General anesthesia in a patient with dystrophic epidermolysis bullosa.
A 13-year-old boy with epidermolysis bullosa underwent a repair of pseudosyndactyly. He had a long history of bullae formation in the oral cavity and on the pharynx and body surface, and some were active at the time of surgery. We chose inhalational general anesthesia with tracheal intubation using sevoflurane and nitrous oxide. The trachea was successfully extubated after the surgery, and no major bulla formation was observed. General anesthesia with tracheal intubation may be chosen as anesthesia for patients with epidermolysis bullosa.
Toda
Yuichiro
Y
Department of Anesthesiology and Resuscitology, Okayama University Medical School, Okayama 700-8558, Japan.
Yokoyama
Masataka
M
Morimatsu
Hiroshi
H
Nakatsuka
Hideki
H
Takeuchi
Mamoru
M
Katayama
Hiroshi
H
Morita
Kiyoshi
K
D000293:Adolescent; D000768:Anesthesia, General; D018685:Anesthetics, Inhalation; D016108:Epidermolysis Bullosa Dystrophica / Q000150:complications*; D006801:Humans; D008297:Male; D008738:Methyl Ethers; D009609:Nitrous Oxide; D000077149:Sevoflurane; D013576:Syndactyly / Q000601:surgery*
D018685:Anesthetics, Inhalation; D008738:Methyl Ethers; D000077149:Sevoflurane; D009609:Nitrous Oxide