Abstract
 

Budd Chiari syndrome represents a spectrum of disease states resulting in hepatic venous outflow occlusion . Managing a pregnant patient with Budd Chiari syndrome presents a unique challenge to the anaesthesiologist. We report the management of 30 years old primigravida with Budd Chiari syndrome on anticoagulant therapy, scheduled for cesarean section. Patient had thrombocytopenia with deranged liver function. Patient developed fetal distress and was taken up for emergency cesarean section under general anesthesia. Intraoperative and postoperative period was uneventful. Patient was discharged from hospital on the 7th postoperative day.

Blind nasotracheal intubation has been the favoured method of intubating the trachea in patients with restricted mouth opening. Here, we describe airway management of 8 year old male patient who presented with traumatic ankylosis of bilateral temporomandibular joint ankylosis with no mouth opening, posted for elective release and gap arthroplasty. Patient was planned for blind nasotracheal intubation under airway block as pediatric fibreoptic laryngoscope was not available . Blind nasotracheal intubation was done successfully in a single attempt under airway block and intravenous sedation with inj.dexmedetomidine. Awake extubation was done, postoperative period and recovery was eventful.