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Case Report: Double Visualization Intubation Strategy for Patients With Ankylosing Spondylitis

BACKGROUND: Ankylosing spondylitis is an autoimmune disease involving the axial bone. Because it leads to rigidity of the spine and joints, especially when involving the cervical spine, it will cause a difficult airway, creating a major challenge for airway management. Herein, we report presents a d...

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Autores principales: Chen, Wei-can, Lin, Shu, He, He-fan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8971514/
https://www.ncbi.nlm.nih.gov/pubmed/35372400
http://dx.doi.org/10.3389/fmed.2022.659624
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author Chen, Wei-can
Lin, Shu
He, He-fan
author_facet Chen, Wei-can
Lin, Shu
He, He-fan
author_sort Chen, Wei-can
collection PubMed
description BACKGROUND: Ankylosing spondylitis is an autoimmune disease involving the axial bone. Because it leads to rigidity of the spine and joints, especially when involving the cervical spine, it will cause a difficult airway, creating a major challenge for airway management. Herein, we report presents a double visual intubation strategy for severe ankylosing spondylitis patients who are difficult to intubate with a video laryngoscope. CASE PRESENTATION: A 31-year-old patient with severe ankylosing spondylitis has a seriously restricted neck movement that makes it hard to insert a tracheal tube using only a video laryngoscope. With the aid of video laryngoscope, we then guided the endotracheal intubation using a lighted stylet. Eventually, the oropharynx was opened sufficiently so that the tracheal tube could be rapidly introduced below the epiglottis and entered the glottis. CONCLUSION: In conclusion, the video laryngoscope is a viable operation to assist lighted stylet guided endotracheal intubation in severe ankylosing spondylitis patients after video laryngoscope intubation failure.
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spelling pubmed-89715142022-04-02 Case Report: Double Visualization Intubation Strategy for Patients With Ankylosing Spondylitis Chen, Wei-can Lin, Shu He, He-fan Front Med (Lausanne) Medicine BACKGROUND: Ankylosing spondylitis is an autoimmune disease involving the axial bone. Because it leads to rigidity of the spine and joints, especially when involving the cervical spine, it will cause a difficult airway, creating a major challenge for airway management. Herein, we report presents a double visual intubation strategy for severe ankylosing spondylitis patients who are difficult to intubate with a video laryngoscope. CASE PRESENTATION: A 31-year-old patient with severe ankylosing spondylitis has a seriously restricted neck movement that makes it hard to insert a tracheal tube using only a video laryngoscope. With the aid of video laryngoscope, we then guided the endotracheal intubation using a lighted stylet. Eventually, the oropharynx was opened sufficiently so that the tracheal tube could be rapidly introduced below the epiglottis and entered the glottis. CONCLUSION: In conclusion, the video laryngoscope is a viable operation to assist lighted stylet guided endotracheal intubation in severe ankylosing spondylitis patients after video laryngoscope intubation failure. Frontiers Media S.A. 2022-03-18 /pmc/articles/PMC8971514/ /pubmed/35372400 http://dx.doi.org/10.3389/fmed.2022.659624 Text en Copyright © 2022 Chen, Lin and He. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Chen, Wei-can
Lin, Shu
He, He-fan
Case Report: Double Visualization Intubation Strategy for Patients With Ankylosing Spondylitis
title Case Report: Double Visualization Intubation Strategy for Patients With Ankylosing Spondylitis
title_full Case Report: Double Visualization Intubation Strategy for Patients With Ankylosing Spondylitis
title_fullStr Case Report: Double Visualization Intubation Strategy for Patients With Ankylosing Spondylitis
title_full_unstemmed Case Report: Double Visualization Intubation Strategy for Patients With Ankylosing Spondylitis
title_short Case Report: Double Visualization Intubation Strategy for Patients With Ankylosing Spondylitis
title_sort case report: double visualization intubation strategy for patients with ankylosing spondylitis
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8971514/
https://www.ncbi.nlm.nih.gov/pubmed/35372400
http://dx.doi.org/10.3389/fmed.2022.659624
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