A Successful Aplication of the Caudal Block Anesthesia in Patient with Ankylosing Spondylitis Who Has Severe Kyphoscoliosis

Ankylosing spondylitis (AS), is a chronic, progressive, otoimmune collagen tissue disease characterized by spine, sacroiliac, joint and neighboring tissue inflammation. AS is important for anaesthesiologists due to the problems that can occur during the application of general anesthesia and regional anesthesia. In this paper, we aim to present the caudal block method that we applied to a patient who is planned to have a hemorrhoidectomy operation.
We planned to perform a hemorrhoidectomy operation with caudal block method to a 71 year-old patient who was diagnosed as AS 20 years ago. Preoperative evaluation of patients showed that ASA 2, mallompati 2 and neck joint mobility was limited. The caudal block anesthesia is applied to the patient at prone position with 12 cc, 0.5% isobaric bupivacaine. No complications were observed in patients in intraoperative or post-operative period. In conclusion, caudal block method is a convenient approach in anogenital region operations for patients with ankylosing spondylitis.

Ýleri Derecede Kifozu Olan Ankilozan Spondilitli Hastada Kaudal Blok Anestezisinin Baþarýlý Bir Uygulamasý

Ankilozan Spondilit (AS), omurga, sakroiliak eklem ve komþu dokularýn inflamasyonu ile karakterize, kronik otoimmün, ilerleyici bir kollajen doku hastalýðýdýr. AS, genel anestezi ve rejyonel anestezi uygulamalarýnda karþýlaþýlabilecek sorunlar nedeniyle anesteziyologlar için özel öneme sahiptir. Bu yazýda hemoroidektomi operasyonu planlanmýþ hastaya uyguladýðýmýz kaudal blok yöntemini sunmayý amaçladýk.
Yirmi yýl önce AS tanýsý almýþ, 71 yaþýndaki erkek hastaya kaudal blok ile hemoroidektomi operasyonu yapýlmasý planlandý. Hastanýn preoperatif deðerlendirmesinde ASA 2, mallampati 2 ve boyun eklem hareketlerinde kýsýtlýlýk mevcuttu. Hastaya prone pozisyonunda 12cc. %0,5 izobarik bupivakainle kaudal blok uygulandý. Operasyon sýrasýnda ve sonrasýnda hastada herhangi bir komplikasyon gözlenmedi. Sonuç olarak ankilozan spondilitli hastalarda anogenital bölge cerrahilerinde kaudal blok uygulamasý uygun bir yaklaþým olabilir.