Volume 30, Issue 10 pp. 1149-1152
CASE REPORT

Anesthetic implications of a pediatric patient with stiff skin syndrome: A case report

Edgar E. Kiss

Corresponding Author

Edgar E. Kiss

Department of Anesthesiology and Pain Management, University of Texas Southwestern, Dallas, TX, USA

Division of Pediatric Anesthesiology, Children's Health System of Texas, Dallas, TX, USA

Correspondence

Edgar E. Kiss, Department of Anesthesiology and Pain Management, University of Texas Southwestern, Dallas, TX.

Emails: [email protected]

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Gijo Alex

Gijo Alex

Department of Anesthesiology and Pain Management, University of Texas Southwestern, Dallas, TX, USA

Division of Pediatric Anesthesiology, Children's Health System of Texas, Dallas, TX, USA

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Neethu Chandran

Neethu Chandran

Department of Anesthesiology and Pain Management, University of Texas Southwestern, Dallas, TX, USA

Division of Pediatric Anesthesiology, Children's Health System of Texas, Dallas, TX, USA

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Patrick Olomu

Patrick Olomu

Department of Anesthesiology and Pain Management, University of Texas Southwestern, Dallas, TX, USA

Division of Pediatric Anesthesiology, Children's Health System of Texas, Dallas, TX, USA

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First published: 05 August 2020
Citations: 3
Handling Editor: David Polaner

Abstract

Stiff skin syndrome is a rare genetic disorder that is present in infancy or early childhood. It is characterized by hard, inflexible skin and limited joint mobility making anesthetic management of these patients challenging. Their limited neck flexibility and chest wall rigidity make intubation and mask ventilation difficult. Intraoperative positioning can be challenging due to joint contractures and potential entrapment peripheral neuropathy. Even though peripheral intravenous access can be relatively easy, central venous cannulation may be problematic due to the hard skin overlying the entry sites. Our case report details the anesthetic management and considerations of a pediatric patient with stiff skin syndrome.

CONFLICT OF INTEREST

The authors report no conflict of interest.

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