Open AccessManagement of a case of ankylosing spondylitis for percutaneous nephrolithotomy in prone position under combined spinal epidural anesthesia
Author(s) -
Preeti Rustagi,
Geeta A. Patkar,
Bharati A Tendolkar
Publication year - 2016
Publication title -
medical journal of dr. d y patil university/medical journal of dr. d.y. patil university
Language(s) - English
Resource type - Journals
eISSN - 2278-7119
pISSN - 0975-2870
DOI - 10.4103/0975-2870.194228
Subject(s) - medicine , ankylosing spondylitis , prone position , percutaneous nephrolithotomy , surgery , neuraxial blockade , anesthesia , combined spinal epidural , airway management , airway , percutaneous , spinal anesthesia
Management of a case of ankylosing spondylitis (AS) can be very challenging where airway and central neuraxial blockade, both are difficult. Surgical positioning under anesthesia in these patients is also demanding due to risk of iatrogenic fractures and spinal cord trauma. We present a case of AS for percutaneous nephrolithotomy in prone position performed under combined spinal epidural anesthesia successfully. Regional anesthesia gave us the advantage of having an awake patient who could maintain his head and neck posture thereby minimizing the risk of any neurological deterioration while positioning