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Dystrophic epidermolysis bullosa with skin cancer – implication on anesthetic management – a case report

Danijela Bandić ; Department of Anesthesiology and Intensive Care, University Hospital for Tumors, Zagreb, Croatia
Dubravka Krleža-Supić ; Department of Anesthesiology and Intensive Care, University Hospital for Tumors, Zagreb, Croatia
Stanka Misir-Šitum ; Department of Anesthesiology and Intensive Care, University Hospital for Tumors, Zagreb, Croatia
Nenad Nola ; Department of Surgery, University Hospital for Tumors, Zagreb, Croatia
Koraljka Bačić-Baronica ; Department of Neurology, "Sveti Duh" General Hospital, Zagreb, Croatia
Franjo Šuperina ; Department of Anesthesiology and Intensive Care, University Hospital for Tumors, Zagreb, Croatia


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Abstract

We report a patient with recessive dystrophic epidermolysis bullosa who developed multiple skin cancer on the upper arm. She was scheduled for arm amputation. Skin and mucosa lesions render more difficulty in anesthetic management, especially monitoring, positioning and airway instrumentation. General anesthesia based on ketamine enables us to avoid some of the problems.

Keywords

epidermolysis bullosa; malignant alteration; difficult airway; anesthetic management; ketamine

Hrčak ID:

281745

URI

https://hrcak.srce.hr/281745

Publication date:

20.12.2004.

Article data in other languages: croatian

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