Background and Objective: Preincisional and postoperative transcutaneous electrical nerve stimulation (TENS) administration reduces postoperative opioid demand in abdominal surgery. Aim of this study was to find out whether a comparable effect of TENS applies in major spinal surgery.

• Careful patient selection for thrombectomy should be mandatory in octogenarians. • Octogenarians have a higher mortality rate despite successful recanalization. • Nearly one-third of octogenarians were documented with a good clinical outcome.

respiration, and no patient experienced oxygen desaturation to ,92%. Adequate light sedation before awake insertion of the ILMA was achieved with total midazolam and fentanyl doses ranging from 3 to 6 [mean 4.4 (0.8)] and 0.1 to 0.3 [mean 0.16 (0.6)] mg, respectively. No patient recalled experiencing discomfort during the procedure when questioned after operation.We obtained good results with awake insertion of a size 3.5 air-Q TM ILMA device followed by tracheal intubation using the device as a conduit in morbidly obese patients (n¼20) undergoing bariatric surgery. This ILMA device is designed for easier insertion. It has a curvature approximate to that of the upper oropharyngeal airway and a wider (anterior -posterior diameter¼15 mm) and shorter airway conduit than previous models. 4 5 It has an easily removable airway adapter with no grill in the ventilating orifice, which may further facilitate insertion and placement (Fig. 1C).In conclusion, the technique we describe may be a viable alternative to mask ventilation and direct laryngoscopy for safe airway management in morbidly obese patients. Further studies and detailed comparison with results of other techniques may be warranted.

No abstract