Open reduction and internal fixation of fracture femur in a patient with severe ankylosing spondylitis utilizing continuous caudal epidural anaesthesia

Authors

  • Aman Thakur Department of Anaesthesia, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India
  • Priyanka Sood Department of Anaesthesia, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India
  • Shelly Rana Department of Anaesthesia, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India
  • Sudarshan Kumar Department of Anaesthesia, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20171877

Keywords:

Ankylosing spondylitis, Caudal, Epidural

Abstract

We describe a patient with severe ankylosing spondylitis scheduled to undergo open reduction and internal fixation. We emphasise on alternative anaesthetic management in view of non-availability of fiberoptic bronchoscope and unwillingness of patient to go to higher centre. Regional (continuous caudal epidural) anesthesia has been used as technique of choice.

References

Kamarkar US, Chaudhari LS, Hosalkar H, Budhi M, Venkataraghavan D. Difficult intubation in a case of ankylosing spondylitis: a case report. J Postgrad Med. 1998;43:4.

Jindal P, Chopra G, Chaudhary A, Rizvi AA, Sharma JP. Taylor’s approach in Spondylitis patient posted for percutaneous nephrolithotomy: A challenge for Anesthesiologists. Saudi J Anaesth. 2009;3(2):43-6.

Kumar K, Bhatt S, Dhimar A, Parekh R: Anaesthetic management for total hip Replacement in a case of ankylosing spondylitis. The Internet Journal of Anesthesiology. 2007;12(2):1-7.

Chin KJ, Chan V. Ultrasonography as a preoperative assessment Tool: Predicting the feasibility of Central Neuraxial Blockade. Anesth Analg. 2010;110:252-3.

Deoboard JW, Ghia JN, Guilford WB. Caudal anesthesia in a patient with Ankylosing spondylitis for hip surgery. Anesthesiology. 1981;54:164-6.

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Published

2017-04-26

How to Cite

Thakur, A., Sood, P., Rana, S., & Kumar, S. (2017). Open reduction and internal fixation of fracture femur in a patient with severe ankylosing spondylitis utilizing continuous caudal epidural anaesthesia. International Journal of Research in Medical Sciences, 5(5), 2240–2242. https://doi.org/10.18203/2320-6012.ijrms20171877

Issue

Section

Case Reports