Cargando…
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...
Autores principales: | , , , |
---|---|
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 |
_version_ | 1782190909965729792 |
---|---|
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. |
format | Text |
id | pubmed-2974874 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Springer-Verlag |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT leungkh casereportspinalanesthesiabyminilaminotomyforapatientwithankylosingspondylitiswhowasdifficulttoanesthetize AT chiuky casereportspinalanesthesiabyminilaminotomyforapatientwithankylosingspondylitiswhowasdifficulttoanesthetize AT wongyw casereportspinalanesthesiabyminilaminotomyforapatientwithankylosingspondylitiswhowasdifficulttoanesthetize AT lawminjc casereportspinalanesthesiabyminilaminotomyforapatientwithankylosingspondylitiswhowasdifficulttoanesthetize |