Caudal anesthesia for hemorrhoidectomy in a patient with ankylosing spondylitis: A case report

Ankylosing spondylitis has always been a challenge to anesthesiologists due to its multisystem involvement. Both airway management and regional anesthesia administration is quite difficult as vertebral and ligaments fusion makes spine stiff and neck movements difficult. We report a case of a 42-year...

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Published inSantosh University Journal of Health Sciences Vol. 7; no. 2; pp. 53 - 55
Main Authors Lakhanpal, Mahima, Kumar, Ritesh, Yadav, Isha, Sarkar, Debapriya, Aggarwal, Ankita
Format Journal Article
LanguageEnglish
Published Ghaziabad Medknow Publications & Media Pvt. Ltd 01.10.2021
Subjects
Arthritis
Case reports
Epidural
Hemorrhoids
Regional anesthesia
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Summary:Ankylosing spondylitis has always been a challenge to anesthesiologists due to its multisystem involvement. Both airway management and regional anesthesia administration is quite difficult as vertebral and ligaments fusion makes spine stiff and neck movements difficult. We report a case of a 42-year-old male posted for hemorrhoidectomy with a stiff spine and negligible neck movement. The successful caudal epidural block was administered after failure to reach subarachnoid space in multiple attempts.
ISSN:2455-1732
DOI:10.4103/2455-1732.331788