Anesthetic Approach to a Patient with Epidermolysis Bullosa: A Case Report

Yıl 2015, Cilt: 5 Sayı: 3, 192 - 195, 28.04.2015

Ersin Köksal , Nurullah Yılmaz Cengiz Kaya Yasemin Üstün Ali Şahinoğlu Fatih Özkan

https://doi.org/10.16899/ctd.94038

Öz

Epidermolysis Bullosa (EB) is characterized by fragility and formation of blisters in the skin and mucosal membranes. Due to blisters on the airway and occurring new blisters as a result of anesthetic or surgical procedures may complicate anesthesia management. In this case report, we present the anesthetic approach of a 6 years old case with EB who underwent reconstructive surgery. After premedication and optimal monitorization, intravenous (IV) anesthesia and analgesia was administered. Associated with the oropharyngeal lesions and limitation to reach an adequate mouth opening, we preferred the facemask to maintain ventilation. Neither new lesions nor complications were detected during or after surgery.

 

Anahtar Kelimeler

anesthesia; epidermolysis Bullosa; preoperative evaluation

Epidermolizis Büllozalı Hastada Anestezik Yaklaşım: Olgu Sunumu

Öz

Epidermolizis bülloza (EB); cilt ve mukozalarda frajilite ve bül oluşumuyla karakterize bir hastalıktır. Özellikle havayolundaki büller, yapılacak girişimlere bağlı yeni bül oluşumu anestezi yönetimini güçleştirir. Bu sunumda rekonstrüktif cerrahi planlanan, 6 yaşındaki, EB tanılı olgunun anestezik yönetimi anlatıldı. Anestezi ve analjezi optimal monitörizasyon ve girişim sonrası intravenöz (iv) yoldan sağlandı. Ventilasyon ise orofaringeal lezyonların varlığı ve ağız açıklığındaki kısıtlılık nedeniyle yüz maskesi ile gerçekleştirildi. Yeni lezyon veya komplikasyon oluşmadı

Anahtar Kelimeler

anestezi; epidermolizis bülloza; preoperatif değerlendirme

Kaynakça

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