Case Studies

Managing a Case of Ankylosing Spondylitis for Hernia Repair - The Pitfalls

Gayathri Ramanathan, G G Jayakar, Anand Kuppuswamy, Balaji Ramamurthy, Surekha Patil
Southern African Journal of Anaesthesia and Analgesia | Vol 16, No 2 | a418 | DOI: https://doi.org/10.1080/22201173.2010.10872667 | © 2010 Gayathri Ramanathan, G G Jayakar, Anand Kuppuswamy, Balaji Ramamurthy, Surekha Patil | This work is licensed under CC Attribution 4.0
Submitted: 03 November 2025 | Published: 01 April 2010

About the author(s)

Gayathri Ramanathan,, India
G G Jayakar,
Anand Kuppuswamy,
Balaji Ramamurthy,
Surekha Patil,

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Abstract

A 55-year-old man diagnosed with ankylosing spondylitis presented for inguinal hernia repair. The patient was found to have limited neck movement, thoracic kyphosis and restrictive lung disease. Surgery was performed under hernia block, which was inadequate. General anaesthesia was then administered and airway patency was maintained with an endotracheal tube used as a nasopharyngeal airway.

Keywords

Ankylosing Spondylitis, Hernia block, nasopharyngeal airway

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