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Case Report – Pneumothorax During General Anaesthesia in a Chronic Smoker

Abstract: A forty two year old male, a chronic smoker, was posted for lumbar discectomy at L3-4 level. General anaesthesia was administered and was maintained with isoflurane and nitrous oxide with oxygen. On turning the patient to prone position, the patient developed hypoxaemia. Air entry was reduced on the left lung field along with a […]

A Comparative Study of Diluents (Crystalloid vs Colloid) in Acute Normovolaemic Haemodilution (ANH)

Abstract: Background: Acute normovolaemic haemodilution (ANH) is one of the types of autotransfusion which can be used as an alternative method of replacing lost blood during surgery. Normovolaemia has to be maintained during ANH by administering sufficient volume of haemodiluents either crystalloids or colloids. Aim: To compare prospectively the effects of two haemodiluents, Crystalloid (Ringer […]

Submental Orotracheal Intubation for an Upper Lip Haemangioma — A Case Report

ABSTRACT: Sir Hernandez Altemir had described in 1986 that submental intubation is a useful technique as an alternative to tracheostomy in selected patients allowing undisturbed access to oral and nasal airways and with a good dental occlusion. We report a case of haemangioma right upper lip extending to the right nasolabial region for which submental […]

Anaesthetic Management of a Five and Half Years Old Child With Beta Thalassaemia Major( Cooley’s Anaemia) Undergoing Total Mouth Rehabilitation : A Case Report

ABSTRACT Thalassaemias are a group of haematological disorders characterized by deficient or total lack of normal haemoglobin chains with extra vascular haemolysis and ectopic marrow expansion leading to anaemia, splenomegaly and bony abnormalities. Survival is associated with various multisystem complications primarily caused by chronic anaemia, iron overload, adverse effects of chelation, and transfusion associated infections […]

Endotracheal Intubation With Obturator – Case Report

ABSTRACT Endotracheal intubation in patients with soft tissue defect due to a failed flap from previous surgery can be done with obturating the defect for mask ventilation. Here we report a case of soft tissue deficit with otherwise uncompromised of upper airway. This was done as an alternate approach to maintain a definitive airway Key […]

A Rare Complication of Armored Tube Kinking in Prone Position

Abstract Armored tubes are being widely used in anaesthesia practise where surgeries involving procedures in which kinking is anticipated. Kinking of armored tubes is uncommon but it can happen when a reusable tube is used and there have been reports of armored tube kinking both intraorally and extraorally. Hence prompt anticipation of tube kinking is […]

Awake craniotomy – A case report

ABSTRACT: Awake craniotomy for eloquent area surgery can be managed with different anaesthetic techniques ranging from local anaesthetic with or without intravenous sedation to intermittent general anaesthesia with or without instrumentation of the airway, known as awake—awake—awake, asleep—awake—awake and asleep—awake—asleep craniotomy. We present a case of 34 year old male who was diagnosed to have […]

Anaesthetic management of a case of congenital lobar emphysema

ABSTRACT: Congenital lobar emphysema (CLE) or congenital lobar over inflation is a rare pulmonary anomaly that causes respiratory distress in neonates. CLE presents significant challenges in diagnosis and management. We reported a case of two-month old infant with respiratory distress and pneumonia related to CLE affecting the left upper lobe. Lobectomy was performed under general […]