Does Ehlers-Danlos affect anesthesia?
Conclusions: No guidelines for neuraxial or general anesthesia exist for patients with Ehlers-Danlos syndrome, hypermobility type. Increased rates of cervical spine instability and local anesthetic resistance have been reported in this population and should be considered when developing the anesthetic plan.
What type of anesthesia is used for TURP?
The TURP procedure takes about 60 to 90 minutes to perform. Before surgery you’ll be given either general anesthesia — which means you’ll be unconscious during the procedure — or spinal anesthesia, which means you’ll remain conscious. You might also be given a dose of antibiotics to prevent infection.
Can people with Ehlers-Danlos have surgery?
Surgery is often the last resort for EDS patients and may be the only reasonable option for some conditions. EDS patients have a higher incidence of bleeding complications, and wider scars, and less predictable healing.
Do epidurals work in EDS patients?
There is no clear recommendation for either general or regional anesthesia for patients with EDS. In patients with tissue fragility, epidural or spinal anesthesia would induce hematoma formation or bleeding by needle insertion and catheterization.
Is Articaine an amide?
Articaine is an intermediate-potency, short-acting amide local anesthetic with a fast metabolism due to an ester group in its structure.
How do you get tested for hed?
There is no test for hEDS, so diagnosis involves looking for joint hypermobility, signs of faulty connective tissue throughout the body (e.g. skin features, hernias, prolapses), a family history of the condition, and musculoskeletal problems (e.g. long-term pain, dislocations).
Does Prolotherapy work for EDS?
Prolotherapy is a type of regenerative medicine that uses injections that can help repair and rebuild weak and degenerating ligaments and joints, and ease chronic pain in connective tissue disorders such as Ehlers-Danlos syndrome (EDS). It is generally recommended when other treatments have failed.
Do steroids help Ehlers-Danlos?
Steroids have been found to be helpful in acute exacerbation of joint pains. However, care must be taken to avoid long-term use to prevent steroid-related side effects. No trials have been conducted to test medications for NP in EDS patients.
Can Ehlers-Danlos cause vasculitis?
Connective tissue diseases such as Ehlers-Danlos syndrome (EDS) may also cause bleeding and mimic vasculitis and must be included in the differential diagnosis.
Is lidocaine an amide or ester?
Commonly used ester LAs include chloroprocaine, procaine, and tetracaine. The commonly used amide LAs include lidocaine, bupivacaine, ropivacaine, mepivacaine, and outside the United States, levobupivacaine.
What are the anesthetic considerations for Ehlers-Danlos syndrome?
BACKGROUND Ehlers-Danlos syndrome, hypermobility type is characterized by increased extensibility, permeability, and fragility of the affected cartilaginous tissues, including the trachea, larynx, and skin. Anesthetic considerations for patients with this syndrome include intubation difficulties sec …
Which is the umbrella term for Ehlers Danlos syndrome?
Ehlers-Danlos Syndrome (EDS, Orphanumber: ORPHA98249) is an umbrella term for a growing number of heritable connective tissue disorders, mainly featuring joint hypermobility and instability, skin texture anomalies and vascular and internal organ fragility [ [ 1 ]– [ 3 ]].
How is hypermobility related to local anesthetic allergy?
Anesthetic Management for Ehlers-Danlos Syndrome, Hypermobility Type Complicated by Local Anesthetic Allergy: A Case Report BACKGROUND Ehlers-Danlos syndrome, hypermobility type is characterized by increased extensibility, permeability, and fragility of the affected cartilaginous tissues, including the trachea, larynx, and skin.
What kind of anesthesia do eds patients need?
Because EDS patients commonly require surgery, we have summarized some recommendations for general, obstetrical and regional anesthesia, as well as for hemostatic therapy.