Awake tracheal intubation with the intubating laryngeal mask in a patient with diffuse idiopathic skeletal hyperostosis.
Diffuse idiopathic skeletal hyperostosis, otherwise known as Forestier's disease or ankylosing hyperostosis, is a relatively common condition that is distinguished from ankylosing spondylitis by the relative preservation of spinal function and the characteristic 'candle flame' lipping of the vertebrae. We report a patient with this condition and a well-recorded history of impossible intubation who presented for emergency laparotomy. The patient was intubated awake using the intubating laryngeal mask and sedation and anaesthesia were provided by a target-controlled infusion of propofol.
Palmer
J H
JH
Department of Anaesthesia, Dumfries and Galloway Royal Infirmary, Bankend Road, Dumfries DG1 4AP, UK.
Ball
D R
DR
D000771:Anesthesia, Intravenous; D018686:Anesthetics, Intravenous; D005260:Female; D006801:Humans; D004057:Hyperostosis, Diffuse Idiopathic Skeletal; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods*; D017214:Laryngeal Masks; D008875:Middle Aged; D015742:Propofol
D018686:Anesthetics, Intravenous; D015742:Propofol