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My opinion: The question is whether American Society of Anesthesiologists (ASA) is a stakeholder who is consulted before the Centers for Medicare & Medicaid Services (CMS) finalizes and publishes its annual policy about Medicare payments for physician anesthesiologists and other anesthesia providers under the Physician Fee..

My opinion: Uncertainty exists related to the appropriate perioperative period to perform a transverse abdominis plane (TAP) block [1].  This block could be performed preoperatively, after induction of anesthesia with or without tracheal intubation, before closure of the surgical incision, before emergence from anesthesia with o..

My opinion: Compared to prone patients in ProneView® Protective Helmet Systems [1] whose faces can be monitored via mirror bases built into them, the faces of patients whose heads are immobilized in prone position by pinning [2] can only be visualized in ergonomically challenging positions wherein anesthesia providers have to ..

My opinion: There is always an ego which is the cooperative nuance evolving from the negotiation between the all-survivalist id and the all-altruist superego [1]. One of that ego is to choose the type of anesthesia. Now the question arises who chooses the type of anesthesia. Is it the patient? Is it the provider providing an..

Case Report: There have been some case reports about propofol being antiarrhythmic [1-2]. Herein, after obtaining patient's informed and written consent, we want to share a case history wherein when delivery of baby with cesarean section happened immediately (within four minutes) after induction of general anesthesia with pr..

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..