A Successful Aplication of the Caudal Block Anesthesia in Patient with Ankylosing Spondylitis Who Has Severe Kyphoscoliosis
Abstract
Ankylosing spondylitis (AS), is a chronic, progressive, otoimmune collagen tissue disease characterized by spine, sacroiliac, joint and neighboring tissue inflammation. AS is important for anaesthesiologists due to the problems that can occur during the application of general anesthesia and regional anesthesia. In this paper, we aim to present the caudal block method that we applied to a patient who is planned to have a hemorrhoidectomy operation. We planned to perform a hemorrhoidectomy operation with caudal block method to a 71 year-old patient who was diagnosed as AS 20 years ago. Preoperative evaluation of patients showed that ASA 2, mallompati 2 and neck joint mobility was limited. The caudal block anesthesia is applied to the patient at prone position with 12 cc, 0.5% isobaric bupivacaine. No complications were observed in patients in intraoperative or post-operative period. In conclusion, caudal block method is a convenient approach in anogenital region operations for patients with ankylosing spondylitis.
References
- Oliveira CRD. Ankylosing Spondylitis and Anesthesia. Rev Bras Anesthesiol 2007;57:214-22
- Defalque RJ, Hyder ML. Laryngeal mask airway insevere 1997;44:305-7 Can J Anaesth
- Woodward LJ, Kam PCA. Ankylosing spondilitis: recent developments and anaesthetic implication. Anaesthesia 2009;64:540-8
- Lai HY, Chen IH, Chen A, Hwang FY, Lee Y. The use of the GlideScope for tracheal intubation in patients with ankylosing spondilitis. Br J Anaesth 2006;97:419- 22
- Saringcarinkul A. Anesthetic considerations in severe ankylosing spondylitis. Chiang Mai Med J 2009;48:57- 63
- Salathe M, Johr M. Unsuspected cervical frac-tures: A in common Anesthesiology 1989;70:869-70 ankylosing spondylitis.
- Sciubba DM, Nelson C, Hsieh P, Gokaslan ZL, Ondra S, Bydon A. Perioperative challenges in the surgical management of ankylosing spondy-litis. Neurosurg Focus 2008;24:E10
- Viitanen JV, Kokko ML, Lehtinen K, et al. Correlation between mobility restrictions and radiologic changes in ankylosing spondylitis. Spine 1995;20:492-6
- Batra YK, Sharma A, Rajeev S. Total spinal anaesthesia following epidural test dose in an ankylosing spondyltic patient with anticipated difficult airway undergoing total hip replacement. Eur J Anaesthesiol 2006;23:890-8
- Najman IE, Frederico TN, Segurado AVR, Kimachi PP. Caudal epidural anesthesia: An anesthetic technique exclusive for pediatric use? Is it possible to use it in adults? What is the role of the ultrasound in this context? Rev Bras Anestesiol 2011;61:95-109
- İnce M. Erişkin perianal bölge hastalıkları cerrahisinde kaudal anestezi Anatol J Clin Investig 2011;5:169-72
- DeBoard JW, Ghia JN, Guilford WB.Caudal anesthesia in a patient with ankylosing spondylitis for hip surgery. Anesthesiology. 1981;54:164-6
İleri Derecede Kifozu Olan Ankilozan Spondilitli Hastada Kaudal Blok Anestezisinin Başarılı Bir Uygulaması
Abstract
Ankilozan Spondilit (AS), omurga, sakroiliak eklem ve komşu dokuların inflamasyonu ile karakterize, kronik otoimmün, ilerleyici bir kollajen doku hastalığıdır. AS, genel anestezi ve rejyonel anestezi uygulamalarında karşılaşılabilecek sorunlar nedeniyle anesteziyologlar için özel öneme sahiptir. Bu yazıda hemoroidektomi operasyonu planlanmış hastaya uyguladığımız kaudal blok yöntemini sunmayı amaçladık. Yirmi yıl önce AS tanısı almış, 71 yaşındaki erkek hastaya kaudal blok ile hemoroidektomi operasyonu yapılması planlandı. Hastanın preoperatif değerlendirmesinde ASA 2, mallampati 2 ve boyun eklem hareketlerinde kısıtlılık mevcuttu. Hastaya prone pozisyonunda 12cc. %0,5 izobarik bupivakainle kaudal blok uygulandı. Operasyon sırasında ve sonrasında hastada herhangi bir komplikasyon gözlenmedi. Sonuç olarak ankilozan spondilitli hastalarda anogenital bölge cerrahilerinde kaudal blok uygulaması uygun bir yaklaşım olabilir.
References
- Oliveira CRD. Ankylosing Spondylitis and Anesthesia. Rev Bras Anesthesiol 2007;57:214-22
- Defalque RJ, Hyder ML. Laryngeal mask airway insevere 1997;44:305-7 Can J Anaesth
- Woodward LJ, Kam PCA. Ankylosing spondilitis: recent developments and anaesthetic implication. Anaesthesia 2009;64:540-8
- Lai HY, Chen IH, Chen A, Hwang FY, Lee Y. The use of the GlideScope for tracheal intubation in patients with ankylosing spondilitis. Br J Anaesth 2006;97:419- 22
- Saringcarinkul A. Anesthetic considerations in severe ankylosing spondylitis. Chiang Mai Med J 2009;48:57- 63
- Salathe M, Johr M. Unsuspected cervical frac-tures: A in common Anesthesiology 1989;70:869-70 ankylosing spondylitis.
- Sciubba DM, Nelson C, Hsieh P, Gokaslan ZL, Ondra S, Bydon A. Perioperative challenges in the surgical management of ankylosing spondy-litis. Neurosurg Focus 2008;24:E10
- Viitanen JV, Kokko ML, Lehtinen K, et al. Correlation between mobility restrictions and radiologic changes in ankylosing spondylitis. Spine 1995;20:492-6
- Batra YK, Sharma A, Rajeev S. Total spinal anaesthesia following epidural test dose in an ankylosing spondyltic patient with anticipated difficult airway undergoing total hip replacement. Eur J Anaesthesiol 2006;23:890-8
- Najman IE, Frederico TN, Segurado AVR, Kimachi PP. Caudal epidural anesthesia: An anesthetic technique exclusive for pediatric use? Is it possible to use it in adults? What is the role of the ultrasound in this context? Rev Bras Anestesiol 2011;61:95-109
- İnce M. Erişkin perianal bölge hastalıkları cerrahisinde kaudal anestezi Anatol J Clin Investig 2011;5:169-72
- DeBoard JW, Ghia JN, Guilford WB.Caudal anesthesia in a patient with ankylosing spondylitis for hip surgery. Anesthesiology. 1981;54:164-6
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | April 1, 2013 |
| Published in Issue | Year 2013 Volume: 46 Issue: 1 |