- 期刊
- OpenAccess
Optimize General Anesthesia for a Dystrophic Epidermolysis Bullosa Patient That Cannot Be Intubated
摘要
Dystrophic epidermolysis bullosa (DEB) is a rare genetic skin disease characterized by blisters and ulcers on the skin and mucosa after minor friction. The risk of invasive squamous cell carcinoma on the unhealed ulcers increases with age. Tracheal intubation during general anesthesia may induce tracheal stricture due to blister formation and/or scarring in DEB patients and cause severe airway obstruction. There is no consensus for handling DEB patients' fragile mucosa and skin during general anesthesia. We report an adult DEB patient who received two operations under different general anesthesia methods. The experience from this particular patient and her response to anesthesia may provide a satisfactory guide to avoid complications and improve the outcome for DEB patients receiving general anesthesia.
延伸閱讀
- Tu, P. Y., Tung, H. C., Chao, C. C., Lin, H. J., Cheng, H. C., & Lin, S. Y. (1990). EPIDURAL ANESTHESIA FOR SPINE SURGERY. Acta Anaesthesiologica Sinica, 28(2), 203-207. https://www.airitilibrary.com/Article/Detail?DocID=P20170519003-199006-201811270001-201811270001-203-207
- 林素玲、許永堅（1988）。Intubational Dacryocystorhinostomy。中華民國眼科醫學會雜誌，27(1)，510-514。https://doi.org/10.30048/ACTASOS.198805.0091
- 許永堅、朱鐵祥（1988）。Clinical Experience with Posterior Peribulbar Anesthesia。中華民國眼科醫學會雜誌，27(1)，117-121。https://doi.org/10.30048/ACTASOS.198805.0022
- Lin, J. L., Lee, T. K., Din, S. T., Huang, P., Lin, W. Z., Wu, T. S., Chang, S. Z., & Lu, S. Y. (1994). Preliminary Experience for EMLA a Surface Anesthetic. 中華民國重建整形外科醫學會雜誌, 3(2), 83-88. https://doi.org/10.7096/JPRSA.199406.0083
- 陳穎心、顏廷珊、孫維仁、葉育彰（2007）。Geriatric Anesthesia and Critical Care。台灣醫學，11(3)，280-288。https://doi.org/10.6320/FJM.2007.11(3).09