WebLog Journal of Anesthesiology

Postextubation upper-airway obstruction may cause negative-pressure pulmonary edema (NPPE) and, rarely, life-threatening cardiovascular collapse. Apparent clinical recovery after neuromuscular blockade reversal does not necessarily ensure adequate upper-airway function.

A 67-year-old woman underwent laparoscopic cholecystectomy under general anesthesia with induction of rocuronium. At the end of surgery, the train-of-four (TOF) count was 2, and sugammadex over 2 mg/kg was…

Tracheal intubation in patients with large, mobile, or friable glottic lesions may be complicated by lesion contact, displacement, bleeding, dynamic airway obstruction, or difficulty advancing the endotracheal tube. Here, we present a case of airway management using 4-mm cupped-jaw spoon forceps under video laryngoscopy in a 70-year-old man with a large vocal cord mass that was subsequently confirmed as granulation tissue. To facilitate intubation while limiting manipulation of the lesion, a…

Background: Intraoperative hypoxemia is common unwanted situation. It is important to figure out the mechanism which caused hypoxemia to individual patients.

Case: A 78-year-old male patient without underlying disease underwent craniectomy and external ventricular drainage surgery under general anesthesia. During induction of anesthesia, patient's saturation dropped to under 80% with 100% O2 . Total atelectasis of right lung was found on portable…

Excessive irrigation fluid intravasation is a rare but potentially life-threatening complication of operative hysteroscopy.

A 46-year-old woman underwent hysteroscopic endometrial polypectomy under general anesthesia using normal saline as the uterine distension medium. During surgery, an abrupt decrease in end-tidal carbon dioxide accompanied by progressive oxygen desaturation prompted a broad differential diagnosis, and subsequent arterial blood gas analysis revealed severe…

This paper systematically reviews research progress on lumbar quadratus lumborum block and transverse abdominis plane block for postoperative pain management following hernia repair. It compares the similarities and differences in clinical application between lumbar quadratus lumborum block and transverse abdominis plane block techniques, and thoroughly analyzes the role and efficacy of both block techniques in postoperative pain management. The study explores factors influencing…

Background: Effective postoperative pain control is a key determinant of recovery following laparoscopic surgery. Transversus Abdominis Plane (TAP) block is widely used as part of multimodal analgesia to reduce postoperative pain and opioid consumption. However, real world evidence comparing analgesic outcomes associated with TAP block use in routine clinical practice remains limited.

Aim: To assess the association between the use of TAP block…

This manuscript describes a rare and clinically significant case of a prolapsed vitellointestinal duct (VID) in a 6‑week old‑old infant, successfully managed using a scarless trans‑umbilical wedge resection performed entirely under local anesthesia. While VID anomalies are well documented, the use of a minimally invasive, awake surgical approach in an infant is exceptionally uncommon. Our report highlights a safe and effective alternative to general anesthesia in selected infants, a…

Introduction: Ketamine is widely used for pediatric procedural sedation, but its long-term psychological effects remain unclear. This study examines the incidence of post-traumatic stress disorder (PTSD) and depression in children receiving ketamine versus other anesthetics for fracture management.

Methods: A retrospective cohort study was conducted on 677,189 children aged 6–18 who received ketamine or another anesthetic. After 1:1 propensity…

Ketamine is increasingly being explored as a treatment for depression and has been studied for its potential prophylactic effects in postpartum depression (PPD). This study aims to analyze data from a large population to determine ketamine's efficacy in preventing PPD in patients without a prior history of depression and mitigating symptom escalation in those with a history of depression. Using data from TriNetX, a global health research network, we compare the incidence of PPD among…

An interesting rare case of post-anesthesia spinal epidural hematoma leading to cord compression in an 18-year-old girl having pelvic and bi-lobar hepatic metastatic masses which required operative intervention by laminectomy decompression has been reported. Patient had laparotomy for a pelvic mass with hepatic metastasis for staged debulking and the complication developed on 4th post operative day during mobilization and the anesthesiology, pain control, neurology and surgical teams…