The Use of Awake Videolaryngoscopy and an Innovative Flexible-Tipped Bougie in a Potentially Difficult Airway.

We present a case where awake videolaryngoscopy (VL) was used, along with a flexible-tipped bougie to allow endotracheal intubation in a challenging airway. The patient presented for resection of a large left-sided parapharyngeal mass. Examination and imaging led to concerns about a potentially difficult airway.

An uncommon complication of atrial fibrillation.

Coronary embolism is a well-recognized cause of myocardial infarction. It is often under diagnosed and cardiologists need to be vigilant for this diagnosis. A 77-year-old man presented with chest pain with an ECG showing a new diagnosis of atrial fibrillation.

Day case laparoscopic cholecystectomy: reducing the admission rate.

Introduction: The drive to achieving economy, efficiency and effective use of resources has catalysed the development of day case laparoscopic cholecystectomy (DCLC). The aims of this study were to determine the stay in (unplanned admission) rate of DCLC, identify reasons for unplanned admissions and re-admissions in this cohort of patients and explore how to improve the same day discharge rate.

Patients And Methods: This is a review of 258 patients undergoing DCLC between April 2008 and March 2009.