The Krypton Anesthesia Essentials

Day of Life - 32
Weight - 1.29 kg
Posted for - CT aortography to delineate arch anatomy and tracheal compression under sedation

Obstetrics history -
28 weeks born emergency LSCS - pre-eclampsia
Birth weight - 870 gm
On IPPV for 8 days
Now on nasal prongs O2 - 2ltr./min.
26G two intra-cath on both hands secured

Known case of ASD, VSD, double aortic arch.
Increased respiratory rate and effort.

Anesthesia Management -
Inj. Glycopyrolate 5 mcg
Inj.Midaz 20 mcg
Inj.Ketamine 2 mcg iv slowly given
NS -2 cc

HR -160-170/ min. Maintained
Procedure uneventful

Left frontal parasaggital Meningioma

50yr/F/55 kg
No other comorbidities
MPC -2
Rest investigations normal

General Anesthesia
Premed
Inj.Glyco 0.2 mg
Inj.Fent 100 mcg

Induction
Precurarisation
Inj. Vec 2 mg

Inj. Propofol 100 mg
Inj.Vec 2 mg

Intubated with ET no.7
Air entry B/L equal and clear and fixed at 20 cm

Low flow Anesthesia after MAC 0.8 achieved
02 0.9 + Air 0.9
Sevo 0.8

Inj.Dexmed 50 mcg in 100 ml NS
Before incision
Intraop -BP 90/60 maintained
Uneventful
Duration -2 hrs.

Inj.PCT 1 gm before extubation
Inj. Xylocard 2 cc after spontaneous efforts

Extubated awake with just gentle tap
Haemodynamicaly stable
Sp02 -98 % on room air

58 yr/Male/90 kg
MPC -3
Posted for DJ stent before CABG

P-98/min
BP - 150/94 mm of hg

SA - Inj. Ropivac 0.5% Heavy 1.5 cc used
T -10 level achieved

Minimal hemodynamic changes
Emergency drugs and protocol for MI salvation kept ready