Article

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

Published in: Southern African Journal of Anaesthesia and Analgesia
Volume 16 , issue 2 , 2010 , pages: 74–76

DOI: 10.1080/22201173.2010.10872667

Author(s): G Ramanathan Department of Anaesthesiology, , GG Jayakar Department of Anaesthesiology, , A Kuppuswamy Department of Anaesthesiology, , B Ramamurthy Department of Anaesthesiology, , S Patil Department of Anaesthesiology,

Keywords: ankylosing spondylitis (AS) , hernia block , nasopharyngeal airway

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Abstract

A 55-year-old man diagnosed with ankylosing spondylitis presented for inguinal hernia repair. The patient was found to have limited neck movement, thoracic kyphosis and restrictive lung disease. Surgery was performed under hernia block, which was inadequate. General anaesthesia was then administered and airway patency was maintained with an endotracheal tube used as a nasopharyngeal airway.

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