• J Clin Anesth · Jun 2006

    Anesthesia and pain management for pediatric patients with dystrophic epidermolysis bullosa.

    • Yuan-Chi Lin and Brenda Golianu.
    • Department of Anesthesia, Children's Hospital Boston; Harvard Medical School, Boston, MA 02115, USA. yuan-chi.lin@tch.harvard.edu
    • J Clin Anesth. 2006 Jun 1; 18 (4): 268-71.

    Study ObjectiveTo review anesthesia and pain management in pediatric patients with recessive dystrophic epidermolysis bullosa (RDEB).Study DesignRetrospective study.SettingUniversity-affiliated pediatric hospital.Patients25 pediatric patients with RDEB had a total of 121 surgical procedures.Measurements And Main ResultsPediatric patients with RDEB could have vesicles and bullae formation in the skin in response to trauma, friction, or pressure. The common surgical procedures for patients with RDEB were balloon dilation of esophageal strictures (38%), pseudosyndactyly release with or without skin graft (27%), postsurgical or skin care related dressing changes (21%), percutaneous endoscopic gastrostomy tube placement (8%), and circumcision (2%). Our anesthetic techniques included general inhalational anesthesia using mask (21%), general anesthesia using endotracheal tube (48%), and intravenous sedation (31%). No death or other major perioperative anesthetic complications occurred in these reported cases.ConclusionsPatients with RDEB can present considerable management issues for the anesthesiologists. Anesthesia and pain management can be carefully delivered with proper preoperative evaluation and preparation for pediatric patients with RDEB.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…