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Case Studies

Extravascular Injection of Neuromuscular Blocking Agents: An Anesthesiologist’s Perspective on Managing Risks

As an anesthesiologist, administering neuromuscular blocking drugs (NMBDs) to facilitate muscle relaxation during surgical procedures is routine. However, encountering an accidental extravasation—where the drug is injected outside the vein—can present a unique set of challenges. This article shares insights from the perspective of an anesthesiologist on recognizing and managing this complication effectively. Recognizing Extravascular Injection … Read more

Why Lactic Acid Matters: Essential Considerations for Anesthesiologists

Lactic acid is a key player in the body’s energy production and maintenance of acid-base balance. Understanding its biochemistry is crucial for medical professionals, especially anesthesia residents, as it is involved in various physiological processes and can be a marker of disease when dysregulated. Why Lactic Acid is Important Lactic acid is a byproduct of … Read more

Challenges in Cleft Palate Repaired Patient for Laparoscopic Cholecystectomy

Patient Information: Procedure: Case Summary:The patient, a 37-year-old female with a history of cleft palate surgery at 2.5 years old, presented for laparoscopic cholecystectomy. The surgical team anticipated potential difficulties in intubation and laryngoscopy due to her medical history and anatomical considerations, including scarring from previous surgeries. Challenges Faced: Scarring from previous surgeries, such as … Read more

Case Report: Minimally Invasive Thyroidectomy for a 35-Year-Old Female with BMI 30

Brief History: The patient, a 35-year-old female with a BMI of 30, presented with thyroid-related concerns necessitating Minimally Invasive Thyroidectomy. Given the patient’s age and BMI, meticulous anaesthesia management was crucial to ensure optimal surgical conditions and patient safety. Monitoring in Anesthesia: To ensure comprehensive monitoring during the procedure, the following measures were implemented: Brief … Read more

Managing Hemodynamic Challenges in a 60-Year-Old Female with Diabetes and Hypertension undergoing Surgery for Buccal Mucosa Carcinoma Spreading to the Tongue

Introduction: In managing patients with complex medical histories, such as diabetes and hypertension, the surgical and anesthesia teams face unique challenges. These challenges are particularly pronounced in cases like carcinoma buccal mucosa spreading to the tongue, where hemodynamic stability is crucial. This discussion delves into the specific considerations and strategies for managing hemodynamics in a … Read more

Navigating Intraoperative Tachycardia in the Elderly: Unraveling Causes and Clinical Management in a Complex Case

In this case study, we explore the challenges of intraoperative tachycardia in an 85-year-old patient with diabetes, hypertension, and critical lab values during laparoscopic surgery for suspected intestinal perforation. Discovering duodenal perforation adds urgency, aiming to dissect potential causes and optimal management. Causes: Clinical Management: Causes: Clinical Management: Causes: Clinical Management: Conclusion: Intraoperative tachycardia in the … Read more

Case Report: Hypertrophic Cardiomyopathy

Summary:A 69-year-old male, with a history of stroke, hypertrophic cardiomyopathy, and chronic atrial fibrillation, underwent left hip surgery with oral anticoagulants stopped three days preoperatively. Intubation was performed using Glycopyrrolate 0.2mg, Midazolam 1mg, Fentanyl 200mcg, Sevoflurane, and Succinylcholine 75mg. A PENG block was administered post-induction. Intraoperatively, 1 liter of intravenous fluids and 1 unit of … Read more

Unveiling the Safety of Propofol in Patients with Egg Allergies: Navigating Confusion in Anesthesia Practices

Introduction:In the realm of anesthesiology, the use of Propofol in patients with egg allergies has been a topic of uncertainty among many professionals. In this article, we aim to address the confusion surrounding the safety of Propofol in individuals with egg allergies, providing a comprehensive understanding based on scientific insights and clinical studies. The Egg … Read more

What’s your approach if the outer sheath of an epidural catheter peels during fixing plaster removal?”

Abstract: This case report delves into an uncommon complication during the fixation of an epidural catheter in a 27-year-old female patient undergoing right knee arthrolysis. Despite the unexpected peeling of the outer sheath, the drug-delivering segment remained functional, ensuring continuous pain relief during three days of postoperative epidural infusion for physiotherapy. We correlate this case … Read more

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