Rare Diseases Symptoms Automatic Extraction
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[Anesthetic considerations for a boy with non-bullous ichthyosiform erythroderma].
[lamellar ichthyosis]
We
administered
anesthesia
for
a
20
-
month
-old
boy
with
non-bullous
ichthyosiform
erythroderma
who
underwent
orthopedic
syndactyly
repair
on
two
occasions
.
Anesthetic
considerations
include
the
difficult
fixation
of
the
tracheal
tube
and
iv
cannulas
and
the
risk
of
hypothermia
.
Intravenous
access
placement
was
also
difficult
due
to
the
hyperkeratosis
and
the
deformity
of
extremities
.
In
the
first
surgery
,
pharyngeal
temperature
fell
to
34
.
4
degrees
C
despite
the
use
of
the
37
degrees
C
circulating
water
mattress
and
room
temperature
set
to
26
degrees
C
.
It
gradually
returned
to
36
degrees
C
during
the
surgery
.
We
applied
Steri-
Strip
compound
benzoin
tincture
to
the
skin
to
increase
adhesiveness
before
taping
the
tracheal
tube
.
It
resulted
in
a
good
fixation
but
difficult
removal
.
In
the
second
surgery
,
we
fixed
the
tracheal
tube
with
a
tube
holder
which
enabled
the
fixation
without
the
use
of
adhesive
tapes
to
the
skin
.
To
maintain
body
temperature
we
used
forced
air
warming
device
Bair
Huggar
,
which
was
very
useful
to
avoid
hypothermia
but
resulting
in
a
rather
high
body
temperature
.
In
conclusion
,
a
tube
holder
was
an
effective
device
to
fix
the
tracheal
tube
in
this
patient
.
Forced
air
warming
device
was
useful
to
prevent
hypothermia
.