Difficult airway management in an ankylosing spondylitis case using video laryngoscope: a case report

I Ankylosing spondylitis (AS) known as autoimmune disease with chronic inflammation within vertebral bone, characterized bamboo spine. AS cervical and temporomandibular joint involvement can lead to difficult airway. In this report, we present an patient severe ARDS (acute respiratory distress syndrome) due COVID-19 who was successfully intubated using video laryngoscope. A-37 years old male, came emergency room in agitated condition, history of spine involvement, pulmonary tuberculosis 2008, haven’t been vaccinated (COVID-19). This diagnosed GCS 3-1-3, rate 36 times per minute, maximum peripheral saturation only 90% Jackson Rees pCO2 103 mmHg. These conditions are indication for endotracheal intubation. With the aid laryngoscope, intubation performed. Improvements blood gas analysis were obtained after included criteria over 30 minute more than 100 Based on airway predictor (MOANS, LEMON, RODS SHORT), categorized hard ventilate intubate so it is necessary prepare supraglottic device if fails or surgical cricothyrotomy fail. conditions, ideally performed without muscle relaxants awake The use laryngoscope a recommended procedure management head neck trauma cases. availability every hospital will maximize Indonesia.