Ultrasound-guided axillary plexus block in a child with dystrophic epidermolysis bullosa

被引:5
|
作者
Englbrecht, J. S. [1 ]
Langer, M. [1 ]
Hahnenkamp, K.
Ellger, B.
机构
[1] Univ Hosp Muenster, Dept Anaesthesiol & Intens Care Med, Dept Trauma Hand & Reconstruct Surg, D-48149 Munster, Germany
关键词
epidermolysis bullosa; ultrasound-guided axillary plexus; sedation; pseudosyndactyly; regional anaesthesia; BRACHIAL-PLEXUS; REGIONAL ANESTHESIA; MANAGEMENT; EPIDEMIOLOGY; MORBIDITY; GUIDANCE;
D O I
10.1177/0310057X1003800623
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We report the use of ultrasound-guided axillary brachial plexus block in a child with dystrophic epidermolysis bullosa needing surgical treatment of the right hand The regional anaesthesia was used in association with sedation! anaesthesia This technique is suitable for these difficult patients because It can minimise the risk of new bullae formation due to palpation of landmarks or unintentional intra- or subcutaneous injections Initial anaesthesia! sedation was provided with sevoflurane until intravenous access was obtained, following which intravenous propofol infusion with ketamine boluses without any invasive airway management was continued for performance of the block and the procedure This management plan provided good surgical conditions, early postoperative analgesia, minimised stress for the patient and avoided the need to manipulate the airway with instruments and the associated risk of mucosa! bullae The classification and breadth of clinical manifestation of epidermolysis bullosa is complex and briefly summarised The anaesthetist should clarify the details of a particular patient's form of epidermolysis bullosa, especially in terms of mucosal involvement, as this may greatly influence planning for a procedure
引用
收藏
页码:1101 / 1105
页数:5
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