Morbid obesity in parturients presents a constellation of anesthetic challenges, including difficult airway, increased aspiration risk, and technical difficulties with neuraxial techniques. We report the case of a 38-year-old woman (estimated weight 120 kg, body mass index [BMI] approximately 44 kg/m²), gravida 3, para 2, admitted to the obstetric emergency unit in active labor with a doubly scarred uterus (two prior cesarean sections) and a full stomach following a copious meal ingested less t...

Nefopam is analgesic drug which is a non-opioid, non-nonsteroidal and anti-inflammatory that inhibits the reuptake of serotonin, norepinephrine, and dopamine. It is widely used as an adjuvant for pain. Nefopam has multiple mechanisms therefore it is consider both analgesic and anti-hyperalgesic properties, which is particularly interesting when considering long-term sensitization and recovery. Analgesic drug is Nefopam a centrally acting non-opioid has emerged as a good candidate for inclusion i...

Nutcracker syndrome (NCS) is a rare vascular disorder caused by compression of the left renal vein between the abdominal aorta and superior mesenteric artery. When associated with pelvic congestion syndrome (PCS), NCS may increase the risk of acute hemodynamic instability during major vascular surgery. We present a case highlighting this heightened vulnerability. Case presentation: A 34-year-old woman with chronic pelvic pain and previously diagnosed PCS underwent left gonadal vein transpositio...