[Anesthetic management of a patient with non-bullous congenital ichthyosiform erythroderma].

Abstract

Non-bullous congenital ichthyosiform erythroderma is a disorder in the cornification of the skin, histopathologically characterized by hyperkeratosis. Previous reports mentioned that the fixation of endotracheal tubes and ECG electrodes to the skin was likely to be infirm in the patients with this disorder, and that the patients' body temperatures were easily affected by the environment. A 3-year-old girl with non-bullous congenital ichthyosiform erythroderma underwent two operations separately under general anesthesia. We used Hollister Skin Gel to fix the endotracheal tube. This gel helped prevent the irritation associated with the application and removal of adhesives. The patient became severely hypothermic during the first operation. Fortunately, the intraoperative body temperature could be maintained at a normal level during the second operation with the use of a forced-air warming system. Careful perioperative consideration is required for the fixation of endotracheal tubes and the management of body temperature in patients with non-bullous congenital ichthyosiform erythroderma.

• Authors: Ryo Kubota, Nanae Miyake, Hideto Nakayama, Hideko Arita, Kazuo Hanaoka
• Journal: Masui. The Japanese journal of anesthesiology (Masui) Vol. 52 Issue 12 Pg. 1332-4 (Dec 2003) ISSN: 0021-4892 [Print] Japan
• PMID: 14733087 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Anesthesia, General (methods)
• Child, Preschool
• Female
• Humans
• Hypothermia (prevention & control)
• Ichthyosis, Lamellar
• Intraoperative Complications (prevention & control)
• Intubation, Intratracheal (methods)