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Anesthetic Management Using a Laryngeal Mask Airway for a Patient With Ankylosing Spondylitis: A Case Report.

Authors
  • Yamada, Masaharu1, 2
  • Tamura, Masataka1
  • Nunotani, Yoko1
  • Minami, Nobumasa1
  • Fuji, Kikuo1
  • 1 Department of Dentistry and Maxillo-facial Surgery, Komatsu Hospital, Osaka, Japan. , (Japan)
  • 2 Department of Dental Anesthesiology, Osaka University Graduate School of Dentistry, Osaka, Japan. , (Japan)
Type
Published Article
Journal
Anesthesia progress
Publication Date
Sep 01, 2022
Volume
69
Issue
3
Pages
36–37
Identifiers
DOI: 10.2344/anpr-69-02-03
PMID: 36223187
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Ankylosing spondylitis (AS), a type of chronic spondyloarthritis, significantly increases patients' risk of cervical spine fracture. We describe the anesthetic management of a 32-year-old male with AS who was scheduled to have bilateral mandibular third molar extractions under general anesthesia. To minimize the potential for cervical spine damage, a laryngeal mask airway was used for airway management while the patient's head was held firmly during surgery. Additionally, he developed a postoperative surgical infection that was attributed to his continued immunotherapy with infliximab. In patients with AS, postoperative infection control as well as cervical spine protection throughout the perioperative period is important. © 2022 by the American Dental Society of Anesthesiology.

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine. This record was last updated on 12/19/2022 and may not reflect the most current and accurate biomedical/scientific data available from NLM. The corresponding record at NLM can be accessed at https://www.ncbi.nlm.nih.gov/pubmed/36223187
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