Percutaneous endoscopic gastrostomy (PEG) has been used for providing enteral access to patients who require long-term nutrition years. Although generally considered safe, PEG tube placement can be associated with many immediate and delayed complications. Buried bumper syndrome (BBS) is one of the uncommon late complications percutaneous placement. It occurs when internal erodes into gastric wall lodges itself between skin. This lead a variety additional such as wound infection, peritonitis,...

Awake spinal anesthesia continues as an alternative to general for infants. Standard clinical practice includes the manual palpation of surface landmarks identify desired intervertebral space lumbar puncture (LP). The current study investigates accuracy identifying intended site LP, using ultrasonography confirmation and determine interspace where conus medullaris ends.After informed parental consent, patients less than one year age undergoing lower abdominal, urologic, or extremity surgical...

Anesthesia care during surgical procedures in patients with myasthenia gravis (MG) can be challenging, as these have increased sensitivity to neuromuscular blocking agents (NMBAs) and may at high risk for postoperative weakness respiratory failure. Even intermediate-acting NMBAs a prolonged effect resulting residual after reversal acetylcholinesterase inhibitors (neostigmine). Sugammadex (Bridion®, Merck Co, Whithouse Stations, New Jersey) is novel pharmacologic agent that reverses blockade...

Departments of *Anaesthesia and Intensive Care †Surgery, Post Graduate Institute Medical Education Research (PGIMER), Chandigarh, India.

A 46-year-old woman presented with pain in the lateral side of left chest wall and a sensation fullness pulling epigastric region, which started 4 weeks following diaphragmatic plication for eventration. The patient was diagnosed as suffering from post-thoracotomy syndrome (PTPS). diagnostic intercostal nerve block relieved pain, but not pain. After detailed evaluation, postulated to be origin hence phrenic performed Combined neurolysis her completely. may play role transmission genesis...

Background A persistent left superior vena cava (PLSVC) is the most common congenital anomaly of thoracic venous return. Case Description During atrial septal defect repair, a pulmonary artery (PA) catheter was placed via internal jugular vein. Although placement PA in main confirmed by transesophageal echocardiography, central pressure (CVP) waveform abnormal. Intraoperatively, seen exiting coronary sinus with CVP port within sinus. Conclusions The diagnosis PLSVC discussed and differential...

Introduction: Post Thoracotomy Pain Syndrome (PTPS) is defined as pain that occurs or persists in the area of thoracotomy incision for at least 2 months following initial procedure. The true incidence post-thoracotomy syndrome difficult to determine, with a reported range from 5% 80% . It has been estimated 50% all patients still alive 1 years after will suffer persistent chest wall [3]. Furthermore, many 30% might experience 4 5 surgery associated high risk severe chronic postoperative (4)....

Brzenski, Alyssa MDa; Dontukurthy, Sujana MDb; Raman, Vidya T. MD, MBAb Author Information