how many of us follow ASA or DAS algorithms

are they really useful in critical situation
or do you work on instincts

Hi,
I have recently started using LMA for its various applications as it was not easily available in my part of India.
I have used LMA Classic and its equivalent LMA from other company which are available in disposable form also.
I have a very good experience of using LMA for peripheral surgery like orthopedic limb surgeries, neck surgeries including a neck turned to one side and even neck movements were done during surgery without any problems. i have used lma for hysteroscopy , supplementation required during various regional anesthesia when effect wairs off, and two incidence of difficult intubation were patient was successfully ventilated till alternative arrangement were made.
All this cases i have conducted with controlled and spontaneous ventilation without any problems and ease of airway management, patients compliance  and recovery excellent.
Now i have temptation to use this for short gynecological procedures like diagnostic lapro-hysteroscopy and laproscopic tube ligation (sterilization operation) to start with.
company representative  have shown me many references but i am alway sceptical about data shown by company persons.
i would like to have your opinion and experience regarding  use  LMA ProSeal for laproscopic surgery

there was one study on laproscopic cholecystectomy done under segmental spinal anesthesia with injection of 1 ml of bupivacaine heavy at T10 level  at anesthesia now.com.

any one has conducted lap cholecystectomy by this method?
if yes than what was your experience.
what about co2 washout.
was ET CO2 monitored ? and if yes what was the result?

please share your thoughts as literature has little to offer and surgeons are pressing for regional anesthesia for the laproscopic surgery.
i am anesthesiologist from vadodara, gujarat, India

recently us FDA alerted for fever and chills after diprivan , i have encountered such fever and rash on face after 3-6 hrs of general anesthesia for laproscopy surgery where maintenance of anesthesia was done by iv propofol infusion with o2 + n20.

i have used different brands of propofol for all this patients and such reactions have happened not in all patients but only few of them who received propofol as iv anesthetic agent apart from other agents for premedication to reversal of anesthesia.

does any else have also experienced such reactions other  than diprivan users as alert by us FDA
i am practising anesthesiologist from  Gujarat, India.