Document Detail

Emergency tracheal intubation in an ankylosing spondylitis patient in the lateral position using the GlideScope.
MedLine Citation:
PMID:  18593654     Owner:  NLM     Status:  MEDLINE    
Anesthesia for ankylosing spondylitis (AS) patients with difficult airway is of great stress to anesthesiologists. If tracheal intubation is not mandatory for general anesthesia, laryngeal mask airway (LMA) may suffice for adequate ventilation. Yet, in certain circumstances, no one can guarantee that LMA will reliably serve the purpose in surgical AS patients, especially in operations performed in the lateral decubitus position. We present here an AS patient with difficult airway scheduled for hip surgery. General anesthesia with sevoflurane conveyed by an LMA through spontaneous ventilation in the lateral decubitus position was planned, and the induction was smoothly done. Unfortunately, laryngospasm and oxygen desaturation occurred during the operation; the patient was successfully rescued by nasal intubation with a GlideScope in the lateral decubitus position without interrupting the operation.
Po-Kai Wang; Po-Han Luo; Albert Chen; Tsung-Ying Chen; Hsien-Yong Lai
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists     Volume:  46     ISSN:  1875-4597     ISO Abbreviation:  -     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-07-02     Completed Date:  2008-10-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101214918     Medline TA:  Acta Anaesthesiol Taiwan     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  80-1     Citation Subset:  IM    
Department of Anesthesiology, Buddhist Tzu Chi General Hospital and Buddhist Tzu Chi University,Hualien, Taiwan, R.O.C.
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MeSH Terms
Intubation, Intratracheal / instrumentation*
Spondylitis, Ankylosing / complications*

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