Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 5 4 2019 09 21 133 134 Girish Singh Department of Anesthesiology, All India Institute of Medical Sciences Rishikesh, Rishikesh, India. Hariom Khandelwal Department of Anesthesiology, All India Institute of Medical Sciences Rishikesh, Rishikesh, India Prakash Chandra Department of Anesthesiology, All India Institute of Medical Sciences Rishikesh, Rishikesh, India Nishith Govil Department of Anesthesiology, All India Institute of Medical Sciences Rishikesh, Rishikesh, India Vijay Adabala Department of Anesthesiology, All India Institute of Medical Sciences Rishikesh, Rishikesh, India 2019 06 28 2019 07 27 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. https://aacc.tums.ac.ir/index.php/aacc/article/view/237 https://aacc.tums.ac.ir/index.php/aacc/article/download/237/429