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Canadian Journal of Anesthesia, Vol 31, 549-551, Copyright © 1984 by Canadian Anesthesiologists' Society

Clinical Reports: Subarachnoid and Epidural Anaesthesia for Patients with Epidermolysis Bullosa

FRED J. SPIELMAN MD1 and ELIZABETH S. MANN MD1

1 Department of Anaesthesiology, University of North Carolina at Chapel Hill, School of Medicine, Chapel Hill, North Carolina

Address correspondence to: Dr. F.J. Spielman, Department of Anesthesiology, University of North Carolina, School of Medicine, Chapel Hill, North Carolina 27514.

Successful anaesthetic management of two patients with severe epidermolysis bullosa was accomplished using subarachnoid and epidural blockade. In order to avoid complications of regional anaesthesia, antiseptic preparation of the skin should not involve scrubbing nor should adhesive tape be used to 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.

Key Words: COMPLICATIONS: epidermolysis bullosa • ANAESTHETIC TECHNIQUE: subarachnoid, epidural






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Copyright © 1984 by the Canadian Anesthesiologists' Society.