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38 year old male patient came with complaints of Right hip pain and limping gait for past 3 months. He was diagnosed to have Ankylosing spondylitis and on treatment for last 5 years. He also gave history of stiff neck for past 1 year. Left hip replacement was done three years back under General anaesthesia with Fibreoptic aided tracheal intubation. Preoperative examination revealed fused, calcified lumbar and cervical spine, with restricted neck extension and anticipated difficult intubation. Patient was informed about anticipated airway problems and consent was obtained. Anaesthesiology team comprising Dr Anand K and Dr Balaji R, planned and executed Capnography aided Blind nasal Intubation with USG guided Fascia iliaca plane block for post operative pain relief. Surgery was uneventful and patient was discharged with stable vital parameters.
52 year old female patient was admitted for undergoing Radical mastectomy for Carcinoma Breast. She was obese, diabetic, hypertensive, had snoring and obstructive sleep apnea. She also desired complete pain free postoperative period. She was adequately prepared preoperatively with respiratory physiotherapy and good glycemic control. After administering general anaesthesia, she was administered USG guided Serratus Anterior Plane (SAP) Block for postoperative pain relief. Patient had excellent pain relief postoperatively and could ambulate even on day of surgery without pain.
