Anaesthetic management of an infant with Epidermolysis Bullosa undergoing inguinal hernia repair

Epidermolysis bullosa is a group of inherited disorders characterized by blistering of the skin as a result of minor trauma. We managed an infant with epidermolysis bullosa undergoing inguinal hernia repair. Anaesthesia was induced with oxygen/nitrous oxide mixture and sevoflurane. Oral tracheal int...

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Bibliographic Details
Published in:Journal of the Pakistan Medical Association 2010-06, Vol.60 (6), p.497-498
Main Authors: KHALID MAUDOOD SIDDIQUI, KHAN, Sobia
Format: Article
Language:English
Subjects:
Abdomen
Anesthesia, General - methods
Anesthetics, Inhalation - administration & dosage
Biological and medical sciences
Bullous diseases of the skin
Dermatology
Epidermolysis Bullosa - complications
Gastroenterology. Liver. Pancreas. Abdomen
General aspects
Hernia, Inguinal - therapy
Humans
Infant
Intubation, Intratracheal
Male
Medical sciences
Methyl Ethers - administration & dosage
Other diseases. Semiology
Oximetry
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Summary:Epidermolysis bullosa is a group of inherited disorders characterized by blistering of the skin as a result of minor trauma. We managed an infant with epidermolysis bullosa undergoing inguinal hernia repair. Anaesthesia was induced with oxygen/nitrous oxide mixture and sevoflurane. Oral tracheal intubation was done with a lubricated laryngoscope blade with KY jelly using atracurium 0.5 mg/kg and fentanyl 0.1 microgm/kg. To avoid frictions on the skin, endotracheal tube was tied with ribbon gauze and fixed around the neck. Pulse-oximetry probe and electrocardiogram electrodes were placed, and then attached to the patient's skin covered with KY jelly. Peripheral venous access was secured in the right foot and sutured. These methods were effective to avoid new blisters and useful for infant safety.
ISSN:0030-9982