Case Report: Anesthesia for a Neonate With Cutis Aplasia.

IF 0.5 A&A Practice Pub Date : 2022-10-01 DOI:10.1213/XAA.0000000000001628

Su Min Quak, Shin Yuet Chong

引用次数: 0

Abstract

Cutis aplasia is a rare condition characterized by skin and subcutaneous tissue defects. Researchers have previously described both conservative and surgical management methods. We report herein the case of a neonate with extensive cutis aplasia involving 37% of the total body surface area. Due to the risk of meningitis and catastrophic hemorrhage associated with scalp defects, she underwent staged surgical procedures with skin harvesting and synthetic skin application, followed by the application of cultured epithelial autografts. This report highlights the challenges in temperature and fluid management as well as intraoperative positioning in a neonate with cutis aplasia.

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病例报告:新生儿皮肤发育不全的麻醉。

摘要皮肤发育不全是一种罕见的以皮肤及皮下组织缺损为特征的疾病。研究人员先前描述了保守和手术治疗方法。我们在此报告的情况下，广泛的皮肤发育不全的新生儿涉及37%的体表面积。由于与头皮缺损相关的脑膜炎和灾难性出血的风险，她接受了分阶段的外科手术，包括皮肤采集和人工皮肤应用，然后应用培养的自体上皮移植。本报告强调了在温度和流体管理的挑战，以及术中定位的新生儿皮肤发育不全。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.