---

Anesthetic management of a known case of pemphigus vulgaris with diabetes mellitus posted for surgery

Full Text PDF Share on Facebook Share on Twitter

---

Case Report

Author Details : Namrata Kochhar, Ritwik Chakraborty*

Volume : 7, Issue : 4, Year : 2020

Article Page : 703-706

https://doi.org/10.18231/j.ijca.2020.127

Suggest article by email

Get Permission

Abstract

80 yr old diabetic female known case of pemphigus vulgaris, got admitted to our hospital with relapse of fresh lesions. During her hospital stay she fell down in the washroom and developed fracture in intertrochanteric region of left femur for which surgery was planned. She had pancytopenia, low hemoglobin level, low platelet count and deranged blood sugar levels. After optimization she was planned for surgery under spinal anesthesia. Special care was taken during transfer, positioning, placement of intravenous lines and monitors. She was premedicated with intravenous steroids. Part was painted gently with chlorhexidine & spinal anesthesia was administered using hyperbaric bupivacaine with a 26 gauge Quincke’s needle taking care not to puncture the blisters and papules. Pressure points were adequately padded. Intra-operative hemodynamics were stable. Post-operatively, care was taken for the existing lesions along with special care to prevent the development of fresh lesions.

Keywords: Pemphigus vulgaris, Spinal anesthesia.

How to cite : Kochhar N , Chakraborty R , Anesthetic management of a known case of pemphigus vulgaris with diabetes mellitus posted for surgery. Indian J Clin Anaesth 2020;7(4):703-706

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.