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CASE REPORT
Year : 2019  |  Volume : 3  |  Issue : 2  |  Page : 140-142

Awake intubation fiberoptic bronchoscope on pregnancy patient undergo decompression laminectomy and cervical fusion stabilization


Department of Anesthesiology and Intensive Care Faculty of Medicine, Udayana University Bali, Indonesia

Correspondence Address:
Tjokorda Gde Agung Senapathi
Department of Anesthesiology and Intensive Care, Faculty of Medicine, Udayana University, Jl. PB Sudirman, Denpasar 80232, Bali
Indonesia
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Source of Support: None, Conflict of Interest: None


DOI: 10.15562/bjoa.v3i2.185

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The traumatic and ankylosing cervical spine being rare in pregnancy can cause serious problems continuing a pregnancy. To minimise the risk of spinal cord injury, airway management providers must understand the anatomic and functional relationship between the airway, cervical column, and spinal cord. Extensive neurological involvement, which is rapidly progressive due to compression, should be considered for immediate decompression. To provide safe and efficient, practitioners must identify high-risk patients, be comfortable with available methods of airway adjuncts, and know-how airway manoeuvres, neck stabilisation, and positioning affect the cervical spine. For many anesthesiologists, awake fiberoptic bronchoscope intubation is the preferred method of intubation when treating patients with symptoms or signs of cervical spinal cord compression. The advantage of this method is to minimise the movement of the cervical spine, which can contribute to neurological disorders. We present a case of a patient in the 19th weeks with diagnosis C5 compression fracture and paracervical abscess C5 et causa suspect TB spondylosis, complaints with paralysis in all four limbs. Surgical intervention was deemed necessary and was performed in the prone position. The early operative treatment and appropriate anaesthetic procedure resulted in better clinical outcome with the improvement of neurological recovery.


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