Patients receiving anticoagulants offer a challenge to anaesthesiologists. The issue of spinal haematoma following central neuraxial block in such patients is a contentious issue. Although rare, with an estimated incidence of <1 : 150 000 for epidural blocks and 1 : 220 000 for spinal anaesthetics in patients with normal coagulation status, this is an emergency situation with a potentially grave prognosis. The review presents cases of spinal haematomata that have occurred in the last 5 years, both spontaneously and after central neuraxial blockade. Of the 60 cases reported in the literature, 33% occurred following central neuraxial block and, of these, 55% were associated with concomitant use of anticoagulants. The pharmacology of the newer and older anticoagulants is also described. The variety of risk factors and diverse recommendations that have been described in these patients are reviewed.

A two-choice type bioassay has been used to screen extracts from a number of plants of the sagebrush community for their antifeeding properties against the Colorado potato beetle, Leptinotarsa decemlineata Say. The extracts of Artemisia tridentata, Purshia tridentata and Chrysothamnus nauseosus have been fractionated for their antifeeding constituents. Known constituents of these plants (deacetalmatricarin, coumarins, cucurbitacins, polyphenols, polyacetylenes, and essential oils) were also screened. The results indicate that several chemical classes of compounds are responsible for antifeeding activity in each plant. Water soluble substances present in the waste marc after steam distillation of peppermint oil were highly active, too.