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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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Published in: | Journal of the Pakistan Medical Association 2010-06, Vol.60 (6), p.497-498 |
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creator | KHALID MAUDOOD SIDDIQUI KHAN, Sobia |
description | 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. |
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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.</description><identifier>ISSN: 0030-9982</identifier><identifier>PMID: 20527654</identifier><identifier>CODEN: JJPAD4</identifier><language>eng</language><publisher>Karachi: Pakistan Medical Association</publisher><subject>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. 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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.</description><subject>Abdomen</subject><subject>Anesthesia, General - methods</subject><subject>Anesthetics, Inhalation - administration & dosage</subject><subject>Biological and medical sciences</subject><subject>Bullous diseases of the skin</subject><subject>Dermatology</subject><subject>Epidermolysis Bullosa - complications</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>General aspects</subject><subject>Hernia, Inguinal - therapy</subject><subject>Humans</subject><subject>Infant</subject><subject>Intubation, Intratracheal</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Methyl Ethers - administration & dosage</subject><subject>Other diseases. Semiology</subject><subject>Oximetry</subject><issn>0030-9982</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNpFz0tLxDAUBeAsFGcc_QuSjctCmkfbLMdhfMCAG12Pt-lNG0nTkrTI_HsLjszqcA8fF84VWTMmWKZ1xVfkNqVvxnihGLshK84ULwsl1-RrGwDT1OHkDO0hQIs9hokOlkKgLlhYjh83dXQ_ugZjP_hTcok-zd4PCegclrIdXGgX3M4ugKcdxuCARhzBxTtybcEnvD_nhnw-7z92r9nh_eVttz1kI2fVlJWiklXJVMlRiaYprJCmEEpLyaREI0SNtSnrpbYAQtUaG9NgXmuQKBcvNuTh7-841z02xzG6HuLp-D91AY9nAMmAtxGCceniBFNa57n4BYooXgw</recordid><startdate>20100601</startdate><enddate>20100601</enddate><creator>KHALID MAUDOOD SIDDIQUI</creator><creator>KHAN, Sobia</creator><general>Pakistan Medical Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>20100601</creationdate><title>Anaesthetic management of an infant with Epidermolysis Bullosa undergoing inguinal hernia repair</title><author>KHALID MAUDOOD SIDDIQUI ; KHAN, Sobia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p208t-7384870572e53dd6f34c635944044ec33bebc7bf34faa35b9edcde1b9a4e4dd63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Abdomen</topic><topic>Anesthesia, General - methods</topic><topic>Anesthetics, Inhalation - administration & dosage</topic><topic>Biological and medical sciences</topic><topic>Bullous diseases of the skin</topic><topic>Dermatology</topic><topic>Epidermolysis Bullosa - complications</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>General aspects</topic><topic>Hernia, Inguinal - therapy</topic><topic>Humans</topic><topic>Infant</topic><topic>Intubation, Intratracheal</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Methyl Ethers - administration & dosage</topic><topic>Other diseases. Semiology</topic><topic>Oximetry</topic><toplevel>online_resources</toplevel><creatorcontrib>KHALID MAUDOOD SIDDIQUI</creatorcontrib><creatorcontrib>KHAN, Sobia</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Journal of the Pakistan Medical Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KHALID MAUDOOD SIDDIQUI</au><au>KHAN, Sobia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anaesthetic management of an infant with Epidermolysis Bullosa undergoing inguinal hernia repair</atitle><jtitle>Journal of the Pakistan Medical Association</jtitle><addtitle>J Pak Med Assoc</addtitle><date>2010-06-01</date><risdate>2010</risdate><volume>60</volume><issue>6</issue><spage>497</spage><epage>498</epage><pages>497-498</pages><issn>0030-9982</issn><coden>JJPAD4</coden><abstract>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.</abstract><cop>Karachi</cop><pub>Pakistan Medical Association</pub><pmid>20527654</pmid><tpages>2</tpages></addata></record> |
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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 |
title | Anaesthetic management of an infant with Epidermolysis Bullosa undergoing inguinal hernia repair |
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