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medications (e.g., corticosteroids) Management Maintain skin and mucous membrane integrity Minimize handling and transfer of patients to prevent further epithelial damage or rupture of bullae Safe airway management Mucous membranes of the respiratory tract and pleura may be involved Ulcers in the nose, oropharynx, trachea, and bronchi increase the risk of hematemesis Avoid manipulation and trauma to the oral, tracheal, and laryngeal mucosa (lesions are often present) Avoid desquamation of the skin on the face during mask pre-oxygenation Difficulties getting venous access, application of monitors and anesthesia face masks, airways, laryngoscopy, and intubation Establish access over areas of normal epidermis Use invasive BP monitoring Use one smaller than the standard size for laryngeal mask airways Adhere to strict aseptic precautions at all stages (immune-compromised state and susceptibility to respiratory infection) Induction with etomidate or ketamine could provide better hemodynamic stability when compared to propofol or thiopental Non-depolarizing muscle relaxants are often used if muscle relaxation is necessary to avoid succinylcholine and the associated risk of hyperkalemia Fluid and electrolyte replacement Avoid hypothermia OR temperature 28C Warm i.v