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Abstract : Aim: The aim of this study is an anatomical review regarding the brachial plexus and its relationships with contiguous anatomical structures to better define the Interscalene Brachial Plexus Block Technique already described by Manani (IBPBTM), specifically concerning the point of needle penetration, needle direction a..

My opinion: The most important component of anesthesia billing that is not accurately calculated is the costs of carrier gases and inhaled anesthetic agents. The volatile anesthetics contribute to almost 20% [1] of the anesthesia-related costs further emphasizing the need for their accurate measurements. These calculations are pri..

Abstract : Difficult airways don’t cease to challenge the skills of the most experienced anaesthesiologists. In numerous equipments and protocols have been designed to help in prevention of dreaded can’t ventilate and can’t intubate situation, but still many patients continue to amaze us with the unique set of their airway ..

Abstract: Infection occurring after internal fixation of a fracture is a devastating complication and may be difficult to treat. This was a prospective study to assess the relationship between theatre population and postoperative wound infection (POWI). The theatre population was determined by counting the number of people in th..

My opinion: Exquisite phenomena related to inhalational anesthetics exposure had warranted the development of scavenging systems decades ago for clearing and maintaining the operating room air quality to avoid the health concerns for operating room personnel. However, there had been growing concerns [1-2] in relation to venting th..

Abstract: Endotracheal obstruction can be life threatening complication and immediate intervention is needed. Evaluation and maneuvers to relieve the obstruction can be difficult if this occurs in a patient positioned prone. We report a case intraoperative airway obstruction caused by the abutting of the endotracheal tube orific..

Abstract : Tetra-amelia Syndrome is a very rare autosomal genetic disorder characterized by the complete absence of all extremities with associated anomalies. Anesthetic management of these patients may be challenging, including problems with vascular access, lack of sites available to monitor blood pressure and possible difficul..

Abstract: The authors report on a patient with acute obstructive hydrocephalus due to cerebellar meatastatic lesion who presented with neurogenic pulmonary edema. The edema resolved on placement of the ventriculoperitonial shunt. Because neurogenic pulmonary edema may be a unrecognised consequence of obstructive hydrocephalus, i..

My opinion: Evaporative dry eye and aqueous tear-deficient dry eye are the two major sub-types of dry eye1. Though self-reported eye complaints and ocular surface alterations have been reported to have a high prevalence (72.3%) in operating room (OR) personnel2, incidence of dry eye (evaporative or aqueous tear-deficient) in OR pe..

My opinion: As anesthesiologists we are trained extensively to deal with what is for many of us a once-in-a-career event, the need for a surgical airway. But those of us who treat only adults are likely unfamiliar with a procedure to help skirt a much more common, but equally life-threatening problem: difficult vascular acces..