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Tension gastrothorax is herniation of abdominal viscera, stomach in particular, into the thorax that can simulate acute tension pneumothorax. This case reports an acute condition in which percutaneous needle decompression of the distended stomach, through the chest wall, allowed rapid decompression of the tension gastrothorax. After thoracotomy and repair… (More)
Morbidity after paediatric epidural anaesthesia is unusual. We report a case of transient motor nerve root block in an eleven years old girl receiving epidural analgesia postoperatively following anterior instrumented spinal fusion for scoliosis. The epidural catheter was placed within the T8-T9 inter-space under general anaesthesia. Postoperatively the… (More)
We present a case of breast cancer in the massive weight loss patient. In the light of the PIP implant scandal, the patient demanded an autologous reconstructive solution. We describe our surgical approach towards this unique problem and share our experience of performing a DIEP reconstruction using a fleur-de-lis pattern.
OBJECTIVE To compare real-time ultrasonography-guided technique versus the traditional land-mark technique for internal Jugular venous cannulation. STUDY DESIGN Randomized controlled trial. PLACE AND DURATION OF STUDY Department of Anaesthesia, Combined Military Hospital, Rawalpindi, from September 2013 to July 2014. METHODOLOGY A total of 200… (More)