Spinal anesthesia is the preferred anesthetic technique for cesarean section. Neurological complications are very rare and often transient after spinal anesthesia. A 11-year old male child present with pain abdomen in emergency department and underwent emergency appendectomy on 12-07-2019. During operation spinal anesthesia was induced. On 15-07-2019 patients was discharged from hospital. Patient revisited Neurology OPD with complaints of Foot Drop on 31-07-2019. Patient investigated with MRI and Nerve Conduction Studies. On MRI was found diffuse disc bulge at L3, L4, L5 level causing bilateral neural foramina narrowing and in nerve conduction study was found neuropathy of left peroneal and sural nerves. Patient was treated conservatively. Foot drop is a neurological disorder, which occurs following natural childbirth and spinal anesthesia due to direct needle trauma or local anesthetic toxicity. This complication is transient and usually resolves within a few days

Anaesthetic management for creation of a novel prosthetic femoro-femoral arteriovenous stula (AV) in 65 years old male patient k/c/o hypertension with CKD (Stage V, [ESRD] haemodialysis dependent for last 1.5 years with difcult airway and deranged coagulation prole. AV stula was initially created in upper limb which blocked 6 weeks back. Subsequently dialysis was done by dialysis catheter as temporary method and femoro-femoral AV stula creation using prosthetic graft was planned due to its early maturation time (7 days). Central neuraxial blocks were contraindicated because of deranged coagulation prole. Patient is also high risk for GA i/v/o ESRD and difcult airway. Therefore we planned for RA in the form of USG guided Femoral Nerve Block and Lateral Cutaneous Nerve (LCN) of thigh block. Femoral Nerve Block (FNB) and Lateral Cutaneous Nerve block (LCN) was performed under ultrasound guidance in real time using 20 and 10ml of 0.25% Bupivacaine respectively. After establishing block effect, surgery was performed solely under block with stable perioperative course.

Subarachnoid block is commonly employed for caesarean deliveries, by virtue of its simplicity in terms of performance, safety for the parturients as compared to general anesthesia. The case history of a 27-yearold female parturiant patient is presented. She was posted for emergency lower segment caesarean section in view of primigravida with breech presentation in labour . She was obese with bodyweight of 102 kg. She had a thick scaly plaque over the back in midline from L1 to L5 area, which is contraindication for administration of spinal anaesthesia via standard median and paramedian approach . Taylor’s approach for administration of the same was tried and proved successful, thus saving the patient from receiving general anaesthesia .

From the rst case of corona infection in January 2020 to declining phase of second wave, more than 30 million were infected and 30 thousand died in India. This virus exploited every weakness in best of healthcare system around the world. Unfortunately, India's heath system isn't one of its strength and the second wave of this virus tested this. In order to provide better health facilities to COVID patients, healthcare centres of different capabilities were started. Establishing and operating these centres in constrained times of this pandemic was challenging and laborious.

We report a 72 year-old, American Society of Anaesthesiologist Class II(ASA II), male patient scheduled for burr hole and evacuation for Chronic Sub Dural Haematoma. He went into a 70 minute apnea and complete muscle paralysis after receiving midazolam(1.0 mg) and fentanyl (50 μg) intravenously for sedation and analgaesia necessitating respiratory support until recovery . Conclusion : Midazolam and fentanyl should be used with utmost caution in elderly as combination of both can lead to respiratory arrest necessitating respiratory support until full recovery