Epidural catheter fixation. A comparison of subcutaneous tunneling versus device fixation technique.

Background And Aims: The technique of securing the epidural catheter has a major bearing on the efficacy of epidural analgesia. Specific fixator devices, for e.g.

Acute normovolemic hemodilution to avoid blood transfusion during intracranial aneurysm surgery in a patient with atypical antibodies.

Acute normovolemic haemodilution (ANH) has been used in neurosurgical operations to reduce the incidence of homologous blood transfusions. We report a case of anterior communicating artery aneurysm in a patient with atypical antibodies in the serum, who was posted for clipping of the said aneurysm, and was managed with ANH in the perioperative period in order to avoid blood transfusions.

Differential cyanosis and undiagnosed eisenmenger's syndrome: The importance of pulse oximetry.

Eisenmenger's physiology has significant anesthetic implications. The symptamology, in the early course of disease can be subtle at times and missed on regular PAC. Pulse oximetry, in our patient detected differential saturations.