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My opinion: There is a well-known legend about ancient Sanskrit scholar, Kalidasa. Before evolving into an acclaimed literary giant, he was supposedly a dimwit as depicted by him sawing the tree branch on which he was sitting [1]. However, there can be an alternate interpretation to the legend. Instead of sawing it, Kalidasa might..

My opinion: engorge neck veins for cannulation, proceduralists (a) turn patients into Trendelenburg position and/or (b) ask patients to hold breath and/or (c) passively raise patients’ leg and/or (d) ask assistants to apply supraclavicular occlusive digital pressure just proximal to – towards heart – site of venous cannulati..

My opinion: Inability to quantify gastric fullness preoperatively can be very frustrating for anesthesiologists. This is especially more so while managing gastrointestinal endoscopies, firstly because gastrointestinal endoscopies are primarily performed under moderate sedation with unprotected airways, and secondly because endosco..

Acknowledgements: The author is indebted to his teachers who all taught him about anesthesiology over the years especially Vitaly D. Soskin, MD, PhD and Elie J. Chidiac, MD...

My opinion: Although cough projectile may be commoner in intubated patient with endotracheal tube being a narrower conduit,[1] non-intubated patient can also generate cough projectile through wider oropharynx. During elective colonoscopy under fluctuating moderate-to-deep sedation levels, profuse regurgitation with or without coug..

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..