Case Reports Authors: Bhimala Naga Ramya, Pondicherry Institute of Medical Sciences, IN About Bhimala Junior Resident, Department of Anaesthesiology and Critical care X close Sujil Sudhersan, Pondicherry Institute of Medical Sciences, IN About Sujil Junior Resident, Department of Anaesthesiology and Critical care X close Sivakumar Segaran Pondicherry Institute of Medical Sciences, IN About Sivakumar Associate Professor, Department of Anaesthesiology and Critical care X close Abstract

Alkaptonuria is a rare inherited autosomal recessive metabolic disorder due to the deficiency of homogentisic acid oxidase resulting in accumulation of homogentisic acid in collagen and cartilaginous tissue resulting in stiffening of joints, spine and involving other systems which pose challenges to anaesthesiologist in providing anaesthesia. Here we present a patient with undiagnosed alkaptonuria who was posted for bilateral total knee replacement. Since these patients usually have reduced intervertebral spaces, neuraxial anaesthesia was difficult with classic approach. Taylor’s approach was used for neuraxial anaesthesia and, post-operative analgesia was achieved with continuous femoral nerve block with catheter placement.

How to Cite: Ramya, B.N., Sudhersan, S. and Segaran, S., 2021. Taylor’s Approach to Rescue: A Case of Undiagnosed Alkaptonuria Undergoing Bilateral Total Knee Replacement. Sri Lankan Journal of Anaesthesiology, 29(2), pp.114–117. DOI: http://doi.org/10.4038/slja.v29i2.8743

Published on 16 Nov 2021.

Peer Reviewed

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