Abstract
Ankilozan spondilitte omurga kemiklerinin füzyonu ile sırt ve boyunda esneklik kaybı gelişir. Hastalığın ileri evrelerinde servikal, torakal ve lumbal vertebraların ankilozu nedeniyle havayolu yönetiminde zorluklarla karşılaşılabilir. Bu sunumda, solunum sıkıntısı nedeniyle acil trakeostomi gerektiren ve ağız açıklığı ile boyun hareketlerinin ileri derecede kısıtlı oluşu nedeniyle zor havayolu beklenen ankilozan spondilitli bir hastaya uyanıkken uygulanan fiberoptik nazotrakeal entübasyon anlatılmıştır.
References
- Referans 1. Woodward LJ, Kam PC. Ankylosing spondylitis: recent developments and anaesthetic implications. Anaesthesia. 2009;64(5):540-8.
- Referans 2. Solak S, Ozyuvaci EN, Toprak N, Bilgi D, Akyol O. Fiberoptic Nasotracheal Intubation in an Awake Patient with Severe Ankylosing Spondylitis: a Case Report. Istanbul Med J 2012;13(4):207-210.
- Referans 3. Sağır Ö, Özaslan S, Meriç Y, Arslan İ, Köroğlu A. Ankilozan Spondilitli Olguda Anestezi Uygulaması. Balikesir Saglik Bil Derg 2012;1(1):19-22.
- Referans 4. Özgül Ü, Yücel A, Kayhan GE, Aslan A, Ersoy MÖ. Ankilozan Spondilitli bir Hastada Lateral Yaklaşımla Spinal Anestezi Uygulaması: Olgu Sunumu. JIUMF 2012; 19(3): 175-6.
- Referans 5. Lu PP, Brimacombe J, Ho AC, Shyr MH, Liu HP. The intubating laryngeal mask airway in severe ankylosing spondylitis. Can J Anaesth. 2001;48(10):1015-9.
- Referans 6. Wang PK, Luo PH, Chen A, Chen TY, Lai HY. Emergency tracheal intubation in an ankylosing spondylitis patient in the lateral position using the GlideScope. Acta Anaesthesiol Taiwan. 2008;46(2):80-1.
- Referans 7. Lili X, Zhiyong H, Jianjun S. A comparison of the GlideScope with the Macintosh laryngoscope for nasotracheal intubation in patients with ankylosing spondylitis. J Neurosurg Anesthesiol. 2014;26(1):27-31.
- Referans 8. Özkan AS, Nasır SN. Difficult Airway Management in Field Conditions: Somalia Experience. Turk J Anaesth Reanim. 2015; 43(5): 352-355. DOI: 10.5152/TJAR.2015.24445
Awake Fiberoptic Nasotracheal Intubation of a Patient with Ankylosing Spondylitis Expected Difficult Intubation
Abstract
Fusion of vertebral bones in ankylosing spondylitis causes flexibility loss in the neck and back. In advanced stages of the disease, airway management can be difficult due to the ankylosis of the cervical, thoracic, and lumbar vertebrae. In this paper, we report the awake fiber–optic nasotracheal intubation of a patient with expected difficult airway due to ankylosing spondylitis, whose extremely limited mouth opening and neck mobility required an urgent tracheostomy, causing respiratory distress.
Keywords
Ankylosing Spondylitis difficult airway tracheostomy awake fiber–optic nasotracheal intubation
References
- Referans 1. Woodward LJ, Kam PC. Ankylosing spondylitis: recent developments and anaesthetic implications. Anaesthesia. 2009;64(5):540-8.
- Referans 2. Solak S, Ozyuvaci EN, Toprak N, Bilgi D, Akyol O. Fiberoptic Nasotracheal Intubation in an Awake Patient with Severe Ankylosing Spondylitis: a Case Report. Istanbul Med J 2012;13(4):207-210.
- Referans 3. Sağır Ö, Özaslan S, Meriç Y, Arslan İ, Köroğlu A. Ankilozan Spondilitli Olguda Anestezi Uygulaması. Balikesir Saglik Bil Derg 2012;1(1):19-22.
- Referans 4. Özgül Ü, Yücel A, Kayhan GE, Aslan A, Ersoy MÖ. Ankilozan Spondilitli bir Hastada Lateral Yaklaşımla Spinal Anestezi Uygulaması: Olgu Sunumu. JIUMF 2012; 19(3): 175-6.
- Referans 5. Lu PP, Brimacombe J, Ho AC, Shyr MH, Liu HP. The intubating laryngeal mask airway in severe ankylosing spondylitis. Can J Anaesth. 2001;48(10):1015-9.
- Referans 6. Wang PK, Luo PH, Chen A, Chen TY, Lai HY. Emergency tracheal intubation in an ankylosing spondylitis patient in the lateral position using the GlideScope. Acta Anaesthesiol Taiwan. 2008;46(2):80-1.
- Referans 7. Lili X, Zhiyong H, Jianjun S. A comparison of the GlideScope with the Macintosh laryngoscope for nasotracheal intubation in patients with ankylosing spondylitis. J Neurosurg Anesthesiol. 2014;26(1):27-31.
- Referans 8. Özkan AS, Nasır SN. Difficult Airway Management in Field Conditions: Somalia Experience. Turk J Anaesth Reanim. 2015; 43(5): 352-355. DOI: 10.5152/TJAR.2015.24445
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | CASE REPORT |
| Authors | |
| Publication Date | January 18, 2018 |
| Acceptance Date | October 16, 2017 |
| Published in Issue | Year 2018 Volume: 23 Issue: 2 |
This Journal licensed under a CC BY-NC (Creative Commons Attribution-NonCommercial 4.0) International License.