SummaryWe present three patients with ethylene glycol antifreeze poisoning whose management included the use of continuous veno-venous haemodiafltration. Results from these cases demonstrate clearance of the ethylene glycol molecule.

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An 86-year-old woman was admitted to the Intensive Care Unit following open reduction and internal fixation of multiple long bone fractures sustained in a road traffic accident. A 20 cm Viggo Spectramed Secalon triple lumen Hydrocath central venous catheter (one 16 and two 18 gauge lumina) was inserted via the right subclavian vein by the lateral approach as part of her postoperative management. It was sutured in place at the skin entry point and at the hub and a chest X ray demonstrated a satisfactory position. Inotropes were infused through the 16 gauge lumen, total parenteral nutrition (TPN) through the first 18 gauge lumen, and the third lumen was used for central venous pressure measurement.

We describe a method of applying upper limb manual traction during spinal surgery to improve the view of the seventh cervical vertebra when using a lateral cervical spine radiograph. Two non-adhesive skin traction kits are used, one attached to each arm. This allows traction to be applied during intermittent periods of the operation. This is a simple, cost-effective solution producing reliable comparable images, allowing the cervical spine to be viewed to the cervicothoracic junction. We report no instances of patient tissue or nerve plexus injury during its use.