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Anaesthetic management of a patient with pemphigus vulgaris for emergency laparotomy

✍ Scribed by T. G. Mahalingam; S. Kathirvel; P. Sodhi


Publisher
John Wiley and Sons
Year
2000
Tongue
English
Weight
106 KB
Volume
55
Category
Article
ISSN
0003-2409

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✦ Synopsis


A 45‐year‐old man with a long‐standing history of duodenal ulcer presented with symptoms and signs of perforation peritonitis. He also had lesions of pemphigus vulgaris throughout the body, involving both skin and mucous membranes. Care was taken to avoid pressure and friction during placement of monitoring devices, intravenous and arterial lines. Since the patient had to undergo exploratory laparotomy, intubation was performed in an atraumatic manner after rapid sequence induction. However, there was minor bleeding from the mucous lesions of the oral cavity, which was controlled by a saline adrenaline throat pack. The patient was extubated at the end of the surgery and steroids were continued in the peri‐operative period.


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