Awake tracheal intubation with the intubating laryngeal mask in a patient with diffuse idiopathic skeletal hyperostosis

✍ Scribed by J. H. MacG. Palmer; D. R. Ball

• Publisher: John Wiley and Sons
• Year: 2000
• Tongue: English
• Weight: 147 KB
• Volume: 55
• Category: Article
• ISSN: 0003-2409
• DOI: 10.1046/j.1365-2044.2000.01121.x

✦ Synopsis

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.