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首页> 外文期刊>Current opinion in anaesthesiology >Anesthesia for balloon dilatation of esophageal strictures in children with epidermolysis bullosa dystrophica: from intubation to sedation.
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Anesthesia for balloon dilatation of esophageal strictures in children with epidermolysis bullosa dystrophica: from intubation to sedation.

机译:小儿表皮松解性营养不良患儿食管狭窄球囊扩张的麻醉:从插管到镇静。

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摘要

PURPOSE OF REVIEW: Dystrophic epidermolysis bullosa is a rare disease mainly affecting small children. They often have to undergo different surgical procedures, for example balloon dilatation following esophageal strictures to maintain oral intake and prevent malnutrition. RECENT FINDINGS: So far, no specific treatment is available for patients with any forms of epidermolysis bullosa. However, more and more minimal invasive surgical techniques are used to manage symptoms of the disease, for example endoscopic balloon dilatation for severe esophageal strictures. SUMMARY: In this article implications for the anesthetic management of children with dystrophic epidermolysis bullosa are described. General anesthesia and sedation techniques are feasible if specific prerequisites are fulfilled. The team providing anesthesia and endoscopy must be familiar with the nature and disabilities of this disease. Coordinated care of the involved disciplines is crucial for all planned procedures regarding perioperative management.
机译:审查目的:营养不良性表皮松解性大疱病是一种罕见的疾病,主要影响小孩。他们通常必须进行不同的手术程序,例如食管狭窄后进行球囊扩张,以维持口服摄入并预防营养不良。最近的发现:到目前为止,尚无针对任何形式的大疱性表皮松解症患者的具体治疗方法。然而,越来越多的微创外科手术技术被用于处理疾病的症状,例如用于严重食管狭窄的内窥镜球囊扩张术。摘要:在这篇文章中描述了营养不良性大疱性表皮松解症儿童的麻醉处理意义。如果满足特定的先决条件,则全身麻醉和镇静技术是可行的。提供麻醉和内窥镜检查的团队必须熟悉这种疾病的性质和障碍。对于所有有关围手术期管理的计划程序,相关学科的协调护理至关重要。

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