Open AccessTaylor′s approach in an ankylosing spondylitis patient posted for percutaneous nephrolithotomy: A challenge for anesthesiologists
Author(s) -
Parul Jindal,
Gaurav Chopra,
Amit Chaudhary,
Aslam Aziz Rizvi,
J.P. Sharma
Publication year - 2009
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/1658-354x.57879
Subject(s) - medicine , percutaneous nephrolithotomy , ankylosing spondylitis , surgery , airway , intubation , anesthesia , endotracheal intubation , neuraxial blockade , percutaneous , copd , lumbosacral joint , spinal anesthesia , psychiatry
We describe a patient with long-standing ankylosing spondylitis who underwent percutaneous nephrolithotomy under spinal anesthesia. At preoperative assessment, it was considered that intubation of the trachea was likely to be difficult. Fiberoptic bronchoscopy was attempted, but without success. As the standard technique for spinal anesthesia failed, a variation of the paramedian approach in the lumbosacral approach, also known as Taylor's approach was successfully attempted. This resulted in adequate sensory and motor blockade for the surgical procedure. The patient did not require airway interventions, but equipment and aids to secure airway were available.