Open AccessAnesthetic management and outcomes of patients with Steven-Johnson Syndrome—A retrospective review study
Author(s) -
Manjula V Ramsali,
Koshy G Puduchira,
Sitaram P Maganti,
Sarada Devi Vankaylapatti,
Surender Pasupuleti,
Dilip Kumar Kulkarni
Publication year - 2021
Publication title -
journal of anaesthesiology-clinical pharmacology/journal of anaesthesiology clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.466
H-Index - 32
eISSN - 2231-2730
pISSN - 0970-9185
DOI - 10.4103/joacp.joacp_46_19
Subject(s) - medicine , anesthesia , propofol , fentanyl , sevoflurane , isoflurane , anesthetic , intubation , medical record , surgery
Steven-Johnson Syndrome (SJS) is a rare and severe form of erythema exudative multiforme. Multisystem involvement in SJS and the suspicion of precipitation of the disease with exposure to anesthetic drugs makes anesthesia a challenging task. The concerns during anesthesia are the mucosal lesions and special care that is required to prevent injury to the oropharynx and larynx during airway management and also the drugs used for anesthesia. In the literature, very few isolated case reports or case series are available. Here, we have analyzed the cases of SJS coming for ophthalmic anesthesia, taking into consideration factors like mode of presentation, precipitating factors, associated diseases, types of anesthesia, anesthetic modifications, and various drugs used during anesthesia.