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My opinion: As an anesthesia provider, it has always bewildered me that despite visual confirmation of endotracheal tube’s passage across the vocal cords on video-laryngoscopy, capnography confirmation on the anesthesia monitor is sometimes delayed by few-to-many breaths. This delayed appearance of end-tidal carbon dioxide can b..

Case Report(s): Postoperative paresis can be frustrating when aetiology is unclear. Herein, after obtaining written and informed consents, we are presenting perioperative hospital course of two patients with “idiopathic” postoperative paresis.  Case One: 31-year-old multigravida female presented to labour and delivery suite in ac..

Origin Of Hypothesis: The role of air flow across nasal passage and paranasal sinuses in relation to keeping the brain cool is often debated [1]. Similarly, the role of brain temperature in relation to cognition, sleep and delirium is also debated [2-4]. Therefore, anesthesiologists have a simple opportunity to explore, investigate and docu..

My opinion: Rather than being my opinion, the below-mentioned are just my questions. Are undesirable effects of labor epidural analgesia essentially due to it exposing materno-fetal homeostasis to exogenous substances during intra-partum period [1]? While the multidisciplinary medical society gears up to initiate research to valid..

My opinion: My opinion has a backstory. I graduated from Anesthesiology Residency Program almost a decade ago. Initially, I pursued Pain Medicine Fellowship, but I did not succeed. Once I started my job, I abandoned my pursuit for fellowship. However, amidst the opioid epidemic, I considered pursuing Addiction Medicine Fellowship...

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..