Pediatric regional anesthesia (RA) has emerged as a rapidly advancing dimension within pediatric anesthesia, demanding continual commitment to knowledge acquisition. This review underscores the contemporary significance of this specialty, focusing on its application in neonates and infants. The primary objective RA is address perioperative pain effectively while preserving delicate physiological balance, thereby enhancing overall patient care. explores advantages offered by age group....

Abstract Congenital insensitivity to pain with anhidrosis (CIPA) is a rare autosomal disorder. It characterized by systemic pain, unexplained fever, and psychiatric manifestations. Anesthetic management of these cases challenge the anesthetist due various implications associated it. In this case report, we describe anesthetic 3-year-old child CIPA report challenges faced

The anaesthetic management of paediatric patients with Patau syndrome presents unique challenges, particularly when combined craniofacial and cardiac defects limited airway resources. This case report highlights our experience in managing a syndromic child difficult resource-constrained environment. inability to secure the adequately can pose significant perioperative risks. In this case, we successfully utilized an oesophageal bougie as alternative technique airway. emphasizes importance...

ABSTRACT Objective: Low back pain is a very troublesome and common issue among patients irrespective of age sex difficult to manage with conservative management. It can lead disability mental issues. Methods: After ethical committee approval, prospective, randomised, double-blind comparative study on 40 aged 20-70 years, suffering from lumbar radicular was carried out by two different approaches i.e., conventional transforaminal Kambin’s triangle approach epidural steroids were administered....

A syncopal attack is a sudden loss of consciousness and muscle tone that may be due to various reasons. Vasovagal one the reason leads an unanticipated attack. case described in which high level anxiety pain during insertion spinal needle caused vasovagal 36-year-old female patient was posted for exploratory laparotomy. During 25-gauge she became unconscious with tone. The got bent when it still present inside patient. removed immediately restoration airway circulation. undergoing elective...

Subclavian artery aneurysm is usually operated under general anesthesia (GA), but in specific situations, it can also be conducted regional (RA) such as cervical epidural (CEA). A 48-year-old male presented with chief complaint of progressive swelling the right side neck for past 3 months following trauma. He was diagnosed subclavian aneurysm, and surgical intervention advised. had previous history angina 4 back which tablet aspirin 75 mg clopidogrel once daily prescribed. Cardiological...

Background: Common cause of chronic low back pain is lumbar facet joint arthropathy. Radiofrequency ablation (RFA) medial branch currently preferred treatment in syndrome. Platelet-rich plasma (PRP) known to initiate mesenchymal tissue healing by concentration several fundamental protein growth factors. Our aim this study evaluate the effect co-administration autologous PRP and RFA dorsal ramus for Methodology: This was a prospective randomised with blind assessor. Eighty-one consecutive...

The excessive desire to void with discomfort in the supra-pubic region, which is experienced postoperatively by patients who underwent urinary catheterization, known as catheter-related bladder discomfort. In this study, we evaluated duloxetine, a selective serotonin and norepinephrine reuptake inhibitor, preventing discomfort.Around 64 adults (18-60 years), of either sex, American Society Anesthesiologists (ASA) physical status I II, scheduled undergo elective gastrointestinal carcinoma...

<h3>Background and Aims</h3> Perioperative thoracotomy pain management with reduced opioid consumption is beneficial for early recovery. Both erector spinae serratus anterior plane block have been used in thoracic surgeries. We aimed to compare the USG blocks on cumulative <h3>Methods</h3> After ethical committee clearance, a prospective, randomised study was conducted patients aged 5 14 years undergoing open under general anaesthesia. Seventy were allocated randomly into two equal groups of...

<h3>Background and Aims</h3> Lumbar discectomy is commonly performed for prolapsed intervertebral disc degenerative spine. The erector spinae block paravertebral by proxy fascial plane whereas, the thoracolumbar interfacial plain a paraspinal block. We aimed to compare efficacy of ultrasound-guided – Erector Vs interfascial postoperative analgesia in lumbar surgeries. <h3>Methods</h3> After obtaining institute ethical committee clearance written informed consent, 60 patients were randomly...

<h3>Background and Aims</h3> Transforaminal lumbar epidural steroid erector spinae block has been used for treating radiculopathies. We aim to compare transforaminal injection with high-volume in patients low backache radicular pain. <h3>Methods</h3> After obtaining institute ethical committee clearance written informed consent, 60 aged between 18 50 years complaining of unilateral were randomly allocated 2 groups 30 each- Group T E. E received using ultrasound block. ml 0.25% bupivacaine 20...

<h3>Background and Aims</h3> Ultrasound-guided regional anaesthesia techniques are recent congeners in multimodal pain management, leading to the development of fascial plane blocks. With advent ultrasound, alternative paraspinal blocks have been explored which include Erector spinae [ESP] block Sub-transverse interfragmentary [STIL] block. We aimed assess effectiveness safety STIL comparison with ESP patients undergoing Modified Radical Mastectomy. <h3>Methods</h3> After ethical committee...

Sir, Endotracheal intubation is a routine procedure while administering general anesthesia for surgeries in children. The use of uncuffed or cuffed tracheal tubes (TT) children has its advantages and disadvantages. Cuffed TTs under were not preferred long, as they could cause airway mucosal injury, which eventually may lead to subglottic stenosis.[1] It pertinent here note that although tube can easily pass the vocal cords, it get stuck at level. Thus, properly sized TT very important...

Abstract Background Catheter-related bladder discomfort (CRBD) is a common distressing symptom complex during the postoperative period, especially after urologic procedures followed by urinary catheterization. The purpose of this study to evaluate efficacy pudendal nerve block and compare it with intravenous butylscopolamine in CRBD prevention pediatric male patients undergoing hypospadias surgery under general anesthesia. Results After getting ethical committee clearance informed written...