title: An anaesthesiologist's encounter with purple glove syndrome.
abstract: Purple glove syndrome (PGS) is a devastating complication of intravenous (IV) phenytoin administration. Anaesthetic management during the amputation of the limb for such patients is very challenging due to limited clinical experience. A 65-year-old woman developed PGS of left upper extremity after IV administration of phenytoin following generalised tonic-clonic seizures. The condition progressed rapidly leading to gangrene of left hand extending to the mid arm. Amputation was carried out under general anaesthesia with a supraglottic airway device. We discuss the prevention and alternate managements in PGS, which is a rare clinical entity with limited data in the literature.
authors.affiliation: Department of Cardiac Anaesthesia, AIIMS, New Delhi, India.
authors.forename: B
authors.initials: B
authors.lastname: Uma
authors.affiliation: Department of Anaesthesia, HIMSR, New Delhi, India.
authors.forename: Anjali
authors.initials: A
authors.lastname: Kochhar
keywords: Amputation; general anaesthesia; phenytoin; purple glove syndrome