International Journal of Obstetric Anesthesia
Volume 17, Issue 2 , Pages 153-158, April 2008

Anaesthetic management of two different modes of delivery in patients with dystrophic epidermolysis bullosa

Departments of Anaesthetics, Dermatology and Obstetrics & Gynaecology, St Thomas′ Hospital, London, UK

Received 1 February 2007; accepted 1 April 2007. published online 28 February 2008.

Mohjir S. Baloch, Ben Fitzwilliams, Geraldine O’Sullivan, Department of Anaesthetics, Jemima Mellerio, Department of Dermatology, Lorin Lakasing, Susan Bewley, Department of Obstetrics and Gynaecology, St Thomas′ Hospital, London SE1 7EH UK.

Summary 

Dystrophic epidermolysis bullosa is an inherited severe bullous condition characterised by extreme skin fragility and blistering in response to minor trauma. We present two obstetric cases with recessive dystrophic epidermolysis bullosa, one who underwent elective caesarean section, the other who delivered vaginally. The key points in the anaesthetic management of the obstetric patient with dystrophic epidermolysis bullosa include multidisciplinary preassessment, airway management strategies and the role of regional anaesthesia.

Keywords: Epidermolysis bullosa, Pregnancy, Anaesthesia

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

PII: S0959-289X(07)00157-4

doi:10.1016/j.ijoa.2007.04.008

International Journal of Obstetric Anesthesia
Volume 17, Issue 2 , Pages 153-158, April 2008

Article Tools

* Image Usage & Resolution