Anesthesia management in a patient with systemic lupus erythematosus and left ventricular thrombus

Systemic lupus erythematosus (SLE) is a complex autoimmune disorder with heterogeneous presentation. We discuss the perioperative management of a female having SLE with left ventricular thrombus who was scheduled for bilateral femoral head core decompression. Warfarin was stopped preoperatively in order to bring down international normalized ratio <1.5 and restarted postoperatively on next day

Anesthesia management in a child with laryngeal papilloma causing near complete airway obstruction

Recurrent respiratory papillomatosis (RRP) is a rare, chronic disease of viral etiology affecting most commonly larynx. A 5-year-old child with stridor was posted for microlaryngoscopic excision of laryngeal papilloma. We discuss the perioperative management of case with the various ventilation strategies. In child with stridor intubation remains the safest option. It is suggested to maintain spontaneous ventilation until intubation as mask ventilation could be difficult