membranes even after a small trauma. Adhesive pads, ECG electrodes, face masks, airway and endotracheal tube may easley result in new bullae formation in these patients. A variety of general , regional and local anaesthetic techniques have been used in patients with epidermolysis bullosa. We describe the general anaesthesia performed in a 51 year old women with recessive dystrophic epidermolysis bullosa who underwent reconstructive surgery of extremities and the steps taken to ensure protection of the skin and airway.

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  • 1. Lin AN, Carter DM: Epidermolysis bııllosa. Ann Rev Med 1993; 44: 189-99. 2. Pearson RW: Mechano-Bullous Diseases (epidemıolysis bııllosa). In: Fitzpatrick TB, Arnold KA, Clarck WH, et al (eds). Dermatology in General Medicine. New York, Me Graw-Hill, 1971, pp. 372-410. 3. Kayhan Z: Klinik Anestezi. 2. Baskı. Logos Yayıncılık. Istanbul 1997. pp. 31-48. 4. Yonker-Sell AE, Connally LA: Twelve hour anaesthesia in a patienth with epidermolysis bullosa. Can J Anaesth 1995; 2:735-9. 5. Cormack R, Lchane J: Difficult tracheal intubation in obstetrics. Anaesthesia, 1984; 39:1105-11. 6. Stanley JR: Advances: bullous disease. Dermatology. Progress and Perspectives. 18th World congress of Dermatology, 1992:74. 7. Farber NE, Troshynski TJ, Turco G: Spinal anesthesia in an infant with epidermolysis bullosa dystrophica. Anesthesiology 1995; 83:1364-6 8. Patridge BL, Phil D: Skin and bone disorders. In: Katz J, Benumof JL, Kadis LB, (eds). Anesthesia and Uncommon Diseases. Philadelphia, W.B. Saunders Company, 1990; 668-70. 9. Witt P, Cohen DT, Mallory SB: Use of a permanent acellular dermal allograft in recessive dystrophic epidermolysis bullosa involving the hands. Arch dermatol 1999; 135: 503-6. 10. Lee C, Nagel EL: Anesthetic management of a patient with recessive epidermolysis bullosa dystrophica. Anesthesiology 1975; 43:122-4. 11. Ciccarelli AO, Rothaus KO, Carter DM, Lin AN: Plastic and reconstructive surgery in epidermolysis bullosa: Clinical experience with 110 procedures in 25 patients. Ann Plast Surg 1995; 35: 245-61. 12. Ames W A, Mayou BJ, Williams K: Anaesthetic manage¬ ment of epidermolysis bullosa. BJA 1999; 82: 746-51. 13. Griffin RP, Mayaıı BJ: The anesthetic management of patients with dystrophic epidermolysis bullosa. Anaesthesia 1993; 48: 810-5. 14. Thompson JW, Ahmet AR, Dubley JP: Epidermolysis bul¬ losa dystrofica of the larynx and trachea. Acute airway obstruc¬ tion. Ann Otol 1980; 89: 428-9. 15. James I, Wark H: Airway management during anesthesia in patients with epidermolysis bullosa dystrophica. Anesthesiology 1982; 56:323-6.
Türk Pediatri Arşivi-Cover
  • ISSN: 1306-0015
  • Başlangıç: 2015
  • Yayıncı: Alpay Azap
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