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Difficult airway with difficult regional anaesthesia for lower limb orthopaedic surgeries in patients with ankylosing spondylitis- What should we opt for?

Authors:

M Singh ,

Asst Professor, Dept of Anaesthesiology, Govt. Medical College & Hospital, IN
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S Chaudhary,

Dir. Professor, Dept of Anaesthesiology and Critical Care UCMS and GTB Hospital, Dilshad Garden, Delhi, IN
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AK Arya,

Asst Professor, Dept of Neuroanaesthesiology, Institute of Human Behaviour and Allied Sciences, Dilshad Garden, Delhi, IN
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S Kumar

Ex-Senior Resident, Dept of Anaesthesiology and Critical Care UCMS and GTB Hospital, Dilshad Garden, Delhi,, IN
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Abstract

A difficult airway in an ankylosing spondylitis patient may be a nightmare for an anaesthesiologist. We report a case of a 60-year-old man who was scheduled for open reduction and internal fixation of left femur shaft fracture. He was diagnosed with ankylosing spondylitis with multiple extra-spinal joint involvements. He had hypertension and COPD with a history of exposures to general anesthesia twice in the past 15 years. He was a chronic tobacco chewer and had a difficult airway. He was managed successfully with a paramedian approach of spinal anaesthesia.

DOI: http://dx.doi.org/10.4038/slja.v20i1.4274   

Sri Lankan Journal of Anaesthesiology 20(1): 39-42 (2012)   

How to Cite: Singh, M. et al., (2012). Difficult airway with difficult regional anaesthesia for lower limb orthopaedic surgeries in patients with ankylosing spondylitis- What should we opt for?. Sri Lankan Journal of Anaesthesiology. 20(1), pp.39–42. DOI: http://doi.org/10.4038/slja.v20i1.4274
Published on 21 Apr 2012.
Peer Reviewed

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