Sir,We are proposing a new technique of delivering a handover of the prolonged neuro-anesthesia cases where the positioning of the patient cannot be accurately described by verbal instructions. When we talk about the tumor-associated craniotomies, the position may vary depending upon the size and location of the lesion. The primary anesthetist, who is involved since induction of anesthesia, is best informed of the position and would take appropriate steps to ensure ventilation and prevent position-related injury. The same information needs to be shared accurately with the subsequent anesthetist(s) coming to relieve the primary anesthetist. This may not be possible as the patient is often hidden under the drapes. Thus, one might not be giving the true picture to the relieving anesthetist. We think that nowadays with the availability of handheld mobile devices and the easy access to the internet one can get the picture at the start of operation when the position is finalized [Figure 1]. This picture can be sent by email or shown to the coming anesthetist at the time of handover to give the exact idea of patient under the drapes. The technique of using patient images has been used in clinical scenarios other than the research publication the legal standing of which is same like other medical record.[1] For the reason of which, the basic principle of getting informed consent and consideration to the confidentiality would remain the same.[2] Dedicated digital camera or mobile device connected to the printer may be used for this purpose and the image of the patient can be a part of intraoperative anesthesia documentation along with the other records.
Figure 1