https://revistas.rcaap.pt/anestesiologia The Journal of the Portuguese Society of Anesthesiology /Revista da Sociedade Portuguesa de Anestesiologia (RSPA), founded in 1985, is the official Journal of the Portuguese Society of Anesthesiology Sociedade Portuguesa de Anestesiologia en-US Journal of the Portuguese Society of Anesthesiology 0871-6099 <p>Articles are freely available to be read, downloaded and shared from the time of publication.</p> <p>The RSPA reserves the right to commercialize the article as an integral part of the journal (in the preparation of reprints, for example). The author should accompany the submission letter with a declaration of copyright transfer for commercial purposes.</p> <p>Articles are published under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC).</p> <p>After publication in RSPA, authors are allowed to make their articles available in repositories of their home institutions, as long as they always mention where they were published.</p> https://revistas.rcaap.pt/anestesiologia/article/view/39817 <p>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.</p> Ira Balakrishnan M Udismita Baruah Priyanka Gupta Shailly Kumar Copyright (c) 2025 PRIYANKA GUPTA, SHAILLY KUMAR, UDISMITA BARUAH, Ira Balakrishnan M https://creativecommons.org/licenses/by-nc/4.0 2025-04-04 2025-04-04 34 1 10.25751/rspa.39817 https://revistas.rcaap.pt/anestesiologia/article/view/39988 <p>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.</p> Giulliano Gardenghi Cesar Taia Marco Túlio Figueiredo Laryssa Paiva Ávila Gustavo Siqueira Elmiro Copyright (c) 2025 Cesar Taia, Marco Túlio Figueiredo, Laryssa Paiva Ávila, Gustavo Siqueira Elmiro, Giulliano Gardenghi https://creativecommons.org/licenses/by-nc/4.0 2025-04-04 2025-04-04 34 1 10.25751/rspa.39988 https://revistas.rcaap.pt/anestesiologia/article/view/39891 <p style="font-weight: 400;">Hydatidosis caused by <em>Echinococcus granulosus</em> 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.</p> Garima Agrawal Vignesh A S Raksha Kundal Shubhangi Sudan Copyright (c) 2025 Garima Agrawal, Vignesh A S, Raksha Kundal, Shubhangi Sudan https://creativecommons.org/licenses/by-nc/4.0 2025-04-04 2025-04-04 34 1 10.25751/rspa.39891 https://revistas.rcaap.pt/anestesiologia/article/view/41138 Pedro Reis Copyright (c) 2025 Pedro Reis https://creativecommons.org/licenses/by-nc/4.0 2025-04-04 2025-04-04 34 1 10.25751/rspa.41138 https://revistas.rcaap.pt/anestesiologia/article/view/41139 Pedro Reis Fátima Lima Copyright (c) 2025 Pedro Reis https://creativecommons.org/licenses/by-nc/4.0 2025-04-04 2025-04-04 34 1 10.25751/rspa.41139 https://revistas.rcaap.pt/anestesiologia/article/view/39793 Marta Dias Vaz Henrique Gouveia Luciane Pereira Lisbete Cordeiro Cláudia Alves Fátima Lima Copyright (c) 2025 Marta Dias Vaz, Henrique Gouveia, Luciane Pereira, Lisbete Cordeiro, Cláudia Alves, Fátima Lima https://creativecommons.org/licenses/by-nc/4.0 2025-04-04 2025-04-04 34 1 10.25751/rspa.39793