UNANTICIPATED DIFFICULT AIRWAY MANAGEMENT IN A TRAUMA PATIENT WITH SEVERE ANKYLOSING SPONDYLITIS

Author:

Dissanayakege T. G.1,Fernando Marie2

Affiliation:

1. Senior Registrar, Department of Anaesthesia and Critical Care, National Hospital of Sri Lanka.

2. Consultant Anaesthetist, Department of Anaesthesia and Critical Care, National Hospital of Sri Lanka

Abstract

Ankylosing spondylitis is a chronic debilitating arthropathy affecting multiple joints in the body. Airway implications related to the disease pose a signicant challenge to the anaesthesiologists especially when an unanticipated difcult airway is encountered. A case of 42 year old trauma victim who needed an emergency denitive airway at ward set up, is reported here. Failed intubation due to complex airway anatomy associated with ankylosing spondylitis ensued him being ended up with an emergency surgical tracheostomy. Appropriate use of newer airway adjuncts and workplace soft skills contributed to successful management of an unanticipated difcult airway.

Publisher

World Wide Journals

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