Indian journal of anaesthesia
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Congenital complete heart block could be absolutely asymptomatic. Increased awareness of suspecting an atrioventricular heart block in patients with slow heart rate and electrocardiograph examination will ensure recognition of this problem. ⋯ Herein, we present a case of congenital complete heart block posted for elective caesarean section for an obstetric indication. We would like to highlight the advantage of bupivacaine-fentanyl combination in maintaining haemodynamic stability and peri-operative heart rate control with temporary pacemaker.
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General anaesthesia is currently the conventional technique used for surgical treatment of breast lump. Paravertebral block (PVB) has been used for unilateral procedures such as thoracotomy, breast surgery, chest wall trauma, hernia repair or renal surgery. ⋯ The present study concludes that unilateral PVB is more efficacious in terms of prolonging post-operative analgesia and reducing morbidities in patients undergoing elective unilateral breast surgery.
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Peribulbar block is the most common type of local anaesthesia administered for cataract surgery, and continuous efforts are on to find a long-acting local anaesthetic (LA) drug with the safest pharmacological profile. ⋯ Addition of clonidine to ropivacaine not only decreases the total volume of LA to be used but also augments early onset and prolonged offset of sensory analgesia as well as provides smooth operating conditions with a good sedation level as well by providing a wider safety margin of LA.
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This randomized controlled study evaluated the success rate of insertion and the associated oropharyngeal morbidity for sizes 1.5,2 and 2.5 of ProSeal(™) laryngeal mask airway (PLMA) using an alternative digital technique (D) with conventional technique using the introducer tool (IT) technique. ⋯ We conclude that size 2.5 PLMA is associated with a lower success rate of insertion and a higher incidence of blood on device using both techniques. Insertion of PLMA sizes 1.5 and 2 by an alternative digital technique is comparable to the IT technique.