{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:46:54Z","timestamp":1791812814384,"version":"4.3.4"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 3","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Ankylosing spondylitis (AS) presents significant anesthetic challenges due to restricted cervical spine mobility and an anticipated difficult airway. General anesthesia may increase perioperative risk, particularly in emergency settings. We report the anesthetic considerations of a 58-year-old male of short stature with suspected AS and severely restricted neck movements, posted for emergency fixation of a proximal humerus fracture. Considering the anticipated difficult airway, ultrasound-guided interscalene brachial plexus block was administered as the sole anesthetic technique. Ultrasound-guided interscalene block plays a crucial role as an alternative to general anesthesia in AS patients undergoing upper limb surgery, particularly when airway management is expected to be challenging.<\/jats:p>","DOI":"10.4103\/aam.aam_118_26","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T12:00:33Z","timestamp":1781870433000},"page":"S536-S539","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Ultrasound-guided Interscalene Block as a Safer Alternative to General Anesthesia in a Patient with Ankylosing Spondylitis Undergoing Proximal Humerus Fracture Fixation"],"prefix":"10.4103","volume":"25","author":[{"given":"Bhagyashree","family":"Soor","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. 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With special emphasis on awake tracheal intubation","volume":"75","author":"Benumof","year":"1991","journal-title":"Anesthesiology"},{"key":"R11-20261012","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1097\/AAP.0b013e3181b49256","article-title":"Ultrasound-guided low-dose interscalene brachial plexus block reduces the incidence of hemidiaphragmatic paresis","volume":"34","author":"Renes","year":"2009","journal-title":"Reg Anesth Pain Med"},{"key":"R12-20261012","first-page":"414","article-title":"Hemidiaphragmatic paresis during interscalene block","volume":"88","author":"Urmey","year":"1999","journal-title":"Anesth Analg"},{"key":"R13-20261012","first-page":"900","article-title":"Ultrasound guidance for regional anesthesia","volume":"109","author":"Perlas","year":"2008","journal-title":"Anesthesiology"},{"key":"R14-20261012","first-page":"711","article-title":"Role of ultrasound guidance in regional anesthesia","volume":"52","author":"Dhir","year":"2008","journal-title":"Indian J Anaesth"},{"key":"R15-20261012","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1093\/bja\/aer058","article-title":"Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. 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