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0answers
20 views

Best anesthesia plan for morbid obesity surgery ?

what are your opinion . anaesthetic implications recent advances please
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0answers
15 views

How imoprtant is Therapeutic Hypothermia ? what are the steps ? whom not to cool?

post arrest hypothermia how hot a topic is it? how do you do it? what are the major steps? what are the literatures?
2
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1answer
52 views

What is the best anaesthetic technique for laparoscopic radical nephrectomy?

What would be the most appropriate technique for this procedure on a 55 year old male who is overweight, hypertensive and a smoker? I work in a small regional hospital with limited …
4
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5answers
172 views

What is the best way to prevent hypotension during caesarean section under spinal anaesthesia?

I always give 500-1000mL of gelofusine immediately after instituting spinal anesthesia for cesarean section. Despite this, a lot of women still become hypotensive and nauseated (wh …
4
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6answers
36 views

What is the most effective technique for performing an emergency cricothyroidotomy?

We all hope that we will not need to, but prepare for it regardless: the emergency surgical airway. In a cannot-intubate-cannot-ventilate scenario, what is the best technique and …
3
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2answers
29 views

What is a rectus sheath catheter?

I overheard a colleague today discussing her use of a rectus sheath catheter for post-operative analgesia following a partial hepatectomy. What is a rectus sheath catheter? What i …
4
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5answers
27 views

How do you prevent propofol injection pain?

I usually add 2 mL of 1% lignocaine to propofol (20 mL of 1% propofol) but despite this I still observe a fairly high proportion of patients finding the injection uncomfortable - m …
4
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2answers
21 views

What are the best ways of preventing coughing on extubation?

I had a problem earlier this week with a patient undergoing a thyroidectomy. At the end of the case, as we took out the ET tube the patient had a coughing fit. This resulted in rap …
2
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1answer
25 views

How do you prevent perioperative hypothermia?

I've noticed a lot of my patients have low temperatures at the end of the case. I usually put a forced-air warmer on my patients but that doesn't seem to be enough. Does anyone hav …
4
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2answers
28 views

What is the transversus abdominis plane block?

I've just started in anaesthesia and have heard a lot about the TAP block, even here on gasexchange (question 185: TAP block and cesarean section). Can someone explain what exactl …
3
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2answers
16 views

What is the best way to conduct low-flow sevoflurane or desflurane anesthesia?

There has recently been a lot of talk at my hospital advocating low-flow anesthesia for it's environmental benefits and cost-saving. In many countries sevoflurane is still not reco …
1
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0answers
11 views

Peri-bulbar vs sub-tenons block, which to choose for cataract surgery?

I anaesthetise for the occasional cataract/intraocular lens insertion, for which I use a peribulbar block with 5-6 mL of a 0.5% bupivacaine & 2% lignocaine mix, along with 75 m …
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0answers
12 views

What is the best technique for performing a sciatic nerve block?

I know there are lots of different approaches and techniques for conducting a sciatic nerve block. Well, what's the best? Extra points if you can link to a good online video demons …