hi,
  One month before on 17.11.2006 in orthopaedics OT a 108 yr male operated upon for intertrochantric fracture femur rt under epidural anaesthesia.epidural catheter was placed in L4-L5 lavel in sitting position through paramedian approach.a total of 10 cc of 2% lignocaine with adrenaline given+5 cc of .5%bupivacaine given through epidural catheter.only 5 mg of diazepam iv given.a total of 12 mg of ephedrine given iv .2 litres of RL+300 CC of fresh blood given.patient' hemodynaemic changes least.
                                           DR.SIMANT KUMAR JHA,JUNIOR RESIDENT,DEPTT.OF ANAESTHESIA,RIMS,RANCHI,JHARKHAND,INDIA

i, dr.simant kumar jha,writing from ranchi,india.i am an anaesthesiologist by profession .on 19.12.2006 a laprotomy done for ruptured liver abscess with rt pleural effusion done under thoracic epidural given by me.space chosen wa t8-t9.catheter was placed.as oxygen saturation was only 85% preoperatively & patient was breathless with rt lung involved,crepitations found on auscultation.i gave initially 10 cc of 2%lignocainewith adrenaline.later on 5 cco this one again was given as top up.atoat of 10 cc of .5%bupivacaine given through epidural catheter.100 mg of tramadol also given through catheter.50 cc of iv ketamine given initially.again 50 mg of iv ketamine iv given.8 mg of dexamethasone iv given intraoperatively.atotal of 1800 ml of iv fluid given through rt internal jugular vein which also included 300 cc of fresh blood.only once BP CAME DOWN to 90/60mm of hg.a total of 12 mg iv ephedrine used.urine output 440 cc post op.BP was 11o/70 mm of hg postoperatively.next day patient fine ,responding.intraoperatively oxygen given through mask at frequent intervals