BibTex RIS Kaynak Göster

Successful use of ketamin combined with remifentanil in two patients with epidermolysis bullosa

Yıl 2012, , 395 - 397, 01.09.2012
https://doi.org/10.5799/ahinjs.01.2012.03.0186

Öz

Epidermolysis Bullosa (EB) is characterized by the presence of extremely fragile skin and painful blister formations in the skin. We present the anesthetic management of 15-years-old, twin sisters with EB during the syndactyly operation. Premedication was done with 0.5 mg/kg nasal midazolam. Anesthesia induction was performed with sevoflurane without touching the facial masks to the skin. After intravenous 2 mgkg-1 ketamine and 50 μg fentanyl, anesthesia was maintained by intravenous 1 mg/kg/hr ketamine and 0.1 μg/kg/min remifentanil. We injected 2 mg intravenous morfin for postoperative pain control. Ketamine with remifentanil seems to be effective, simple, and safe for airway management and practical way to provide general anesthesia and analgesia of EB.

Kaynakça

  • Lin YC, Golianu B. Anesthesia and pain management for pediatric patients with dystrophic epidermolysis bullosa. J Clin Anesth 2006;18(4):268-71.
  • Wu J. Deep sedation with intravenous infusion of com- bined propofol and ketamine during dressing changes and whirlpool bath in patients with severe epidermoly- sis bullosa. Paediatr Anaesth 2007;17(6):592-6.
  • Hallel-Halevy D, Nadelman C, Chen M, Woodley DT. Epidermolysis bullosa acquisita: update and review. Clin Dermatol 2001;19(6):712-8.
  • Herod J, Denyer J, Goldman A, Howard R. Epider- molysis bullosa in children: pathophysiology, an- aesthesia and pain management. Paediatr Anaesth 2002;12(5):388-97.
  • Ames WA, Mayou BJ, Williams KN. Anaesthetic management of epidermolysis bullosa. Br J An- aesth1999;82(5):746-51.
  • James I, Wark H. Airway management during anesthe- sia in patients with epidermolysis bullosa dystrophica. Anesthesiology 1982;56(4):323-6.
  • Baloch MS, Fitzwilliams B, Mellerio J, et al. Anaesthetic management of two different modes of delivery in pa- tients with dystrophic epidermolysis bullosa. Int J Ob- stet Anesth 2008;17(2):153-8.

Successful use of ketamin combined with remifentanil in two patients with epidermolysis bullosa

Yıl 2012, , 395 - 397, 01.09.2012
https://doi.org/10.5799/ahinjs.01.2012.03.0186

Öz

Epidermolizis bülloza (EB) aşırı hassas cildin oluşu ve ciltte ağrılı sıvı kabarcıkları oluşumuyla karakterizedir. Epidermolizis bülloza\'lı 15 yaşında ikiz kız kardeşlerin sindaktili operasyonu sırasındaki anestetik yaklaşımımızı sunuyoruz. Premedikasyon 0.5 mg kg-1 nasal midazolam ile yapıldı. Yüz maskesi cilde temas ettirilmeden anestezi indüksiyonu sevofluran ile yapıldı. İntravenöz 2 mgkg-1 ketamine and 50 μg fentanyl veridikten sonra, intravenöz 1 mgkg-1st-1 ketamine and 0.1 μg/kg/dk remifentanil ile anestezi idamesi yapıldı. Postoperatif ağrı kontrolü için 2 mg intravenöz morfin uygulandı. Remifentanil ile ketamin EB\' nın genel anestezi ve analjezi uygulaması için pratik bir yol ve hava yolu yönetiminde etkili, basit ve güvenli olarak gözükmektedir.

