Article: Case report: Spinal anesthesia by mini-laminotomy for a patient with ankylosing spondylitis who was difficult to anesthetize

File Download Links for fulltext
(May Require Subscription)
Supplementary
  • Basic View
  • Metadata View
  • XML View
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
2011 Impact Factor: 2.533
2011 SCImago Journal Rankings: 0.141
DOIhttp://dx.doi.org/10.1007/s11999-010-1317-5
ISI Accession Number IDWOS:000288440700039
PubMed Central IDPMC2974874
ReferencesReferences in Scopus
DC Field
Value
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
2011 Impact Factor: 2.533
2011 SCImago Journal Rankings: 0.141
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
Author Affiliations
  1. Queen Mary Hospital Hong Kong