Shall We Use Ropivacaine in Spinal Block for ERAS Patients

ERAS has gained so much popularity in orthopedic surgery as we all know that standardizedĀ ERAS program has shown to reduce postoperative morbidity and length of hospital stay (LOS). Lately, in our facility, we have been emphasizing early ambulation and physical therapy for the patients right after surgery. Surgeons want patients to have patient’s motor function…

Pheochromocytoma and the Role of Remifentanyl during Adrenalectomy

In the past few years, I have had a few encounters with pheochromocytoma cases. It gave me an opportunity to compare different anesthetic techniques in managing the laparoscopic adrenal mass resection case. The traditional anesthetic management includes vasodilators and vasopressors to control hemodynamic changes in response to adrenaline resection. The first 2 cases of pheochromocytoma…

How to Prolong Spinal When You Don’t Want to Convert to GA?

Hi everyone, I am back after hibernating for a couple of months. Today I want to talk about something that is relevant to all of usĀ  — something we all have been through which is how to not to convert to general anesthesia by prolonging the spinal block if the surgery runs longer than expected….