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Year : 1998  |  Volume : 44  |  Issue : 2  |  Page : 43-6

Difficult intubation in a case of ankylosing spondylitis: a case report.

Department of Anaesthesia and Orthopaedics, Seth G.S. Medical College, Mumbai.

Correspondence Address:
U S Kamarkar
Department of Anaesthesia and Orthopaedics, Seth G.S. Medical College, Mumbai.

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Source of Support: None, Conflict of Interest: None

PMID: 0010703569

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A case of severe ankylosing spondylitis involving the entire spine was to be operated for lumbar osteotomy. She had fixed rigidity of the cervical spine with minimal rotational movement, inability to lie down supine and severe restrictive lung disease with hypoxemia (pO2 = 65 mmHg). An awake intubation was performed and the patient was operated under general anaesthesia in the prone position. Intraoperative "wake-up" test was performed to judge whether extent of straightening was excessive. Postoperatively, she was electively ventilated and extubated uneventfully after 24 hours.


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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow