Taylor′s approach in an ankylosing spondylitis patient posted for percutaneous nephrolithotomy: A challenge for anesthesiologists

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...

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Main Authors: Jindal Parul, Chopra Gaurav, Chaudhary Amit, Rizvi Aslam, Sharma J
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2009-01-01
Series:Saudi Journal of Anaesthesia
Subjects:
Online Access:http://www.saudija.org/article.asp?issn=1658-354X;year=2009;volume=3;issue=2;spage=87;epage=90;aulast=Jindal
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author Jindal Parul
Chopra Gaurav
Chaudhary Amit
Rizvi Aslam
Sharma J
author_facet Jindal Parul
Chopra Gaurav
Chaudhary Amit
Rizvi Aslam
Sharma J
author_sort Jindal Parul
collection DOAJ
description 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.
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spelling doaj.art-0630632fa94d438fa12f1ebcb07c959b2022-12-21T19:04:12ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X0975-31252009-01-01328790Taylor&#x2032;s approach in an ankylosing spondylitis patient posted for percutaneous nephrolithotomy: A challenge for anesthesiologistsJindal ParulChopra GauravChaudhary AmitRizvi AslamSharma JWe 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&#x2032;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.http://www.saudija.org/article.asp?issn=1658-354X;year=2009;volume=3;issue=2;spage=87;epage=90;aulast=Jindal<i>Ankylosing spondylitisTaylor&#x2032;s approachpercutaneous nephrolithotomy </i>
spellingShingle Jindal Parul
Chopra Gaurav
Chaudhary Amit
Rizvi Aslam
Sharma J
Taylor&#x2032;s approach in an ankylosing spondylitis patient posted for percutaneous nephrolithotomy: A challenge for anesthesiologists
Saudi Journal of Anaesthesia
<i>Ankylosing spondylitis
Taylor&#x2032;s approach
percutaneous nephrolithotomy </i>
title Taylor&#x2032;s approach in an ankylosing spondylitis patient posted for percutaneous nephrolithotomy: A challenge for anesthesiologists
title_full Taylor&#x2032;s approach in an ankylosing spondylitis patient posted for percutaneous nephrolithotomy: A challenge for anesthesiologists
title_fullStr Taylor&#x2032;s approach in an ankylosing spondylitis patient posted for percutaneous nephrolithotomy: A challenge for anesthesiologists
title_full_unstemmed Taylor&#x2032;s approach in an ankylosing spondylitis patient posted for percutaneous nephrolithotomy: A challenge for anesthesiologists
title_short Taylor&#x2032;s approach in an ankylosing spondylitis patient posted for percutaneous nephrolithotomy: A challenge for anesthesiologists
title_sort taylor x2032 s approach in an ankylosing spondylitis patient posted for percutaneous nephrolithotomy a challenge for anesthesiologists
topic <i>Ankylosing spondylitis
Taylor&#x2032;s approach
percutaneous nephrolithotomy </i>
url http://www.saudija.org/article.asp?issn=1658-354X;year=2009;volume=3;issue=2;spage=87;epage=90;aulast=Jindal
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