The Effect of Anaesthesia on Oral Fibreoptic Tracheal Intubation in A Patient of Ankylosing Spondylitis

Abstract

Airway management in patients with ankylosing spondylitis (AS) is a challenging problem for anaesthesiologists. The fibreoptic intubation (FOI) is designed to assist tracheal intubation for patients with a difficult airway. If we chose to do FOI, our first step is to decide whether to do a fibreoptic intubation with the patient anesthetized or awake. Once we’ve decided on anesthetized or awake, chose either the oral or nasal route. The aim of the study was to report the successful intubation by anesthetized nasal fibreoptic tracheal intubation of an AS patient after the failed intubation by anesthetized oral fibreoptic tracheal intubation because of a difficult airway found, and to discuss the effect of anaesthesia on oral fibreoptic tracheal intubation in patients with AS.