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Article: Case report: Spinal anesthesia by mini-laminotomy for a patient with ankylosing spondylitis who was difficult to anesthetize
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TitleCase report: Spinal anesthesia by mini-laminotomy for a patient with ankylosing spondylitis who was difficult to anesthetize
 
AuthorsLeung, KH1
Chiu, KY1
Wong, YW1
Lawmin, JC1
 
Issue Date2010
 
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.corronline.com/
 
CitationClinical Orthopaedics And Related Research, 2010, v. 468 n. 12, p. 3415-3418 [How to Cite?]
DOI: http://dx.doi.org/10.1007/s11999-010-1317-5
 
AbstractBackground: Orthopaedic surgeons frequently encounter patients with ankylosing spondylitis who would benefit from various types of lower limb operations; however, some of these patients present challenges for anesthesiologists. Case Description: We report the case of a 65-year-old patient with a fractured femoral component 30 years after a cemented THA. The patient had severe tracheal stenosis and ankylosing spondylitis making general endotracheal and conventional neuraxial anesthesia nearly impossible. Literature Review: Possible alternative anesthetic approaches described in the literature include awake fiberoptic bronchoscopic guided intubation, laryngeal mask airway, and caudal anesthesia. Purposes and Clinical Relevance: We achieved successful anesthesia using spinal laminotomy with the patient under local anesthesia followed by insertion of a spinal catheter and injection of an anesthetic agent. The loosened component was revised to a cementless THA. © 2010 The Author(s).
 
DescriptionCase report
 
ISSN0009-921X
2012 Impact Factor: 2.787
2012 SCImago Journal Rankings: 1.715
 
DOIhttp://dx.doi.org/10.1007/s11999-010-1317-5
 
PubMed Central IDPMC2974874
 
ISI Accession Number IDWOS:000288440700039
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorLeung, KH
 
dc.contributor.authorChiu, KY
 
dc.contributor.authorWong, YW
 
dc.contributor.authorLawmin, JC
 
dc.date.accessioned2011-05-31T07:27:23Z
 
dc.date.available2011-05-31T07:27:23Z
 
dc.date.issued2010
 
dc.description.abstractBackground: Orthopaedic surgeons frequently encounter patients with ankylosing spondylitis who would benefit from various types of lower limb operations; however, some of these patients present challenges for anesthesiologists. Case Description: We report the case of a 65-year-old patient with a fractured femoral component 30 years after a cemented THA. The patient had severe tracheal stenosis and ankylosing spondylitis making general endotracheal and conventional neuraxial anesthesia nearly impossible. Literature Review: Possible alternative anesthetic approaches described in the literature include awake fiberoptic bronchoscopic guided intubation, laryngeal mask airway, and caudal anesthesia. Purposes and Clinical Relevance: We achieved successful anesthesia using spinal laminotomy with the patient under local anesthesia followed by insertion of a spinal catheter and injection of an anesthetic agent. The loosened component was revised to a cementless THA. © 2010 The Author(s).
 
dc.description.naturepublished_or_final_version
 
dc.descriptionCase report
 
dc.description.otherSpringer Open Choice, 31 May 2011
 
dc.identifier.citationClinical Orthopaedics And Related Research, 2010, v. 468 n. 12, p. 3415-3418 [How to Cite?]
DOI: http://dx.doi.org/10.1007/s11999-010-1317-5
 
dc.identifier.citeulike6914301
 
dc.identifier.doihttp://dx.doi.org/10.1007/s11999-010-1317-5
 
dc.identifier.eissn1528-1132
 
dc.identifier.epage3418
 
dc.identifier.hkuros195971
 
dc.identifier.isiWOS:000288440700039
 
dc.identifier.issn0009-921X
2012 Impact Factor: 2.787
2012 SCImago Journal Rankings: 1.715
 
dc.identifier.issue12
 
dc.identifier.pmcidPMC2974874
 
dc.identifier.pmid20300899
 
dc.identifier.scopuseid_2-s2.0-78649301356
 
dc.identifier.spage3415
 
dc.identifier.urihttp://hdl.handle.net/10722/133803
 
dc.identifier.volume468
 
dc.languageeng
 
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.corronline.com/
 
dc.publisher.placeUnited States
 
dc.relation.ispartofClinical Orthopaedics and Related Research
 
dc.relation.referencesReferences in Scopus
 
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License
 
dc.rightsThe original publication is available at www.springerlink.com
 
dc.rightsThe Author(s)
 
dc.subject.meshAnesthesia, Spinal - methods
 
dc.subject.meshArthroplasty, Replacement, Hip
 
dc.subject.meshHip Joint - radiography - surgery
 
dc.subject.meshLaminectomy
 
dc.subject.meshSpondylitis, Ankylosing - complications - radiography - surgery
 
dc.titleCase report: Spinal anesthesia by mini-laminotomy for a patient with ankylosing spondylitis who was difficult to anesthetize
 
dc.typeArticle
 
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Author Affiliations
  1. Queen Mary Hospital Hong Kong