Is regional anesthesia a safe technique for patients with severe ankylosing spondylitis undergoing total hip replacement surgery?
DOI:
https://doi.org/10.18203/2349-2902.isj20183214Keywords:
Ankylosing spondylitis, Epidural anaesthesia, Spinal anaesthesiaAbstract
Background: Authors report two cases of regional anesthesia management whom were scheduled for total hip replacement surgery due to ankylosing spondylitis.
Methods: Mouth opening, and cervical spine movements were limited. Cervical ostheophytes have been recognized to cause distortion of the airway and can lead to unexpected difficulties during intubation.
Results: In present first case report we described continuous spinal anesthesia for a patient with severe ankylosing spondylitis. We achieved successful anesthesia using epidural catheter by insertion of spinal area. Awake epidural anesthesia management was described in second case of the study.
Conclusions: Authors suggest that regional anesthesia can be safely and effectively used as an alternative to general anesthesia in patients with ankylosing spondylitis.
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