Atrial fibrillation is very common cardiac arrythmia which is encountered during the perioperative period. Atrial fibrillation in perioperative period may lead to hemodynamic impairment and thromboembolic events resulting into significant morbidity and mortality. So it is very crucial for an anesthesiologist to maintain the hemodynamic stability of the patient with atrial fibrillation and prevent furthur complications associated with it. Here we report a case of sixty year old male patient posted for emergency evacuation of clot following TURP operation.
JBSA 2017; 30(1): 48-50
Physiologic changes of pregnancy uniquely influence anesthesia for caesarian delivery. Aging is also anuniversal and progressive physiological phenomenon clinically characterized by degenerative changesin both the structure and the functional capacity of organs and tissues. For an anesthesiologist the casebecomes more challenging when the patient has multiple comorbidities such as Diabetes Mellitus,Hypertension, Hypothyroidism and Mild Aortic stenosis. We report an emergency caesarian delivery inthe case of a 61 year 8 month old woman who was diagnosed as 33+wks Pregnancy (IVF, TWIN) withDM (Insulin) with Hypothyroidism on medication with Hypertension on medication with Mild aorticstenosis. Emergency caesarian delivery of this patient was necessary due to oligohydramnios with laborpain and fetal distress. The delivery was successfully performed under SAB and patient recovered withoutany complication.
JBSA 2020; 33(1): 43-45
Supraventricular tachycardia, though not very common may develop in any patient under spinal anaesthesia. A 50 years old lady admitted at square hospital through the emergency unit with left loin pain and fever with chill. She was already diagnosed as a case of left ureteric stone and was scheduled for Ureteorenoscopic Intracorporeal Pneumatic Lithotripsy (URS-ICPL) under spinal anaesthesia. During anaesthesia, she developed supraventricular tachycardia of unknown origin. Ultrashort-acting (3-blocker was given slowly. As there was no improvement, intravenous propranolol was given slowly, which resulted in a conversion to sinus rhythm. This paper discussed methods of cardio version for patients with supraventricular tachycardia in such clinical settings. Key words: Spinal anaesthesia, SVT. Journal of BSA, Vol. 21, No. 1, January 2008 56-58
Background In obstetrics, pregnancy induced hypertension is still a burning question and complicates a large number of pregnancies in developing countries. Chance of hypotension is more in patients getting
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