Abstract
An adult patient with epidermolysis bullosa dystrophica underwent uneventful spinal anaesthesia. Insertion of a Quincke spinal needle proved easier and produced less skin distortion than insertion of a pencil-point spinal needle. Taping of intravenous lines is an alternative to the more usually recommended approach of suturing.
References
1.
Boughton
R.
,
Crawford
M.A.
,
Vonwiller
J.B.
Epidermolysis bullosa—a review of 15 years experience, including experience with combined general and regional anaesthetic techniques. Anaesth Intensive Care 1988 ; 16 : 260 –264 .
2.
Ames
W.A.
,
Mayou
B.J.
,
Williams
K.
Anaesthetic management of epidermolysis bullosa. Br J Anaesth 1999 ; 82 : 746 –751 .
3.
Kelly
R.E.
,
Koff
H.D.
,
Rothaus
K.O.
,
Carter
D.M.
Brachial plexus anesthesia in eight patients with recessive dystrophic epider-molysis bullosa. Anesth Analg 1987 ; 66 : 1318 –1320 .
4.
Idvall
J.
Ketamine monoanaesthesia for major surgery in epidermolysis bullosa. Acta Anaesthesiol Scand 1987 ; 31 : 658 –660 .
5.
James
M.B.
,
Wark
H.
Airway management during anesthesia in patients with epidermolysis bullosa dystrophica. Anesthesiology 1982 ; 56 : 323 –325 .
6.
Farber
N.E.
,
Troshynski
T.J.
,
Turco
G.
Spinal anesthesia in an infant with epidermolysis bullosa. Anesthesiology 1995 ; 83 : 1364 –1367 .
7.
Spielman
F.J.
,
Mann
E.S.
Subarachnoid and epidural anaesthesia for patients with epidermolysis bullosa. Can Anaesth Soc J 1984 ; 31 : 549 –551 .
8.
Broster
T.
,
Placek
R.
,
Eggers
G.W.N.
Anesthetic management for cesarean section. Anesth Analg 1987 ; 66 : 341 –343 .
9.
Yee
L.L.
,
Gunter
J.B.
,
Manley
C.B.
Caudal epidural anesthesia in an infant with epidermolysis bullosa. Anesthesiology 1989 ; 70 : 149 –151 .