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Taylor’s Approach to Rescue: A Case of Undiagnosed Alkaptonuria Undergoing Bilateral Total Knee Replacement

Authors:

Bhimala Naga Ramya,

Pondicherry Institute of Medical Sciences, IN
About Bhimala
Junior Resident, Department of Anaesthesiology and Critical care
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Sujil Sudhersan,

Pondicherry Institute of Medical Sciences, IN
About Sujil
Junior Resident, Department of Anaesthesiology and Critical care
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Sivakumar Segaran

Pondicherry Institute of Medical Sciences, IN
About Sivakumar
Associate Professor, Department of Anaesthesiology and Critical care
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Abstract

Alkaptonuria is a rare inherited autosomal recessive metabolic disorder due to the deficiency of homogentisic acid oxidase resulting in accumulation of homogentisic acid in collagen and cartilaginous tissue resulting in stiffening of joints, spine and involving other systems which pose challenges to anaesthesiologist in providing anaesthesia. Here we present a patient with undiagnosed alkaptonuria who was posted for bilateral total knee replacement. Since these patients usually have reduced intervertebral spaces, neuraxial anaesthesia was difficult with classic approach. Taylor’s approach was used for neuraxial anaesthesia and, post-operative analgesia was achieved with continuous femoral nerve block with catheter placement.

How to Cite: Ramya, B.N., Sudhersan, S. and Segaran, S., 2021. Taylor’s Approach to Rescue: A Case of Undiagnosed Alkaptonuria Undergoing Bilateral Total Knee Replacement. Sri Lankan Journal of Anaesthesiology, 29(2), pp.114–117. DOI: http://doi.org/10.4038/slja.v29i2.8743
Published on 16 Nov 2021.
Peer Reviewed

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