Kumar C M, Mehta M
South Cleveland Hospital, Middlesbrough, UK.
Can J Anaesth. 1995 Jan;42(1):73-6. doi: 10.1007/BF03010575.
We describe three patients with long-standing ankyolsing spondylitis (AS) who underwent lower limb joint surgery under spinal anaesthesia. At preoperative assessment, it was considered that intubation of the trachea was likely to be difficult or impossible and previous general anaesthesia was associated with increased morbidity. Midline approach spinal anaesthesia failed but the lateral approach was successful. Spinal anaesthesia was induced using a 24 gauge Sprotte (Pajunk) needle with 3.5 ml heavy bupivacaine 0.5% at the L3-4 interspace with the patients in the sitting position. This resulted in adequate sensory blockade for the surgical procedure. None of the patients required airway interventions but equipment and aids to secure airway were available.
我们描述了三名患有长期强直性脊柱炎（AS）的患者，他们在脊髓麻醉下接受了下肢关节手术。在术前评估中，认为气管插管可能困难或无法进行，且既往全身麻醉会增加发病率。中线入路脊髓麻醉失败，但侧方入路成功。患者取坐位，在L3 - 4间隙使用24G Sprotte（Pajunk）针，注入3.5ml 0.5%重比重布比卡因诱导脊髓麻醉。这为手术提供了充分的感觉阻滞。所有患者均无需气道干预，但备有确保气道安全的设备和辅助工具。
