Ultrasound-guided axillary plexus block in a child with dystrophic epidermolysis bullosa

摘要: We report the use of ultrasound-guided axillary brachial plexus block in a child with dystrophic epidermolysis bullosa needing surgical treatment right hand. The regional anaesthesia was used association sedation/ anaesthesia. This technique is suitable for these difficult patients because it can minimise risk new bullae formation due to palpation landmarks or unintentional intra- subcutaneous injections. Initial anaesthesia/ sedation provided sevoflurane until intravenous access obtained, following which propofol infusion ketamine boluses without any invasive airway management continued performance and procedure. plan good conditions, early postoperative analgesia, minimised stress patient avoided need manipulate instruments associated mucosal bullae. classification breadth clinical manifestation complex briefly summarised. anaesthetist should clarify details particular patient's form bullosa, especially terms involvement, as this may greatly influence planning