Retrospective Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 16, 2021; 9(23): 6705-6716
Published online Aug 16, 2021. doi: 10.12998/wjcc.v9.i23.6705
Awake fiberoptic intubation and use of bronchial blockers in ankylosing spondylitis patients
Shao-Zhong Yang, Shan-Shan Huang, Wen-Bo Yi, Wei-Wei Lv, Liang Li, Feng Qi
Shao-Zhong Yang, Shan-Shan Huang, Wen-Bo Yi, Liang Li, Feng Qi, Department of Anesthesiology, Qilu Hospital of Shandong University, Jinan 250012, Shandong Province, China
Wei-Wei Lv, Department of Radiology, Qilu Hospital of Shandong University, Jinan 250012, Shandong Province, China
Author contributions: Yang SZ, Yi WB, and Qi F performed the research; Huang SS helped to analyze the data; Li L helped to collect the data; Lv WW provided imaging data; Yang SZ and Lv WW analyzed the data and wrote the manuscript; Qi F conducted the study and revised the manuscript; all authors have read and approved the final manuscript.
Supported by National Natural Science Foundation of China, No. 81672250; and Special Fund for Resident Training in Qilu Hospital of Shandong University, No. ZPZX2019A08.
Institutional review board statement: The study was approved by the Ethics Committee of the Qilu Hospital of Shandong University (No. KYLL-202008-033).
Informed consent statement: Written informed consent from the patients in this study was waived.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
Data sharing statement: No data sharing.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Feng Qi, MD, Chief Physician, Department of Anesthesiology, Qilu Hospital of Shandong University, No. 107 Wenhua West Road, Jinan 250012, Shandong Province, China. qifeng66321@sina.com
Received: January 7, 2021
Peer-review started: January 7, 2021
First decision: February 12, 2021
Revised: February 21, 2021
Accepted: April 20, 2021
Article in press: April 20, 2021
Published online: August 16, 2021
Processing time: 210 Days and 6.3 Hours
Core Tip

Core Tip: To summarize the drugs and their optimal doses for awake fiberoptic nasotracheal intubation in patients with ankylosing spondylitis (AS), and to evaluate the pulmonary isolation effect of one-lung ventilation with bronchial blocker, 12 AS patients complicated with lung or esophageal cancer underwent thoracotomy with a bronchial blocker. The final conclusion is that AS patients with severe cervical and thoracic kyphosis should be intubated by fiberoptic bronchoscopy under conscious sedation and topical anesthesia. Bronchial blocker is safe and effective for one-lung ventilation in such patients during thoracotomy.