Low flow anaesthesia and laparoscopic techniques in pediatric patients are two of many developments in the modern medical field. Both techniques were established to support environmentally friendly, safe, and comfortable anaesthesia practices for patients. Presented in this case series, laparoscopy was done in all three cases (two digestive cases, and one urology case). All three cases were performed with general anaesthesia using the low flow anaesthesia technique with volatile sevoflurane combined with caudal block regional anaesthesia. In all cases, no morbidity was found after anaesthesia or surgery to influence the patient's outcome. Improvements in the outcome of pediatric patients were seen using the low flow anaesthesia techniques. These improvements include a significant reduction of volatile used, faster wake up times, and reduction of agitation after anaesthesia.

Background: A caesarean section is one of the most commonly performed surgical operations in the world today. Caesarean section commonly induces moderate to severe pain for about 48 hours and therefore requires optimal perioperative pain management. Postoperative pain management is an important issue in the clinic. Proper and efficient pain management is necessary during hospitalization for preventing the related complications which could affect the mother and neonate health status. Recently, multimodal pain management has been tested for postoperative pain management. One of the alternatives that can be used is local infiltration analgesia (LIA) method. The LIA technique can provide an adequate effect of analgesia and reduced parenteral opioid consumption without any adverse effects. Case Presentations: Cases were taken from Kalabahi Public Hospital, East Nusa Tenggara, Indonesia. A total of 42 patients who met the inclusion criteria that underwent cesarean section were injected with lidocaine 0.5% with epinephrine in the abdominal muscle and subcutaneous layer as postoperative pain management. The patients were observed to evaluate pain score with the Visual Analogue Scale (VAS), opioid consumption as the pain rescue, the level of satisfaction, and to evaluate post-cesarean wound. Conclusion: Administration of lidocaine 0.5% with epinephrine reduced postoperative pain leading to early mobilization and increased patient satisfaction. There was no report of wound complication. The pain score of the first 24 hours was 2.095238 with standard deviation 0.878178, and just 4 of 42 patients asked for rescue analgesic.

Anaesthesiology demands a vigilant and controlled cautious person with a good-tempered manner and professional character. Those virtues and values were built through thousands of trials, errors, failures, chances, and breakdowns. When some individuals could resist and thrive, others may fall and surrender. Anaesthesiologists are responsible for patients and the utmost importance should be placed on the patient's physical safety and survival. The aim to become a good anaesthesiologist who focuses on the patient's safety and wellbeing can sometimes take its toll by sacrificing the well-being of the anaesthesiologists themselves.