{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T02:11:16Z","timestamp":1768443076596,"version":"3.49.0"},"reference-count":5,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,1,4]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>This case highlights the unique and multidimensional challenges encountered in the anaesthetic management of a patient with severe kyphotic deformity undergoing orthopaedic surgery. The report illustrates the rare use of awake sitting fibreoptic tracheal intubation after failed spinal anaesthesia, with emphasis on airway innovation, regional analgesic adjuncts and strategic decision-making under anatomical constraints. We believe this case contributes significantly to the clinical knowledge base, particularly in managing complex spine-related deformities in anaesthesia practice.<\/jats:p>","DOI":"10.1136\/bcr-2025-267599","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T15:30:14Z","timestamp":1768404614000},"page":"e267599","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Conscious sitting fibreoptic tracheal intubation following failed spinal anaesthesia in severe kyphosis undergoing orthopaedic surgery"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3289-1365","authenticated-orcid":false,"given":"Amrita","family":"Banerjee","sequence":"first","affiliation":[{"name":"Anaesthesia and Critical Care, AIIMS Bilaspur, Bilaspur, Himachal Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayesha","family":"Goyal","sequence":"additional","affiliation":[{"name":"Anesthesiology and Critical Care, AIIMS Bilaspur, Bilaspur, HP, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunil","family":"Thakur","sequence":"additional","affiliation":[{"name":"Anesthesiology and Critical Care, AIIMS Bilaspur, Bilaspur, HP, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9628-0829","authenticated-orcid":false,"given":"Pooja","family":"Gurnal","sequence":"additional","affiliation":[{"name":"Anesthesia, All India Institute of Medical Sciences Bilaspur, Bilaspur, HP, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,1,14]]},"reference":[{"key":"2026011407300650000_19.1.e267599.1","doi-asserted-by":"crossref","first-page":"170","DOI":"10.4103\/aer.AER_1_20","article-title":"Anesthetic Challenges in a Patient with Severe Thoracolumbar Kyphoscoliosis","volume":"14","author":"Kaur","year":"2020","journal-title":"Anesth Essays Res"},{"key":"2026011407300650000_19.1.e267599.2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(82)90332-1"},{"key":"2026011407300650000_19.1.e267599.3","doi-asserted-by":"crossref","first-page":"761","DOI":"10.4103\/0975-2870.194226","article-title":"Subarachnoid block in kyphoscoliosis: A reliable technique?","volume":"9","author":"Misra","year":"2016","journal-title":"Med J DY Patil Univ"},{"key":"2026011407300650000_19.1.e267599.4","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aep096"},{"key":"2026011407300650000_19.1.e267599.5","first-page":"169","article-title":"Fiberoptic intubation with patients in sitting position","volume":"45","author":"Lai","year":"2007","journal-title":"Acta Anaesthesiol Taiwan"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-267599","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T15:30:15Z","timestamp":1768404615000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-267599"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":5,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,14]]},"published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1136\/bcr-2025-267599"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-267599","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}