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Awake tracheal intubation with the intubating laryngeal mask in a patient with diffuse idiopathic skeletal hyperostosis
Author(s) -
Palmer J. H. MacG.,
Ball D. R.
Publication year - 2000
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1046/j.1365-2044.2000.01121.x
Subject(s) - medicine , diffuse idiopathic skeletal hyperostosis , hyperostosis , ankylosing spondylitis , intubation , tracheal intubation , anesthesia , surgery , propofol , laryngoscopy , laparotomy , sedation , ossification
Diffuse idiopathic skeletal hyperostosis, otherwise known as Forestier's disease or ankylosing hyperostosis, is a relatively common condition that is distinguished from ankylosing spondylitis by the relative preservation of spinal function and the characteristic ‘candle flame’ lipping of the vertebrae. We report a patient with this condition and a well‐recorded history of impossible intubation who presented for emergency laparotomy. The patient was intubated awake using the intubating laryngeal mask and sedation and anaesthesia were provided by a target‐controlled infusion of propofol.