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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This tutorial addresses the perioperative anaesthetic management of transgender and gender-diverse (TGD) individuals, covering preoperative assessment, hormone therapy effects, airway challenges, pharmacokinetic considerations, pain management, DVT prophylaxis, and ethical aspects.

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This tutorial discusses how local hospital and transport teams work together in the resuscitation and preparation of a child for road transfer to a tertiary centre. It highlights challenges faced on the journey and ways mitigate them.

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