Environmental impact of low-dose methoxyflurane versus nitrous oxide for analgesia: how green is the 'green whistle'?

Background: The NHS has the target of reducing its carbon emission by 80% by 2032. Part of its strategy is using pharmaceuticals with a less harmful impact on the environment. Nitrous oxide is currently used widely within the NHS.

Idiopathic ascites following laparoscopic appendicectomy: a case report.

Appendicitis is a common condition and is frequently treated with a laparoscopic appendicectomy. We present a rare case of delayed, idiopathic ascites following laparoscopic appendicectomy for histologically confirmed appendicitis. While the complications of this condition and this procedure are well documented, this case demonstrates very rare sequelae following a laparoscopic appendicectomy.

Distension arthrogram in the treatment of adhesive capsulitis has a low rate of repeat intervention.

Aims: The primary aim of this study was to evaluate the efficacy of distension arthrography in the treatment of adhesive capsulitis of the shoulder. The secondary aim was to assess which patient and procedural factors predicted the recurrence of symptoms after the procedure.

Methods: All patients referred to our shoulder clinic over a ten-year period, between 2008 and 2018, with a clinical diagnosis of capsulitis and symptoms persisting for more than six months, were offered treatment with a distension arthrogram.