Indications: Surgeries distal to and including patient’s elbow Contraindications: Dose: 0.5% bupivacaine and/or 2% lignocaine with adrenaline (below calculated maximum doses) + NS Equipment: Use a 0.8 X 40 mm needle Method: Pitfalls: Reference: Primary Anaesthesia – Edited by Maurice King
Author: Dr. Pooja Shrestha
Anesthesiology Resident (PGY-1) at Tribhuvan University Teaching Hospital, Institute of Medicine (TUTH, IOM). Her academic interests include perioperative medicine, regional anesthesia, and evidence-based practices in anesthesiology. She contributes scholarly articles on anesthesia to Epomedicine.
PGMEE, MRCS, USMLE, MBBS, MD/MS
Postoperative Febrile Morbidity After Myomectomy
Definition of febrile morbidity: Variable Temperature ≥38°c measured at least twice at an interval of at least 6 hours apart, except within the first 24 hours postoperative. It has also been defined as a body temperature of 38.0 °C or higher, taken by mouth as a standard technique at least…
Case Reports
Anesthetic Management of Pediatric Extracranial Scalp Arteriovenous Malformation (AVM) : A Case-Based Review with Perioperative Management Algorithm
Introduction Case Description Anesthetic Challenges Airway & positioning Hemodynamic instability Massive blood loss Hypothermia and metabolic disturbances Intraoperative Management Postoperative Considerations Pearls Pitfalls Anticipate hemodynamic shift after ligation Under-estimated blood loss Controlled hypotension during dissection Venous air embolism (open scalp veins) Normothermia +/- Tranexamic acid Aggressive hypotension Conclusion Abbreviations: Reference:…