BackgroundThe purpose of this retrospective case review was to identify different patterns of clinical presentation of severe leptospirosis, and to find out any correlation between organ specific complication/s and outcome of the patients.

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women with anaesthesia-related stress complaining of chest pain and paroxysmal tachycardia, with ECG changes mimicking myocardial infarction. Immediate coronary angiography is recommended.

Chronic obstructive pulmonary disease (COPD) is a disease characterized by air flow obstruction (FEV 1 <80% of predicted or FEV 1 / FVC <70%). It is usually progressive, not completely reversible and does not change markedly over several months. The disease is predominantly caused by smoking. A small percentage can be due to alpha-1 antitrypsin deficiency 1. Pathophysiologically there is airway and lung parenchymal damage leading to airway obstruction. These changes give rise to various pulmonary symptoms (cough, shortness of breath, wheezing) resulting in disability and impaired quality of life. As anaesthetists and critical care doctors, we are involved in ventilatory management of COPD patients in following situations,

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