Kaynakça

  • Lin YC, Golianu B. Anesthesia and pain management for pediatric patients with dystrophic epidermolysis bullosa. J Clin Anesth 2006;18(4):268-71.
  • Wu J. Deep sedation with intravenous infusion of com- bined propofol and ketamine during dressing changes and whirlpool bath in patients with severe epidermoly- sis bullosa. Paediatr Anaesth 2007;17(6):592-6.
  • Hallel-Halevy D, Nadelman C, Chen M, Woodley DT. Epidermolysis bullosa acquisita: update and review. Clin Dermatol 2001;19(6):712-8.
  • Herod J, Denyer J, Goldman A, Howard R. Epider- molysis bullosa in children: pathophysiology, an- aesthesia and pain management. Paediatr Anaesth 2002;12(5):388-97.
  • Ames WA, Mayou BJ, Williams KN. Anaesthetic management of epidermolysis bullosa. Br J An- aesth1999;82(5):746-51.
  • James I, Wark H. Airway management during anesthe- sia in patients with epidermolysis bullosa dystrophica. Anesthesiology 1982;56(4):323-6.
  • Baloch MS, Fitzwilliams B, Mellerio J, et al. Anaesthetic management of two different modes of delivery in pa- tients with dystrophic epidermolysis bullosa. Int J Ob- stet Anesth 2008;17(2):153-8.
Toplam 7 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Olgu Sunumu
Yazarlar

İlker Öngüç Aycan Bu kişi benim

Aysun Ankay Yılbaş Bu kişi benim

Sennur Uzun Bu kişi benim

Özgür Canbay Bu kişi benim

Turgay Öcal Bu kişi benim

Saadet Özgen Bu kişi benim

Yayımlanma Tarihi 1 Eylül 2012
Yayımlandığı Sayı Yıl 2012

Kaynak Göster

APA Aycan, İ. Ö., Yılbaş, A. A., Uzun, S., Canbay, Ö., vd. (2012). Successful use of ketamin combined with remifentanil in two patients with epidermolysis bullosa. Journal of Clinical and Experimental Investigations, 3(3), 395-397. https://doi.org/10.5799/ahinjs.01.2012.03.0186
AMA Aycan İÖ, Yılbaş AA, Uzun S, Canbay Ö, Öcal T, Özgen S. Successful use of ketamin combined with remifentanil in two patients with epidermolysis bullosa. J Clin Exp Invest. Eylül 2012;3(3):395-397. doi:10.5799/ahinjs.01.2012.03.0186
Chicago Aycan, İlker Öngüç, Aysun Ankay Yılbaş, Sennur Uzun, Özgür Canbay, Turgay Öcal, ve Saadet Özgen. “Successful Use of Ketamin Combined With Remifentanil in Two Patients With Epidermolysis Bullosa”. Journal of Clinical and Experimental Investigations 3, sy. 3 (Eylül 2012): 395-97. https://doi.org/10.5799/ahinjs.01.2012.03.0186.
EndNote Aycan İÖ, Yılbaş AA, Uzun S, Canbay Ö, Öcal T, Özgen S (01 Eylül 2012) Successful use of ketamin combined with remifentanil in two patients with epidermolysis bullosa. Journal of Clinical and Experimental Investigations 3 3 395–397.
IEEE İ. Ö. Aycan, A. A. Yılbaş, S. Uzun, Ö. Canbay, T. Öcal, ve S. Özgen, “Successful use of ketamin combined with remifentanil in two patients with epidermolysis bullosa”, J Clin Exp Invest, c. 3, sy. 3, ss. 395–397, 2012, doi: 10.5799/ahinjs.01.2012.03.0186.
ISNAD Aycan, İlker Öngüç vd. “Successful Use of Ketamin Combined With Remifentanil in Two Patients With Epidermolysis Bullosa”. Journal of Clinical and Experimental Investigations 3/3 (Eylül 2012), 395-397. https://doi.org/10.5799/ahinjs.01.2012.03.0186.
JAMA Aycan İÖ, Yılbaş AA, Uzun S, Canbay Ö, Öcal T, Özgen S. Successful use of ketamin combined with remifentanil in two patients with epidermolysis bullosa. J Clin Exp Invest. 2012;3:395–397.
MLA Aycan, İlker Öngüç vd. “Successful Use of Ketamin Combined With Remifentanil in Two Patients With Epidermolysis Bullosa”. Journal of Clinical and Experimental Investigations, c. 3, sy. 3, 2012, ss. 395-7, doi:10.5799/ahinjs.01.2012.03.0186.
Vancouver Aycan İÖ, Yılbaş AA, Uzun S, Canbay Ö, Öcal T, Özgen S. Successful use of ketamin combined with remifentanil in two patients with epidermolysis bullosa. J Clin Exp Invest. 2012;3(3):395-7.