Abstract
Successful anaesthetic management of two patients with severe epidermolysis bullosa was accomplished using subarachnoid and epidural blockade. !n order to avoid complications of regional anaesthesia, antiseptic preparation of the skin should not involve scrubbing nor should adhesive tape be used 10 secure catheters. In addition local infiltration of the skin is best avoided. The potential complications of skin and oral mucosal damage associated with mask or endotracheal inhalation anaesthesia was avoided.
Résumé
On a eu recours à la rachi-anesthésie el au bloc péridural pour I ’anesthésie de deux patients afftigés d’épider-molyse bulleuse. Pour prevenir les complications d’ordre dermatologique, le badigeonnage de la peau doit se faire sans frottage et on doit éviter I’emploi de tout pansement adhésif ou ruban gommé. II est aussi préférable de ne pas infiltrer la peau localement. En procédant sous anesthésie régionale, les dommages à la peau ou uux muqueuses par les contacts du masque ou du tube endotrachéal out été évités.
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Spielman, F.J., Mann, E.S. Subarachnoid and epidural anaesthesia for patients with epidermolysis bullosa. Can Anaesth Soc J 31, 549–551 (1984). https://doi.org/10.1007/BF03009541
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DOI: https://doi.org/10.1007/BF03009541