記述言語：日本語   出版者・発行元：一般社団法人 日本ペインクリニック学会  

DOI： 10.11321/jjspc.24-0032

CiNii Research

記述言語：英語   出版者・発行元：American Journal of Case Reports  

Objective: Background: Case Report: Conclusions: Rare disease Epidermolysis bullosa (EB) is a group of rare genetic conditions that can cause eruption of blisters on the skin and mucous membranes by the slightest mechanical stimulus. In these patients particular attention should be paid to potential complications, from monitoring of vital signs to anesthesia procedures in the perioperative period. A 31-year-old man with EB underwent lower-leg amputation for squamous cell carcinoma. Multiple blisters and scars had appeared all over his face and body, and his extremities were contracted. The patient’s mouth could open only up to approximately 5 mm, and laboratory examination showed a high inflammatory response. In addition, he had anemia and hypoalbuminemia with a serum albumin concentration of 1.4 g/dL. We planned sciatic and femoral nerve blocks with sedation for anesthesia management because of the anticipated diffi-culty of intubation and concern about postoperative upper-airway obstruction due to changes in the oral cav-ity. While protecting the skin from external force application, we performed sciatic and femoral nerve blocks (1.7 mg/kg) using 0.25% levobupivacaine, 10 mL (3.5 mg/kg) of 1% mepivacaine, and 6.6 mg of dexameth-asone. Good analgesia was achieved, and the patient was stable during the operation. The patient was dis-charged 12 days postoperatively without additional signs of infection or new blister formation, although surgical wound healing was delayed. For patients with EB who have had repeated blistering and scarring, even from a minor external force, attention should be paid to airway management and avoidance of additional skin damage caused by external forces.

DOI： 10.12659/AJCR.936722

Web of Science

Scopus

PubMed

記述言語：英語   掲載種別：研究論文（学術雑誌）  

開催年月日： 2023年11月

記述言語：日本語  

開催地：神戸   国名：日本国  

開催年月日： 2020年2月

記述言語：日本語  

開催地：福岡   国名：日本国  

対象：社会人・一般,　学術団体,　企業,　市民団体,　行政機関

種別：セミナー・ワークショップ

対象：社会人・一般,　学術団体,　企業,　市民団体,　行政機関

種別：講演会

対象：社会人・一般,　学術団体,　企業,　市民団体,　行政機関

種別：講演会

対象：社会人・一般,　学術団体,　企業,　市民団体,　行政機関

種別：セミナー・ワークショップ