Özkan Ahmet Selim, Kayhan Gülay Erdoğan, Akbaş Sedat, Kaçmaz Osman, Durmuş Mahmut
Department of Anaesthesiology and Reanimation, İnönü University School of Medicine, Malatya, Turkey.
Turk J Anaesthesiol Reanim. 2016 Oct;44(5):270-272. doi: 10.5152/TJAR.2016.49260. Epub 2016 Oct 1.
Epidermolysis bullosa (EB) is a rare disease characterised by vesiculobullous lesions with minimal trauma to the skin and mucous membranes. Bleeding, scar tissue, contractures, oedema and lesions that can spread throughout the body can cause a difficult airway and vascular access in patients with EB. Therefore, anaesthetic management in patients with EB is a major problem even for experienced anaesthesiologists. Herein, we report a case of difficult airway management in a patient diagnosed with severe EB who presented for emergency tracheostomy because of respiratory failure under general anaesthesia.
大疱性表皮松解症(EB)是一种罕见疾病,其特征为皮肤和黏膜受到轻微创伤后出现水疱性大疱病变。出血、瘢痕组织、挛缩、水肿以及可遍布全身的病变,会给EB患者造成气道困难和血管通路问题。因此,即使对于经验丰富的麻醉医生而言,EB患者的麻醉管理也是一个重大难题。在此,我们报告一例诊断为重度EB的患者,该患者因全身麻醉下呼吸衰竭行急诊气管切开术,术中气道管理困难。