Successful use of ketamin combined with remifentanil in two patients with epidermolysis bullosa
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İlker Öngüç Aycan 1 * , Aysun Ankay Yılbaş, Sennur Uzun, Özgür Canbay, Turgay Öcal, Saadet Özgen
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1 Dicle Üniversitesi Anesteziyoloji ve Reanimasyon AD Diyarbakır, Turkey* Corresponding Author

Abstract

Epidermolysis Bullosa (EB) is characterized by the presence of extremely fragile skin and painful blister formations in the skin. We present the anesthetic management of 15-years-old, twin sisters with EB during the syndactyly operation. Premedication was done with 0.5 mg/kg nasal midazolam. Anesthesia induction was performed with sevoflurane without touching the facial masks to the skin. After intravenous 2 mgkg-1 ketamine and 50 μg fentanyl, anesthesia was maintained by intravenous 1 mg/kg/hr ketamine and 0.1 μg/kg/min remifentanil. We injected 2 mg intravenous morfin for postoperative pain control. Ketamine with remifentanil seems to be effective, simple, and safe for airway management and practical way to provide general anesthesia and analgesia of EB.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Case Report

J Clin Exp Invest, Volume 3, Issue 3, September 2012, 395-397

https://doi.org/10.5799/ahinjs.01.2012.03.0186

Publication date: 11 Sep 2012

Article Views: 2401

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