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Saturday, April 13, 2013

ANAESTHESIA MNEMO> PEMPHIGUS VULGARIS

 "VULGARIS"
V.Venous access is difficult
U.Use of small ETT may be better than LMA
L.Larynx: Anticipate scarring and narrowing
G.Get exacerbations with pregnancy, surgeries
A.Anticipate problems with mask application on induction
   Anticipate fluid and electrolyte imbalances
R.Risks of long term steroid therapy :
  [explain to patient and take   preventive measures like PPIs against ulcer, steroid supplimentation etc]
I.Infections
  Intubation can cause airway trauma --> bleeding ,scarring etc can occur
S.Skin is vulnerable: Avoid skin traction and friction

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