ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Successful Spinal Anesthesia In A Case Ofankylosing Spondylitis
Necati ÇANAKÇI*, Meltem ÜNSAL**, Aynur AYDEMİR**, Yeşim ATEŞ*
* Assoc.Prof., Dept. of Anaesthesiology & Reanimation, Ankara University Medical Faculty,** Resident, Dept of Anaesthesiology & Reanimation, Ankara University Medical Faculty, Ankara, TURKEY
Objective: Although the difficulty of performing successful neuraxial blockade in ankylosing spondylitis is generally accepted, some reports have suggested regional anaesthesia in selected cases in which difficult airway is anticipated. We are reporting a case of ankylosing spondylitis with a previous history of difficult intubation, successfully managed by spinal anaesthesia.
Case Report: A 45-year-old man with a history of 20 years of ankylosing spondylitis was scheduled for elective left inguinal hernia repair. Previous history revealed unsuccessful attempt of endotracheal intubation 9 years before, for the repair of right inguinal hernia. Therefore general anaesthesia was not considered in the first place and successful spinal anaesthesia was achieved with heavy bupivacaine %0.5.
Conclusion: Patients with ankylosing spondylitis are challenging to the anaesthetists however neuraxial techniques should not be regarded as unachievable even in the complex cases.Keywords: Ankylosing spondylitis, Spinal anaesthesiaTurkiye Klinikleri J Med Sci 2001, 21:307-310
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