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J. Am. Acad. Dermatol. · Mar 1994
Anesthetic management in epidermolysis bullosa: review of 129 anesthetic episodes in 32 patients.
- A N Lin, F Lateef, R Kelly, K O Rothaus, and D M Carter.
- Laboratory for Investigative Dermatology, Rockefeller University, New York, NY 10021.
- J. Am. Acad. Dermatol. 1994 Mar 1; 30 (3): 412-6.
BackgroundAnesthetic and monitoring instrumentations such as endotracheal intubation may cause skin and mucosal damage with potentially serious consequences in patients with epidermolysis bullosa (EB).ObjectiveThis study defines the risks of skin and mucosal damage from anesthetic and monitoring techniques in patients with EB and formulates management guidelines.MethodsWe retrospectively analyzed the outcome of 129 anesthetic episodes in 32 patients with various types of EB.ResultsSerious complications did not occur in any patient with EB from the use of endotracheal intubation, face mask, nerve blocks, local anesthetics, and intravenous or intramuscular anesthetic agents.ConclusionWith appropriate precautions, patients with EB can undergo standard anesthetic techniques with only minor and infrequent complications.
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