Epidural Volume Extension: A Rescue Technique

Abstract

Anaesthesia management is always challenging in a patient who comes in emergency with multiple comorbidities. When we have to choose type of anaesthesia in such patients we have to keep in mind its adverse effects on various organs and cardiovascular system particularly in hemodynamically unstable patients. Epidural and spinal anaesthesia in these cases have their own complications on hemodynamics of the patient. Epidural Volume Expansion (EVE) technique is a known technique that allows to achieve surgical anaesthesia level with smaller dose than the conventional procedure. We report successful management of an emergency case with EVE technique.

Keywords

• Epidural volume expansion
• Severe anaemia
• Haemodialysis