Author: Med Doc
Trauma with Full Stomach
A 25-year-old male involved in a motor vehicle accident requires emergency laparotomy for suspected splenic injury. The patient ate a full meal 1 hour before the accident. Cervical spine precautions are necessary.
Obstetric Emergency
A 32-year-old pregnant patient at 38 weeks gestation presents for emergency cesarean section due to fetal distress. She has pre-eclampsia with BP 168/110 mmHg and proteinuria. Rapid sequence induction required.
Pediatric Airway Management
A 3-year-old child with recurrent croup presents for adenotonsillectomy. The child has a history of difficult intubation during previous anesthesia. Parents report occasional stridor during sleep and upper respiratory infections.
Cardiac Patient for Non-Cardiac Surgery
A 68-year-old male with ischemic heart disease, hypertension, and type 2 diabetes scheduled for elective laparoscopic cholecystectomy. He has a history of myocardial infarction 2 years ago and takes multiple cardiac medications.
TIVA – Total Intravenous Anesthesia
TIVA uses IV agents (propofol + remifentanil) for anesthesia without inhalational gases. Regimens: Propofol (TCI 2–6 mcg/mL or 100–200 mcg/kg/min) + remifentanil (TCI 2–6 ng/mL or 0.05–0.3 mcg/kg/min). Monitoring: BIS (40–60) ensures depth. Ideal for MH risk, PONV-prone patients, or neurosurgery. Enables precise titration and rapid emergence.
Complications of Spinal Anesthesia
While spinal anesthesia is generally safe, complications can occur. This comprehensive guide covers prevention strategies, early recognition
Spinal Anesthesia Procedure – A Step-by-Step Guide
Mastering Spinal Anesthesia: From Preparation to Completion Spinal anesthesia, also known as subarachnoid block, is a widely used technique in modern medical practice to provide regional anesthesia and pain relief for various surgical procedures. It involves injecting a local anesthetic into the subarachnoid space of the spinal canal, leading to…
Spinal Anesthesia – Anatomy & Physiology
Understanding the Spine: The Foundation of Spinal Anesthesia Spinal anesthesia is a cornerstone technique in regional anesthesia, but its safe execution requires deep understanding of spinal anatomy, physiological principles, and appropriate patient selection. Let’s explore the critical anatomical structures, physiological principles, and clinical applications that form the basis of this…
Cardiac Risk Index
The Cardiac Risk Index refers to clinical tools used to predict the risk of major adverse cardiac events (MACE) in patients undergoing non-cardiac surgery.

