Sugammadex use in difficult intubation due to ankylosing spondylitis and severe restrictive respiratory disease
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Yakup Tomak, Habib Bostan, Başar Erdivanlı 1 * , Ahmet Şen
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1 Rize Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, Rize, Turkey* Corresponding Author

Abstract

We describe anesthesia management of a 50-year-old man scheduled for thoracic spinal reconstruction, presenting with severe restrictive respiratory disease and difficult airway due to ankylosing spondilitis. The patient was unable to extend his head, had difficulty in breathing and sleeping in supine position due to thoracal deformities. The patient was intubated using intubating laryngeal mask airway to overcome the difficulties of limited mouth opening and head extension. He was extubated following administration of sugammadex to obtain optimal conditions in terms of respiratory muscle function and to prevent hypersecretion and bronchospasm.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Case Report

J Clin Exp Invest, Volume 3, Issue 3, September 2012, 398-400

https://doi.org/10.5799/ahinjs.01.2012.03.0187

Publication date: 11 Sep 2012

Article Views: 2468

Article Downloads: 912

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