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Sugammadex use in difficult intubation due to ankylosing spondylitis and severe restrictive respiratory disease

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Author(s): Yakup Tomak | Habib Bostan | Başar Erdivanlı | Ahmet Şen

Journal: Journal of Clinical and Experimental Investigations
ISSN 1309-8578

Volume: 3;
Issue: 3;
Start page: 398;
Date: 2012;
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Keywords: Restrictive lung disease | airway management | laryngeal masks | sugammadex | ankylosing spondylitis

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. J Clin Exp Invest 2012; 3 (3): 398-400Key words: Restrictive lung disease, airway management, laryngeal masks, sugammadex, ankylosing spondylitis
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