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Airway Management in a Patient with Severe Ankylosing Spondylitis Causing Bamboo Spine: Use of Aintree Intubation Catheter

Articles

Journal/Conference:

JCPSP-JOURNAL OF THE COLLEGE OF PHYSICIANS AND SURGEONS PAKISTAN

Language:

English

Author:

Ul Haq Muhammad Irfan; Shamim Faisal; Lal Shankar; Shafiq Faraz

Year:

2015

Volume:

25

Issue:

12

Pages:

900-902

Keywords:

Airway management; Aintree intubation catheter; Ankylosing spondylitis; Fiberoptic intubation; Bamboo spine

Management of a case of ankylosing spondylitis can be very challenging as the airway and the central neuraxial blockade are extremely difficult to handle. Fiberoptic intubation may lead to predictable success in the face of difficult airway. We are presenting a new technique of fiberoptic intubation in a young patient, suffering from severe ankylosing spondylitis, came for total hip replacement surgery. There was anticipated difficult airway due to severe limitation in neck movement and it was successfully managed by using Aintree Intubation Catheter (AIC) with intubating fiberoptic bronchoscope.