ANKİLOZAN SPONDİLİTLİ GEBEDE ANESTEZİ YÖNETİMİ

Abstract

Ankilozan spondilit seronegatif spondiloartropatiler grubundan ağrılı, kronik, inflamatuar bir hastalıktır. Ankilozan spondilit’li hastalarda zor entübasyon ihtimali, eşlik eden hastalıkların varlığı ve nöroaksial blok uygulama zorluklarını hatırlamak çok önemlidir.

Biz bu olgu sunumunda 32 yaşında, 165 cm boyunda ve 96 kg ağırlığında 40 haftalık gebe hastayı inceledik. Ağız açıklığı 4 cm, tiromental mesafe 7 cm ve mallampati skoru 2 idi. Hastanın 4 yıldır ankilozan spondilit tanısı mevcuttu. Hastanın boyun ekstansiyonunda ve lomber bölge fleksiyonunda kısıtlılık tespit edildi. Gebelik esnasında gestasyonel diyabet tanısı ile takip edildiğini öğrenildi.      Hastaya oturur pozisyonda tek seferde sağ paramedian yaklaşımla spinal anestezi uygulandı. İşlem sırasında ve sonrasında herhangi bir komplikasyon olmadı.

Keywords

• Ankilozan spondilit,spinal anestezi,gebelik

The Management of Anaesthesia in a Pregnant with Ankylosing Spondylitis

Abstract

Ankylosing spondylitis is a painful, chronic, inflammatory disease in the group of seronegative spondyloarthropathies. It is very important to remember the possibility of difficult intubation, the presence of concomitant diseases and neuraxial block implementation challenges in AS patients.

In this article we presented a case report 32-year-old, 165 cm tall, 96 kg, 40 weeks pregnant patient. The mouth opening was 4 cm, mallampati score was II and the thyromental distance was 7cm. The patient was diagnosed as ankylosing spondylitis for 4 years. Limitations were identified in the patient's neck extension and flexion of the lumbar region. It is learned that she was being followed with diagnosis of gestational diabetes during pregnancy.

Spinal anesthesia was administered to the patient in seated position with right paramedian approach at once. There were no complications during and after the procedure.

Keywords

• Ankylosing spondylitis,spinal anesthesia,pregnancy

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