Pregnancy complicated with complete heart block is rare and usually required termination of pregnancy in the past. Improvement in medical technology in the form of cardiac pacing has allowed taking these women to term. Overall, maternal and fetal outcome is not affected in asymptomatic cases. We report here an unbooked, pregnant patient presented at 38+ weeks with complete heart block and pregnancy-induced hypertension for emergency lower segment cesarean section (LSCS). Emergency LSCS was performed under general anesthesia. Maternal and fetal outcome was good.

Major cause of premature mortality globally and 113,914 suicides are recorded annually from India. Variety of chemicals have been used. Nitrobenzene is used as a pesticide. Here, we report a case of acute poisoning with nitrobenzene which is an organic compound, where clinical evaluation and timely management, helped to save a life.

Cardiac patients with pacemaker presenting for noncardiac surgery pose a considerable challenge to the anesthesiologists. In the United States it is said that there are more than 500,000 patients with pacemaker and every year more than 115,000 devices are implanted. Intraoperative care of the pacemaker as well as understanding its anesthetic implication is crucial in the management of these high-risk patients. We hereby present a case of an 85-year-old male posted for plating of tibial fracture with k-wiring of radius fracture who had permanent cardiac pacemaker in situ.