Acinetobacter baumannii is an important cause of nosocomial ventriculitis associated with external ventricular device (EVD). It is frequently multidrug resistant (MDR), carries a poor outcome, and is difficult to treat. We report a case of MDR Acinetobacter ventriculitis treated with intravenous and intraventricular colistin together with intravenous tigecycline. The patient developed nephrotoxicity and poor neurological outcome despite microbiological cure. Careful implementation of bundle of measures to minimize EVD-associated ventriculitis is valuable.
Establishing venous access can be technically difficult in paediatric patients. Alternatives to intravenous access like central venous cannulation or venous cutdown carry a higher risk of complications. We report a case of successful intravenous access in an infant with anticipated difficulty, by performing transillumination of palm using a torch light.Journal of Society of Anesthesiologists of Nepal 2015; 2(1): 31-33
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