Yesterday whilst walking the hallways of my hallowed institution, I saw a gent with Down Syndrome who must have been in his mid to late thirties. I immediately got to thinking- "Ho …

Orthopaedic surgeons at my institution are very opposed to the use of NSAIDs in general and diclofenac specifically, in the post-operative period following internal and external fi …

I have noticed a recent shift among pediatric anesthesiologists to avoid pre-medication of children, rather than pre-medicating all by default. Is there a reason for our tendency …

Over the past decade we have seen a huge amount of interest in simulation-centre training for anesthesia, resuscitation and trauma response, among other areas. There are now centre …

I was recently asked to give 500mls of 20% mannitol as part of an institutional protocol to lower IOP before insertion of a Molteno drain for glaucoma. I felt this to be a substant …

When I last investigated the issue there appeared to be a large body of (non-randomized) evidence correlating allogenic blood transfusion during cardiac surgery with adverse outcom …

I thought the article of the month series was very useful and interesting. Since I was missing this month's question I am now asking it. What is the anesthesia article of month for …

We had a patient recently who was a 28 yo male with cardiomyopathy and EF <10% (secondary to endocarditis). He was scheduled for bilateral foot ulcer debridements. We hoped to …

I've been told recently that if I give a 5HT3 antagonist (-setrons) to prevent or treat PONV then I shouldn't bother using paracetamol (acetaminophen) or tramadol as these drugs ar …

I am soon to travel to an African country to provide anaesthesia education as part of a larger team from my hospital. One of the requests from the local anaesthetists has been to p …

A previously fit and active middle-aged female (now six weeks post uneventful knee arthroscopy: balanced GA with mid/fent/sevo) complains of feeling down, lethargic, anorexic, dark …

How beneficial is a single shot femoral nerve block for a patient undergoing a total knee replacement? They're quick and easy to do and fairly low risk but do the patients benefit …

I recently had an unpleasant experience anesthetizing a 13 year old boy for bilateral closed reduction of forearm fractures. While the outcome was ultimately good, the case and my …

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 …

I often use remifentanil during major cases for the outstanding wake-up characteristics you get with a suitable bolus of fentanyl or morphine at the end of the case. I've found pat …