This tutorial addresses the challenges of difficult intravenous access (DIVA) and presents strategies to improve first-attempt success in peripheral intravenous cannulation.

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This tutorial focuses on peripheral vascular access devices, including selection, insertion, and maintenance.

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Segmental Spinal Anaesthesia (SSA) is a targeted neuraxial technique limiting anaesthetic spread to specific dermatomes, offering benefits like reduced drug dose, minimal haemodynamic effects, and faster recovery. It’s ideal for high-risk patients undergoing short-duration surgeries.

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This tutorial explores TCAMs’ growing use in perioperative medicine emphasizing the burden of non-disclosure, herb–drug interactions, anaesthetic risks and their perioperative management. The aim is to improve the anaesthetist’s awareness and encourage evidence-based integration into conventional healthcare systems.

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