Journal of Research & Innovation in Anesthesia

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VOLUME 3 , ISSUE 1 ( 2018 ) > List of Articles

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Ankylosing Spondylitis: Challenges in Anesthetic Management for Elective Orthopedic Surgeries

Sarika S Naik, Channabasava Patil

Keywords : Ankylosing spondylitis, Caudal epidural block, Central neuraxial block, Lumbar plexus block.

Citation Information : Naik SS, Patil C. Ankylosing Spondylitis: Challenges in Anesthetic Management for Elective Orthopedic Surgeries. Res Inno in Anesth 2018; 3 (1):18-21.

DOI: 10.5005/jp-journals-10049-0042

License: CC BY-SA 4.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Ankylosing spondylitis (AS) is a chronic inflammatory disease of the axial skeleton in which the inflammatory process starts from the sacroiliac joints and spreads cephalad to affect the spine up to the cervical level along with costovertebral joints. These changes make administration of both general and regional anesthesia difficult. Patients with chronic diseases of the spine and altered anatomy pose technical challenges to the anesthesiologist. Hence, airway management and achieving central neuraxial blockade may be impossible. Complications of difficult intubation can be avoided by regional anesthesia with an added advantage of postoperative analgesia and faster recovery of the patient.


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