Espondilite anquilosante e anestesia

Oliveira, Carlos Rogério Degrandi

doi:10.1590/s0034-70942007000200011

Cited by 9 publications

(6 citation statements)

References 37 publications

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“…[ 3 ] The progressive involvement of the cervical spine with reduced to absent neck movements, flexion deformities and ankylosis of the temporomandibular joints with reduced mouth opening; makes airway accessibility difficult in AS. [ 1 4 ] Therefore, it becomes imperative to determine the dose and volume of local anaesthetic administered during SAB. The clinical judgement, expert opinion and the limited evidence available justify the use of SAB in infra-umbilical extraperitoneal, perineal and lower limb surgeries.…”

Section: Discussionmentioning

confidence: 99%

“…The airway and axial skeleton involvement in ankylosing spondylitis (AS) poses unique challenges to the anaesthesiologists. [ 1 ] The spinal manifestations comprise of spondylitis, diskitis, arthritis and enthesitis. These lead to progressive stiffness, ossification of the axial ligaments [ Figure 1 ], obliteration of the intervertebral spaces and syndesmophytes formation; hindering access to the central neuraxial space.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Fluoroscopic-guided paramedian approach to subarachnoid block in patients with ankylosing spondylitis: A case series

Gupta¹,

Gupta²

2018

Indian J Anaesth

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Fluoroscopic-guided paramedian approach to subarachnoid block in patients with ankylosing spondylitis: A case series

Gupta¹,

Gupta²

2018

Indian J Anaesth

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“…No caso da necessidade de anestesia geral, é difícil caso a mobilidade cervical esteja comprometida, ou então com a abertura bucal limitada se houver alguma restrição na articulação temporomandibular. Além disso, o envolvimento extra-articular também pode complicar a administração da anestesia geral (Oliveira, 2007;Hoffman et al 2012).…”

Section: Características Gerais E Gestaçãounclassified

“…Por esses motivos, é muito importante que essas pacientes passem por uma avaliação com o anestesiologista durante a gestação, para que ele e o médico obstetra elaborem uma melhor conduta (Oliveira, 2007).…”

Section: Características Gerais E Gestaçãounclassified

Espondilite anquilosante na gestação

Almeida¹,

Nunes²,

Piardi³

et al. 2022

RSD

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Caracterizada por lombalgia, rigidez matinal, fadiga e limitação funcional progressiva a Espondilite Anquilosante (EA), tratasse de uma doença inflamatória crônica, considerada parte do grupo das espondiloartrites. Frequentemente confundida com outras patologias devido a queixa de dor lombar ser comum na população em geral. Esta revisão bibliográfica buscou esclarecer e investigar o desenvolvimento da Espondilite Anquilosante durante o período gestacional. Por meio de seleção de artigos, utilizando a plataforma Scielo (Scientific Eletronic Library Online) e PubMed, foram selecionados 55 artigos, dos quais 17 fundamentaram esta revisão. Por meio de pesquisas bibliográficas realizada através de buscas pelos descritores “espondilite anquilosante e gestação” (ankylosing spondylitis and pregnancy) espondilitis anquilosante y embarazo), “tratamento espondilite anquilosante na gestação”( treatment of ankylosing spondylitis in pregnancy/ tratamiento de la espondilitis anquilosante en el embarazo), “complicações da espondilite anquilosante na gestação” (complications of ankylosing spondylitis in pregnancy/ complicaciones de la espondilitis anquilosante en el embarazo), “fatores de risco da gestação com espondilite anquilosante” (risk factors of pregnancy with ankylosing spondylitis/factores de riesgo para el embarazo con espondilitis anquilosante). Associado ao quadro gestacional e as limitações da doença com a pausa do tratamento, existe uma probabilidade de o período gestacional acarretar no progresso da doença para a portadora.

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“…AS with accentuated kyphoscoliosis and rigidity is a relative contra-indication for videolaparascopic abdomino-thoracic surgery. 25…”

Section: Anaesthetic Implicationsmentioning

confidence: 99%

Ankylosing spondylitis: what all should anaesthesiologist know?

Lakhotia

Longani²,

Gupta³

2022

IJCA

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Ankylosing Spondylitis (AS) may present significant issues to the anaesthesiologist as potential difficult airway, respiratory and cardiovascular complications, and the concomitant medication therapy to modify symptoms and disease. Awake fibreoptic intubation (AFOI) is a safe option in anticipated difficult airway, as it permits neurological monitoring throughout the attempt at achieving definitive airway. Central neuraxial blockade and peripheral nerve blocks may have good application for these cases. This morbidity renders the patients to greater risk of neurological complications in the peri-surgical period. Neurophysiological monitoring assists the clinician in timely diagnosis and intervention during surgery for cervical spine deformity correction. Addition of anti-tumour necrosis factor-α agents to the medical management has resulted in improved outcomes, however, with concomitant increased potential for wound infections in treated patients. Understanding of potential issues can pave the way for appropriate perioperative management.

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Espondilite anquilosante e anestesia

Cited by 9 publications

References 37 publications

Fluoroscopic-guided paramedian approach to subarachnoid block in patients with ankylosing spondylitis: A case series

Fluoroscopic-guided paramedian approach to subarachnoid block in patients with ankylosing spondylitis: A case series

Espondilite anquilosante na gestação

Ankylosing spondylitis: what all should anaesthesiologist know?

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