Anesthetic management in a child with epidermolysis bullosa undergoing esophageal dilatation

Jyunya Matsumi, Hiroshi Morimatsu, Takashi Matsusaki, Yuichiro Toda, Hideki Nakatsuka, Kiyoshi Morita

Research output: Contribution to journalArticle

Abstract

We experienced the anesthetic management of a child with epidermolysis bullosa undergoing esophageal dilatation. Anesthesia was induced with oxygen/nitrous oxide mixture and sevoflurane. Oral tracheal intubation was with a lubricated laryngoscope blade using vecuronium 0.1 mg Middot; kg-1 and fentanyl 0.1 μg · kg-1. To avoid friction and shearing forces on the skin, endotracheal tube was tied with a tape without adhesion and fixed around the neck. We removed adhesive parts of pulse-oximetry probe and electrocardiogram electrodes, then attached to the patient's skin covered with Vaseline. Peripheral venous access was secured in the left ankle and sutured. These methods were effective to avoid new blisters and to keep patient safe.

Original languageEnglish
Pages (from-to)362-364
Number of pages3
JournalJapanese Journal of Anesthesiology
Volume55
Issue number3
Publication statusPublished - Mar 1 2006

Keywords

  • Airway management
  • Epidermolysis bullosa
  • Esophageal stricture

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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