{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T23:37:31Z","timestamp":1788478651077,"version":"build-2803163510"},"reference-count":9,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,3,18]],"date-time":"2022-03-18T00:00:00Z","timestamp":1647561600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"Background<\/jats:title>Ankylosing spondylitis is an autoimmune disease involving the axial bone. Because it leads to rigidity of the spine and joints, especially when involving the cervical spine, it will cause a difficult airway, creating a major challenge for airway management. Herein, we report presents a double visual intubation strategy for severe ankylosing spondylitis patients who are difficult to intubate with a video laryngoscope.<\/jats:p><\/jats:sec>Case Presentation<\/jats:title>A 31-year-old patient with severe ankylosing spondylitis has a seriously restricted neck movement that makes it hard to insert a tracheal tube using only a video laryngoscope. With the aid of video laryngoscope, we then guided the endotracheal intubation using a lighted stylet. Eventually, the oropharynx was opened sufficiently so that the tracheal tube could be rapidly introduced below the epiglottis and entered the glottis.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>In conclusion, the video laryngoscope is a viable operation to assist lighted stylet guided endotracheal intubation in severe ankylosing spondylitis patients after video laryngoscope intubation failure.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fmed.2022.659624","type":"journal-article","created":{"date-parts":[[2022,3,18]],"date-time":"2022-03-18T05:33:42Z","timestamp":1647581622000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":8,"title":["Case Report: Double Visualization Intubation Strategy for Patients With Ankylosing Spondylitis"],"prefix":"10.3389","volume":"9","author":[{"given":"Wei-can","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"He-fan","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,3,18]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1111\/imm.13242","article-title":"New developments in our understanding of ankylosing spondylitis pathogenesis","volume":"161","author":"Voruganti","year":"2020","journal-title":"Immunology."},{"key":"B2","doi-asserted-by":"publisher","first-page":"2563","DOI":"10.1056\/NEJMra1406182","article-title":"Ankylosing spondylitis and axial spondyloarthritis","volume":"374","author":"Taurog","year":"2016","journal-title":"N Engl J Med."},{"key":"B3","doi-asserted-by":"publisher","first-page":"540","DOI":"10.1111\/j.1365-2044.2008.05794.x","article-title":"Ankylosing spondylitis: recent developments and anaesthetic implications","volume":"64","author":"Woodward","year":"2009","journal-title":"Anaesthesia."},{"key":"B4","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1097\/ANA.0b013e31829a0491","article-title":"A comparison of the GlideScope with the Macintosh laryngoscope for nasotracheal intubation in patients with ankylosing spondylitis","volume":"26","author":"Lili","year":"2014","journal-title":"J Neurosurg Anesth."},{"key":"B5","doi-asserted-by":"publisher","first-page":"D11136","DOI":"10.1002\/14651858.CD011136.pub2","article-title":"Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation","volume":"11","author":"Lewis","year":"2016","journal-title":"Cochrane Database Syst Rev."},{"key":"B6","first-page":"401","article-title":"Digital intubation training in residency program as an alternative method in airway management","volume":"27","author":"Soleimanpour","year":"2011","journal-title":"Pak J Med Sci"},{"key":"B7","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1111\/j.1365-2044.2010.06594.x","article-title":"Fibreoptic bronchoscopy to facilitate ProSeal laryngeal mask airway insertion in a patient with ankylosing spondylitis","volume":"66","author":"Chiu","year":"2011","journal-title":"Anaesthesia"},{"key":"B8","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1016\/0007-117X(80)90054-2","article-title":"Death following dental clearance in a patient suffering from ankylosing spondylitis - a case report with discussion on management of such problems","volume":"18","author":"Hill","year":"1980","journal-title":"Br J Oral Sur."},{"key":"B9","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1016\/j.jclinane.2015.12.021","article-title":"Awake intubating laryngeal mask airway placement in a morbidly obese patient with ankylosing spondylitis and unstable thoracic spine","volume":"32","author":"Herman","year":"2016","journal-title":"J Clin Anesth."}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2022.659624\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,18]],"date-time":"2022-03-18T05:33:46Z","timestamp":1647581626000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2022.659624\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,18]]},"references-count":9,"alternative-id":["10.3389\/fmed.2022.659624"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2022.659624","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,18]]},"article-number":"659624"}}