Anaesthesia for Hip Replacement in Ankylosing Spondylitis

Abstract

SummaryThirteen total hip replacements in 8 patients with ankylosing spondylitis are reviewed. Complications of the disease which can lead to anaesthetic difficulties are discussed, and the importance of a preoperative visit and the value of indirect laryngoscopy emphasized. As intubation problems may occur, especially in undiagnosed cases, equipment for emergency intubation should always be readily available. The results fully justify the operation.

Anaesthetic management of a vaginal hysterectomy case with an unanticipated failure of epidural injection due to fused lumbar spine

“…A typical case of AS involves various articular junctions including atlanto-occipital, cervical spine, temporo-mandibular and crico-arytenoid joints, which confronts the anesthesiologist to an extremely difficult challenge for airway management. [56] The literature is abundant with such reports where the involvement of cervical spine in ankylosis leads to higher rate of on-table mortality and morbidity. [7] The radiological appearance in case of AS typically reveals a “bamboo spine” which was difficult to ascertain in our patient as the X-ray showed only fusion of lumbar spine and not typically the features of AS, which is mainly due to the bony fusion caused by syndesmophytes.…”

Case study: Managing a case of ankylosing spondylitis for inguinal hernia repair

“…Previously, patients undergoing surgical procedures were subjected either to awake direct laryngoscopy and intubation or to tracheostomy. 5,6 Currently, airway management is highly evolved, with an array of specialised devices and techniques. This includes (i) tracheal tube guides, (ii) supraglottic devices, such as an LMA™, and (iii) video laryngoscopes.…”

Combined Fascia Iliaca and Sciatic Nerve Block for Hip Surgery in the Presence of Severe Ankylosing Spondylitis

“…Two articles were excluded because of insufficient information, 6,7 leaving 16 articles (summarized in Table 1). 3,[8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] A total of 23 patients received 29 hip surgeries and anesthesia, including 26 hip replacements, 1 revision of a total hip replacement, 16 1 removal of infected hip prosthesis, 15 and 1 surgical wound debridement of an abscess of the right hip. 18 Twenty-three surgeries were performed under general anesthesia, with 4 initially planned for central neuraxial blockade but converted to general anesthesia because of failed central neuraxial blockade.…”