title: Anaesthetic management of two different modes of delivery in patients with dystrophic epidermolysis bullosa.
abstract: Dystrophic epidermolysis bullosa is an inherited severe bullous condition characterised by extreme skin fragility and blistering in response to minor trauma. We present two obstetric cases with recessive dystrophic epidermolysis bullosa, one who underwent elective caesarean section, the other who delivered vaginally. The key points in the anaesthetic management of the obstetric patient with dystrophic epidermolysis bullosa include multidisciplinary preassessment, airway management strategies and the role of regional anaesthesia.
authors.affiliation: Department of Anaesthetics, St Thomas' Hospital, London, UK. mohjir786@hotmail.com
authors.forename: M S
authors.initials: MS
authors.lastname: Baloch
authors.forename: B
authors.initials: B
authors.lastname: Fitzwilliams
authors.forename: J
authors.initials: J
authors.lastname: Mellerio
authors.forename: L
authors.initials: L
authors.lastname: Lakasing
authors.forename: S
authors.initials: S
authors.lastname: Bewley
authors.forename: G
authors.initials: G
authors.lastname: O'Sullivan
mesh_terms: D000328:Adult; D000765:Anesthesia, Conduction / Q000379:methods*; D000768:Anesthesia, General / Q000379:methods*; D000773:Anesthesia, Obstetrical / Q000379:methods*; D002585:Cesarean Section; D036861:Delivery, Obstetric / Q000379:methods*; D016108:Epidermolysis Bullosa Dystrophica / Q000150:complications*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications; D011295:Prenatal Care / Q000379:methods; D017592:Skin Care / Q000379:methods