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KMID : 0352120160310010034
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Journal of Kyung Hee University
2016 Volume.31 No. 1 p.34 ~ p.37
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Fiberoptic Nasal Awake Intubation in a Patient of Ankylosing Spondylitis with Traumatic Cervical Spine Injury
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Abstract
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Traumatic cervical fracture compressing the spinal cord increase risk of existing neurological condition during tracheal intubation. Preexisting ankylosing spondylitis with cervical spine involvement makes spinal column more rigid and introduces difficulty in airway management. In a patient of ankylosing spondylitis with traumatic cervical spine injury, awake fiberoptic intubation is the gold standard to reduce cervical spine movement and preserve spinal cord function during intubation. We report a fiberoptic nasal awake intubation in such patient with limited oral opening due to braces.
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KEYWORD
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Ankylosing spondylitis, Awake fiberoptic intubation
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