Epidermolysis bullosa
Patient (condition)
 
Aliases:
EB

Topic aliases are alternate phrasings for a particular topic.


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Group of genetically determined disorders characterized by the blistering of skin and mucosae. There are four major forms: acquired, simple, junctional, and dystrophic. Each of the latter three has several varieties.
www.nlm.nih.gov/cgi/mesh/...

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Oesophageal dilatation

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Dec 21, 2012
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Ensure a senior anaesthetist is available to undertake the case

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Securing of IV lines should be with special tape that minimises the risk of skin tears upon removal.
Safetac tape with adhesive remover is an option that works well.

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Adhesive ECG pads should have a non-stick intermediate layer such as mepitel to prevent skin tears on removal of the ECG dot.

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Avoid unecessarily high frequency non-invasive blood pressure monitoring as repeated inflation can result in skin damage.
For prolonged procedures consider insertion of an arterial line

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When placing a blood pressure cuff, wrap a small amount of padding underneath the cuff (eg velband ) to reduce cuff related skin trauma.

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At elevated risk of pressure areas, frequently check and reposition patient.

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A video laryngoscope such as a glidescope video-laryngoscope will help reduce the force required to obtain a good view of the vocal cords thereby reducing oral or pharyngeal trauma.

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At risk of generating skin lesions with adhesive tape. Avoid taping the ETT and consider using a tracheostomy ribbon tie instead

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Coating the laryngoscope with vaseline will help reduce trauma to the palate, tongue, and oropharynx.

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If intubating the patient, a more flexible reinforced endotracheal-tube may help reduce perioral trauma.

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Guidelines for the Anesthetic Management of Epidermolysis Bulosa. Dr Elliot Krane.
pedsanesthesia.stanford.e...

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