Anesthetic Challenges of an Adolescent Patient with Epidermolysis Bullosa and Gitelman's Syndrome Undergoing Posterior Spinal Fusion Surgery

Edgar E Kiss; Neethu Chandran; Gijo Alex; Patrick Olomu

doi:10.1055/s-0040-1710329

Anesthetic Challenges of an Adolescent Patient with Epidermolysis Bullosa and Gitelman's Syndrome Undergoing Posterior Spinal Fusion Surgery

J Pediatr Genet. 2021 Jun;10(2):152-155. doi: 10.1055/s-0040-1710329. Epub 2020 Apr 25.

Authors

Edgar E Kiss^{1

2}, Neethu Chandran^{1

2}, Gijo Alex^{1

2}, Patrick Olomu^{1

2}

Affiliations

¹ Department of Anesthesiology and Pain Management, UT Southwestern Medical Center, Dallas, Texas, United States.
² Children's Health, Dallas, Texas, United States.

Abstract

Surgical correction for scoliosis is undertaken to avoid progression to cardiopulmonary compromise as well as improve the patient's overall quality of life. In this case report, we presented a case of a 14-year-old girl with epidermolysis bullosa simplex and Gitelman's syndrome who underwent posterior spinal fusion for scoliosis. The perioperative planning and intraoperative management of a patient with this unique combination of comorbidities undergoing a complex, high-risk surgical procedure were not previously chronicled in the literature. We detailed the steps undertaken to optimize the patient prior to surgery and the unique intraoperative surgical and anesthetic considerations that led to a successful completion of the surgery and recovery.

Keywords: Gitelman's syndrome; epidermolysis bullosa; posterior spinal fusion.

Publication types

Case Reports