{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:30:02Z","timestamp":1791333002791,"version":"4.3.1"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"vor","delay-in-days":126,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Anesthesiology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Epidermolysis bullosa (EB) is a rare genetic disorder causing fragile skin and mucous membranes, leading to blistering from minor trauma. Managing anesthesia in EB patients is challenging due to their delicate airways, limited mobility, and need for repeated surgeries. We describe the perioperative management of a 9\u2010year\u2010old girl with dystrophic EB undergoing esophageal dilation. Preoperative assessment showed limited mouth opening, poor dentition, restricted neck movement, and extensive scarring, requiring a difficult airway approach. Anesthesia was induced intravenously, and intubation was successful on the first attempt using a lubricated video laryngoscope and cuffed tube, avoiding trauma. Monitoring was adapted to eliminate adhesives, and padding was used to prevent new blisters. The procedure was completed without complications, and extubation was performed while the patient was awake. This highlights the importance of preparation, teamwork, and tailored anesthetic techniques to ensure safety in EB patients, helping reduce risks and guiding management.<\/jats:p>","DOI":"10.1155\/cria\/5513410","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T10:37:48Z","timestamp":1778150268000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Navigating Anesthesia in Fragile Patients: A Case Report on Esophageal Dilation in a 9\u2010Year\u2010Old Patient With Epidermolysis Bullosa"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2227-139X","authenticated-orcid":false,"given":"Yumna Abdulmalek","family":"Bokhari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rayan Mohammed","family":"Bakhreba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed Abdalmajid","family":"Nyaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,7]]},"reference":[{"key":"e_1_2_9_1_2","doi-asserted-by":"publisher","DOI":"10.5455\/annalsmedres.2019.10.616"},{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.5152\/tjar.2016.49260"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.4038\/slja.v27i2.8405"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.28982\/josam.872798"},{"key":"e_1_2_9_5_2","article-title":"Stanford Adult Epidermolysis Bullosa Anesthesia Protocol","author":"Mittal B. M.","year":"2022","journal-title":"A & A Case Reports"},{"key":"e_1_2_9_6_2","unstructured":"OpenAnesthesia Epidermolysis Bullosa\u2013Anesthetic Considerations https:\/\/www.openanesthesia.org\/keywords\/epidermolysis-bullosa\/."},{"key":"e_1_2_9_7_2","first-page":"573","article-title":"Anesthetic Management of Epidermolysis Bullosa: Experience with 129 Anesthetics in 32 Patients","volume":"78","author":"Fine J. D.","year":"1994","journal-title":"Anesthesia & Analgesia"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0000000000005749"},{"key":"e_1_2_9_9_2","first-page":"348","article-title":"Anesthetic Management and Outcomes of Patients with Epidermolysis Bullosa","volume":"10","author":"Narejo A. S.","year":"2016","journal-title":"Saudi Journal of Anaesthesia"},{"key":"e_1_2_9_10_2","unstructured":"Lucile Packard Children\u2019s Hospital. Pediatric Anesthesia and Pain Management: Guidelines for the Anesthetic Management of EB 2020."},{"key":"e_1_2_9_11_2","article-title":"Anesthetic Management of a Patient with Epidermolysis Bullosa for Esophageal Dilatation: A Case Report","volume":"9","author":"Kandemir E.","year":"2022","journal-title":"Clinical Medical Reviews and Case Reports"}],"container-title":["Case Reports in Anesthesiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cria\/5513410","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/cria\/5513410","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cria\/5513410","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T10:37:51Z","timestamp":1778150271000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/cria\/5513410"}},"subtitle":[],"editor":[{"given":"Vinicius","family":"Quintao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/cria\/5513410"],"URL":"https:\/\/doi.org\/10.1155\/cria\/5513410","archive":["Portico"],"relation":{},"ISSN":["2090-6382","2090-6390"],"issn-type":[{"value":"2090-6382","type":"print"},{"value":"2090-6390","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-12-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"5513410"}}