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Blue rubber bleb nevus syndrome (BRBNS) is characterized by typical bluish, soft, and compressible lesions with rubber-like consistency present since birth. In this syndrome, venous malformation (VM) is always present since birth and is commonly found in the cheek, tongue, lip and jaw, and sometimes may be present in deep tissue, bone, or muscle. A vascular malformation is known to grow in size throughout the life of an individual with sudden enlargement in size during puberty and pregnancy due to hormonal changes. We report the successful management of a case of congenital VM of the lip and mandible posted for emergency cesarean section under spinal anesthesia.

Rhino-orbital-cerebral Mucor mycosis is a rare, opportunistic, fatal fungal infection most commonly seen in diabetic and immunocompromised individuals, but an outbreak of cases was seen in post COVID-19 patients during the second wave in India. Our aim is to elaborate the anaesthetic management of post COVID-19 Mucor mycosis patients scheduled for FESS (Functional Endoscopic Sinus Surgery) for debridement of involved areas. Here, we have discussed the anaesthetic challenges faced in a series of eleven patients with COVID-19 and Mucor mycosis such as uncontrolled diabetes mellitus, irrational use of steroids for the treatment of COVID-19, amphotericin B and its interactions with anaesthetic management. Preventive measures in COVID-19 patients, early detection, timely management, perioperative vigilant monitoring, multidisciplinary approach will reduce the morbidity and mortality in these patients. As limited data is available, further studies are necessary to understand aetiology and pathogenesis of Mucor mycosis in post COVID-19 for better management.