remifentanil in association with ketamine was useful in patients pretreated with opioids. One possibility for this patient’s pain in the postoperative period – and in our view the most likely one – however is not discussed, namely opioidwithdrawal hyperalgesia. Postoperative analgesia in patients who receive opioids for chronic pain is undoubtedly a challenge for anaesthesiologists and pain the...

Facial injuries due to bear mauling or run-over accidents cause severe disfigurement of face requiring extensive reconstruction. While managing these injuries, close association with the airway and shared airway with the surgeon are important concerns for the anaesthesiologists. And airway management in such patients becomes a challenge for them because bony injuries and soft tissue deformities...

BACKGROUND AND OBJECTIVE This study was performed to compare three disposable airway devices, the LMA Unique (LMA-U), the Ambu laryngeal mask (Ambu LM) and the Soft Seal laryngeal mask (Soft Seal LM) for elective general anaesthesia during controlled ventilation in non-paralysed patients. METHODS One hundred and twenty ASA I-III patients scheduled for routine minor obstetric surgery were rand...

Growing concern over the availability of Respiratory protective devices (eg, filtering facepiece Respirators), in the face of the probable extreme demand brought on by a pandemic influenza, has prompted the suggestion that useful life of N95 filtering facepiece Respirator can be extended by the concurrent use of a surgical mask as an outer protective barrier over the Respirator. Personal protec...

BACKGROUND Laryngeal mask airway (LMA) is frequently used as a replacement method for endotracheal intubation. Few studies have investigated placement of laryngeal mask airway in pediatric surgical patients. In the present study, we aimed at comparing the success rate of 2 techniques, classic versus rotational, in the correct placement of laryngeal mask airway in pediatric patients. METHODS A...

The aim of this study was to explore the possibility re-use disposable masks in order prevent excessive waste generation during pandemic period. COVID-19 has caused rapidly increasing production resulting from necessity common usage personal protective equipment. This research covers evaluation structure surgical subjected a threefold steam, gas or plasma sterilization process verify their re-u...

A 32-year-old woman underwent surgical excision of a lump in her left breast in a general surgical unit of the Royal Victoria Hospital. Clinical diagnosis of fibroadenosis was confirmed by frozen section histology. Anaesthesia was uneventful, the patient breathing spontaneously throughout the operation via a face mask. She was well post-operatively and was discharged on the evening of the surgery.