Pre-anaesthetic sonographic assessment of gastric antrum in parturient scheduled for elective caesarean section - A prospective cross-sectional study.

Background And Aims: Point-of-care ultrasonography (USG) of the gastric antrum can help to evaluate the aspiration risk and improve the safety of anaesthesia. The aim was to assess the gastric antrum in term parturients scheduled for elective caesarean section using bedside USG.

Methods: After obtaining institutional ethics committee approval and written informed consent, 250 term parturients (≥36 weeks gestational age) with body mass index 18.

Recurrent asystole during laryngoscopy - A nightmare for the anesthesiologists.

Hemodynamic response to laryngoscopy and intubation is usually transient, but it may be more pronounced and unpredictable in certain group of patients. Bradycardia and asystole during laryngoscopy is usually a rare manifestation compared to hypertension and tachycardia. Anesthesiologists should be more vigilant and take special precautions to avoid such life-threatening complications during laryngoscopy.

Comparison of landmark versus pre-procedural ultrasonography-assisted midline approach for identification of subarachnoid space in elective caesarean section: A randomised controlled trial.

Background And Aims: Identification of subarachnoid space in pregnant patients can pose a great challenge to anaesthesiologists. This study was designed to compare conventional landmark technique with pre-procedural ultrasonography-assisted midline approach for identification of the subarachnoid space in elective caesarean section.

Methods: After institute ethics committee approval and written informed consent, 100 parturients scheduled for elective caesarean section under spinal anaesthesia were included in this prospective randomised control trial and divided into Group L ( = 50) (landmark technique) and Group U ( = 50) (ultrasound-guided technique).

Diagnostic accuracy of bedside tests for predicting difficult intubation in Indian population: An observational study.

Background: Unanticipated difficult intubation can be challenging to anesthesiologists, and various bedside tests have been tried to predict difficult intubation.

Aims: The aim of this study was to determine the incidence of difficult intubation in the Indian population and also to determine the diagnostic accuracy of bedside tests in predicting difficult intubation.

Settings And Design: In this study, 200 patients belonging to age group 18-60 years of American Society of Anesthesiologists I and II, scheduled for surgery under general anesthesia requiring endotracheal intubation were enrolled.

I-gel assisted fiberoptic intubation in a child with Morquio's syndrome.

Morquio's syndrome, also known as mucopolysaccharidosis type IV is an autosomal recessive disorder, caused by deficiency of n-acetylgalactosamine-6-sulphate. Anesthetic management of this syndrome is a great challenge, especially in pediatric age group as "cannot ventilate, cannot intubate" scenario can be encountered by anesthesiologist due to the possibility of total airway collapse. Herewith, we are reporting a case of child with Morquio's syndrome where I-gel assisted fiber-optic intubation was used for safe endotracheal intubation.