Infiltration anaesthesia is one of the simplest and most useful techniques of local anaesthesia, particularly when resources are limited or when general anaesthesia is undesirable. It can be used alone for minor procedures or combined with regional nerve blocks for larger operations. Common applications include wound suturing, circumcision, excision of…
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
Axillary Block : Landmark Technique
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
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:…