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Case Studies | Anaesthesiology | India | Volume 14 Issue 3, March 2025 | Popularity: 4.9 / 10
Delayed Intervention in a Patient with Ankylosing Spondylitis may be Detrimental - A Case Report
Dr. Sunita Som, Dr. Sudeshna Bhar Kundu, Dr. Depanwita Som
Abstract: Ankylosing spondylitis (AS) presents a unique challenge in perioperative management, particularly in patients with severe disease progression. This case report highlights the intricate difficulties faced by anesthesiologists while handling a 55 - year - old male with an advanced, immobilizing form of AS undergoing surgery for a right malleolus fracture. In my view, the complexities were not just technical but also deeply rooted in the patient?s delayed medical intervention and deteriorating cardiopulmonary function. The case underscores how spinal rigidity, airway restrictions, and compromised pulmonary reserve can significantly complicate anesthesia administration, despite careful planning and multiple contingencies in place. It is evident that the absence of early cardiopulmonary assessments, exacerbated by patient discharge and readmission, led to a situation where intraoperative and postoperative respiratory distress became difficult to manage. The rapid decline in pulmonary function post - surgery, culminating in respiratory failure, reinforces the urgent need for standardized screening protocols in AS patients scheduled for surgery. This suggests that a more proactive approach, integrating high - resolution imaging and pulmonary function testing at the preoperative stage, could improve patient outcomes. Ultimately, while surgical advancements continue to evolve, this case demonstrates that timely intervention, multidisciplinary coordination, and individualized anesthetic strategies remain critical in ensuring the safety of AS patients undergoing surgery.
Keywords: Ankylosing spondylitis, central neuraxial blockade, delayed intervention
Edition: Volume 14 Issue 3, March 2025
Pages: 443 - 445
DOI: https://www.doi.org/10.21275/MR25309225829
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