CASE REPORT
Year : 2010  |  Volume : 4  |  Issue : 1  |  Page : 38-41

Retrograde intubation in a case of ankylosing spondylitis posted for correction of deformity of spine


1 Assistant Professor, Department of Anesthesia, P. S. Medical College, Karamsad, Gujarat,India
2 Additional Professor, Department of Anesthesia, P. S. Medical College, Karamsad, Gujarat,India
3 Professor and Head, Department of Anesthesia, P. S. Medical College, Karamsad, Gujarat,India

Correspondence Address:
Chetankumar Raval
Al-Nahdha Hospital, Ministry of Health, P.O.: 937, P.C: 112, Ruwi, Muscat, Oman

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1658-354X.62616

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Ankylosing spondylitis (AS) patients are most challenging. These patient present the most serious array of intubation and difficult airway imaginable, secondary to decrease or no cervical spine mobility, fixed flexion deformity of thoracolumbar spine and possible temporomandibular joint disease. Sound clinical judgment is critical for timing and selecting the method for airway intervention. The retrograde intubation technique is an important option when fiberoptic bronchoscope is not available, and other method is not applicable for gaining airway access for surgery in prone position. We report a case of AS with fixed flexion deformity of thoracic and thoracolumbar spine, fusion of posterior elements of cervical spine posted for lumbar spinal osteotomy with anticipated difficult intubation. An awake retrograde oral intubation with light sedation and local block is performed.


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