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Management of a Patient With Ankylosing Spondylitis and Multiple Comorbidities Who Underwent a Percutaneous
Ranjay Mahaseth1, Mridul Dhar1, Revanth B Challa2
1Anaesthesiology, All India Institute of Medical Sciences, Rishikesh, IND.
Abstract:
Ankylosing spondylitis (AS) is a chronic inflammatory disorder leading to bony ankylosis, ossification, and fibrosis of the spine. Airway management is difficult in these patients due to restricted head and neck movement as well as a stiff body posture. This also poses challenges in lying down supine as well as surgical positioning. We report a case of a patient with AS and multiple co-morbidities who underwent a percutaneous nephrolithotomy for renal calculi, and the customisations made in anaesthetic and surgical techniques to safely perform the procedure.
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