Recommendations for anesthesia and perioperative management in patients with Ehlers-Danlos syndrome(s)
- Author
- Thomas Wiesmann, Marco Castori, Fransiska Malfait (UGent) and Hinnerk Wulf
- Organization
- Abstract
- Ehlers-Danlos syndrome (EDS, ORPHA98249) comprises a group of clinically and genetically heterogeneous heritable connective tissue disorders, chiefly characterized by joint hypermobility and instability, skin texture anomalies, and vascular and soft tissue fragility. As many tissues can be involved, the underlying molecular defect can manifest itself in many organs and with varying degrees of severity, with widespread implications for anesthesia and perioperative management. This review focuses on issues relevant for anesthesia for elective and emergency surgery in EDS. We searched the literature for papers related to all EDS variants; at the moment most of the published data deals with the vascular subtype and, to a lesser extent, classic and hypermobility EDS. Knowledge is fragmented and consists mostly of case reports, small case series and expert opinion. Because EDS patients commonly require surgery, we have summarized some recommendations for general, obstetrical and regional anesthesia, as well as for hemostatic therapy.
- Keywords
- Ehlers-Danlos syndrome, EDS, Anesthesia, Orphan disease, Rare disease, General anesthesia, Epidural anesthesia, Spinal anesthesia, Connective tissue, JOINT HYPERMOBILITY SYNDROME, SYNDROME TYPE-IV, SYNDROME HYPERMOBILITY TYPE, IV, VASCULAR-TYPE, COMPLICATIONS, DISORDERS, DESMOPRESSIN, COAGULATION, GUIDELINES, PREGNANCY, PLATELET, THERAPY
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Citation
Please use this url to cite or link to this publication: http://hdl.handle.net/1854/LU-8638780
- MLA
- Wiesmann, Thomas, et al. “Recommendations for Anesthesia and Perioperative Management in Patients with Ehlers-Danlos Syndrome(s).” ORPHANET JOURNAL OF RARE DISEASES, vol. 9, 2014, doi:10.1186/s13023-014-0109-5.
- APA
- Wiesmann, T., Castori, M., Malfait, F., & Wulf, H. (2014). Recommendations for anesthesia and perioperative management in patients with Ehlers-Danlos syndrome(s). ORPHANET JOURNAL OF RARE DISEASES, 9. https://doi.org/10.1186/s13023-014-0109-5
- Chicago author-date
- Wiesmann, Thomas, Marco Castori, Fransiska Malfait, and Hinnerk Wulf. 2014. “Recommendations for Anesthesia and Perioperative Management in Patients with Ehlers-Danlos Syndrome(s).” ORPHANET JOURNAL OF RARE DISEASES 9. https://doi.org/10.1186/s13023-014-0109-5.
- Chicago author-date (all authors)
- Wiesmann, Thomas, Marco Castori, Fransiska Malfait, and Hinnerk Wulf. 2014. “Recommendations for Anesthesia and Perioperative Management in Patients with Ehlers-Danlos Syndrome(s).” ORPHANET JOURNAL OF RARE DISEASES 9. doi:10.1186/s13023-014-0109-5.
- Vancouver
- 1.Wiesmann T, Castori M, Malfait F, Wulf H. Recommendations for anesthesia and perioperative management in patients with Ehlers-Danlos syndrome(s). ORPHANET JOURNAL OF RARE DISEASES. 2014;9.
- IEEE
- [1]T. Wiesmann, M. Castori, F. Malfait, and H. Wulf, “Recommendations for anesthesia and perioperative management in patients with Ehlers-Danlos syndrome(s),” ORPHANET JOURNAL OF RARE DISEASES, vol. 9, 2014.
@article{8638780, abstract = {{Ehlers-Danlos syndrome (EDS, ORPHA98249) comprises a group of clinically and genetically heterogeneous heritable connective tissue disorders, chiefly characterized by joint hypermobility and instability, skin texture anomalies, and vascular and soft tissue fragility. As many tissues can be involved, the underlying molecular defect can manifest itself in many organs and with varying degrees of severity, with widespread implications for anesthesia and perioperative management. This review focuses on issues relevant for anesthesia for elective and emergency surgery in EDS. We searched the literature for papers related to all EDS variants; at the moment most of the published data deals with the vascular subtype and, to a lesser extent, classic and hypermobility EDS. Knowledge is fragmented and consists mostly of case reports, small case series and expert opinion. Because EDS patients commonly require surgery, we have summarized some recommendations for general, obstetrical and regional anesthesia, as well as for hemostatic therapy.}}, articleno = {{109}}, author = {{Wiesmann, Thomas and Castori, Marco and Malfait, Fransiska and Wulf, Hinnerk}}, issn = {{1750-1172}}, journal = {{ORPHANET JOURNAL OF RARE DISEASES}}, keywords = {{Ehlers-Danlos syndrome,EDS,Anesthesia,Orphan disease,Rare disease,General anesthesia,Epidural anesthesia,Spinal anesthesia,Connective tissue,JOINT HYPERMOBILITY SYNDROME,SYNDROME TYPE-IV,SYNDROME HYPERMOBILITY TYPE,IV,VASCULAR-TYPE,COMPLICATIONS,DISORDERS,DESMOPRESSIN,COAGULATION,GUIDELINES,PREGNANCY,PLATELET,THERAPY}}, language = {{eng}}, pages = {{9}}, title = {{Recommendations for anesthesia and perioperative management in patients with Ehlers-Danlos syndrome(s)}}, url = {{http://doi.org/10.1186/s13023-014-0109-5}}, volume = {{9}}, year = {{2014}}, }
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