Children with trisomy 18 have abnormal airway anatomy, making their management challenging. Only a few papers comprehensively described and discussed the use of supraglottic devices in patients 18. We present case 20-month-old boy who was scheduled for open repair right inguinal hernia. He had micrognathia, short neck, an atrial septal defect but clinically stable condition. A device inserted u...

Postural orthostatic tachycardia syndrome encompasses a group of disorders characterized by orthostatic intolerance. We describe the anaesthetic management of analgesia for labour and of Caesarean section in a parturient suffering from this disorder. Worsening of her symptoms during pregnancy was managed with an increase in the dose of beta-blockers taken by the patient. Epidural analgesia was ...

BACKGROUND Ilioinguinal (IL) and iliohypogastric (IH) nerve blocks are used in patients with chronic postherniorrhaphy pain. The present study tested the hypothesis that our method, previously developed in cadavers, blocks the nerves separately and selectively in human volunteers. METHODS We blocked the IL and the IH nerves in 16 volunteers in a single-blinded randomized cross-over setting un...

Purpose: Inguinal hernia repair is a common surgical procedure. It was widely reported worldwide during the COVID-19 pandemic. To manage lack of anesthesiologists, we have introduced new protocol to inguinal repair. Methods: This result strong collaboration between surgeons and anesthesiologists. based on EHS recommendations well-described percutaneous ilioinguinal–iliohypogastric genitofemoral...

Background: Peroperative identification and subsequent division or preservation of the inguinal nerves during open hernia repair may influence the incidence of chronic postoperative pain. Methods: A systematic literature review was performed to identify studies investigating the influence of different types of nerve management. Results: Based on three randomized studies the pooled mean percenta...