Journal of the Portuguese Society of Anesthesiology

Initial Anesthetic Experience in Robotic Cardiac Surgery: Case Series from a Tertiary Care Centre in India

2025-03-20T14:56:36+00:00

One of the most recent developments in surgical practice is minimally invasive robotic surgery. The use of surgical robots facilitates less invasive surgery. This approach to cardiac surgery offers numerous potential advantages to the patient, including reduced pain, shorter hospital stay and a quicker return to the day-to-day activity. Robotic surgery requires anesthesia personnel to incorporate various subspecialty skills to improve patient outcomes. In the era of minimally invasive surgery and the rising popularity of robotic cardiac surgeries, the cardiac anesthesiologist must be well versed with the various robotic systems and associated complications, have expertise in transesophageal echocardiography (TEE) and mastering and management of lung isolation techniques. Close coordination and planning with the surgical and perfusion team is essential for ensuring safe patient care. This is a case series that serves to explain some of the anesthetic challenges that were encountered during the commencement of robot-assisted cardiac surgeries.

Peribulbar Block for Blood Plug in Corneal Hydrops: Case Report

2025-01-21T23:13:26+00:00

Acute corneal hydrops (ACH) is a rare ocular injury, with high comorbidity, with several surgical techniques described, but which continues to have high rates of therapeutic failures, surgical reapproaches and complications. This work presents the case of a young patient with ACH secondary to keratoconus treated with the unusual method of applying an autologous blood patch to the corneal stroma and describes the experience of the peribulbar block as an anesthetic strategy to manage an ophthalmological condition that manifests several physiological changes and anatomical features in the orbital region.

A New Perspective for Implementing One Lung Ventilation Using Endobronchial Intubation in a Child

2025-03-05T15:59:46+00:00

Hydatidosis caused by Echinococcus granulosus most commonly affects the lung, followed by the liver. Surgical treatment, consisting of excision of the cyst, requires anesthesia with one lung ventilation and an accompanying cysto-bronchial fistula poses an additional challenge of preventing contamination of the preserved lung during surgical manipulation. There are limited options for isolating a lung in children, especially those below 8 years of age, due to the unavailability of double-lumen tubes for this age group. One lung ventilation with an endobronchial cuffed tube, along with a coaxial suction catheter placed in the trachea, helps in preventing cross-contamination of the preserved lung. This case report demonstrates how this technique can be applied successfully in an 8-year-old child with a communicating hydatid cyst posted for emergency thoracotomy.

A New Stage for the SPA

2025-04-01T17:11:58+01:00

SPA Grants for Research Projects or Internship

2025-04-01T17:13:59+01:00

Standardisation of Anaesthesia Carts: Impact, Adherence and Challenges in Portuguese Hospitals

2025-01-04T13:19:14+00:00