A UNIQUE CASE OF ANKYLOSING SPONDYLITIS WITH ACUTE ON CHRONIC LARYNGITIS SECONDARY TO GASTRO ESOPHAGEAL REFLUX DISEASE (GERD) PRESENTING FOR TOTAL HIP REPLACEMENT SURGERY

Sharanu Patil; Ravi Narayanan; Bhagirath. S. N.

Volume : V, Issue : III, March - 2016

A UNIQUE CASE OF ANKYLOSING SPONDYLITIS WITH ACUTE ON CHRONIC LARYNGITIS SECONDARY TO GASTRO ESOPHAGEAL REFLUX DISEASE (GERD) PRESENTING FOR TOTAL HIP REPLACEMENT SURGERY

Sharanu Patil, Ravi Narayanan, Bhagirath. S. N.

Abstract :

 Perioperative management of a case of ankylosing spondylitis with co–morbidities presenting for major surgery poses significant challenges to anaesthesiologist in view of difficulties encountered in airway management, technical challenges in performing central neuraxial block and associated involvement of various organ systems. This difficulty is further confounded in the setting of pre–existent chronic laryngitis with hoarseness of voice and GERD. We report a case of ankylosing spondylitis in an elderly male associated with severe flexion deformity at neck with chronic laryngitis and essential hypertension posted for total hip replacement surgery.