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Case Report: Spinal Anesthesia by Mini-laminotomy for a Patient with Ankylosing Spondylitis who was Difficult to Anesthetize

BACKGROUND: Orthopaedic surgeons frequently encounter patients with ankylosing spondylitis who would benefit from various types of lower limb operations; however, some of these patients present challenges for anesthesiologists. CASE DESCRIPTION: We report the case of a 65-year-old patient with a fra...

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Detalles Bibliográficos
Autores principales: Leung, K. H., Chiu, K. Y., Wong, Y. W., Lawmin, J. C.
Formato: Texto
Lenguaje:English
Publicado: Springer-Verlag 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2974874/
https://www.ncbi.nlm.nih.gov/pubmed/20300899
http://dx.doi.org/10.1007/s11999-010-1317-5
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author Leung, K. H.
Chiu, K. Y.
Wong, Y. W.
Lawmin, J. C.
author_facet Leung, K. H.
Chiu, K. Y.
Wong, Y. W.
Lawmin, J. C.
author_sort Leung, K. H.
collection PubMed
description BACKGROUND: Orthopaedic surgeons frequently encounter patients with ankylosing spondylitis who would benefit from various types of lower limb operations; however, some of these patients present challenges for anesthesiologists. CASE DESCRIPTION: We report the case of a 65-year-old patient with a fractured femoral component 30 years after a cemented THA. The patient had severe tracheal stenosis and ankylosing spondylitis making general endotracheal and conventional neuraxial anesthesia nearly impossible. LITERATURE REVIEW: Possible alternative anesthetic approaches described in the literature include awake fiberoptic bronchoscopic guided intubation, laryngeal mask airway, and caudal anesthesia. PURPOSES AND CLINICAL RELEVANCE: We achieved successful anesthesia using spinal laminotomy with the patient under local anesthesia followed by insertion of a spinal catheter and injection of an anesthetic agent. The loosened component was revised to a cementless THA.
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spelling pubmed-29748742010-11-29 Case Report: Spinal Anesthesia by Mini-laminotomy for a Patient with Ankylosing Spondylitis who was Difficult to Anesthetize Leung, K. H. Chiu, K. Y. Wong, Y. W. Lawmin, J. C. Clin Orthop Relat Res Case Report BACKGROUND: Orthopaedic surgeons frequently encounter patients with ankylosing spondylitis who would benefit from various types of lower limb operations; however, some of these patients present challenges for anesthesiologists. CASE DESCRIPTION: We report the case of a 65-year-old patient with a fractured femoral component 30 years after a cemented THA. The patient had severe tracheal stenosis and ankylosing spondylitis making general endotracheal and conventional neuraxial anesthesia nearly impossible. LITERATURE REVIEW: Possible alternative anesthetic approaches described in the literature include awake fiberoptic bronchoscopic guided intubation, laryngeal mask airway, and caudal anesthesia. PURPOSES AND CLINICAL RELEVANCE: We achieved successful anesthesia using spinal laminotomy with the patient under local anesthesia followed by insertion of a spinal catheter and injection of an anesthetic agent. The loosened component was revised to a cementless THA. Springer-Verlag 2010-03-19 2010-12 /pmc/articles/PMC2974874/ /pubmed/20300899 http://dx.doi.org/10.1007/s11999-010-1317-5 Text en © The Author(s) 2010 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
spellingShingle Case Report
Leung, K. H.
Chiu, K. Y.
Wong, Y. W.
Lawmin, J. C.
Case Report: Spinal Anesthesia by Mini-laminotomy for a Patient with Ankylosing Spondylitis who was Difficult to Anesthetize
title Case Report: Spinal Anesthesia by Mini-laminotomy for a Patient with Ankylosing Spondylitis who was Difficult to Anesthetize
title_full Case Report: Spinal Anesthesia by Mini-laminotomy for a Patient with Ankylosing Spondylitis who was Difficult to Anesthetize
title_fullStr Case Report: Spinal Anesthesia by Mini-laminotomy for a Patient with Ankylosing Spondylitis who was Difficult to Anesthetize
title_full_unstemmed Case Report: Spinal Anesthesia by Mini-laminotomy for a Patient with Ankylosing Spondylitis who was Difficult to Anesthetize
title_short Case Report: Spinal Anesthesia by Mini-laminotomy for a Patient with Ankylosing Spondylitis who was Difficult to Anesthetize
title_sort case report: spinal anesthesia by mini-laminotomy for a patient with ankylosing spondylitis who was difficult to anesthetize
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2974874/
https://www.ncbi.nlm.nih.gov/pubmed/20300899
http://dx.doi.org/10.1007/s11999-010-1317-5
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