Standard sleep polygraphy with EEG, EOG, and EMG recording (1) or the modern polysomnogram including even more physiological parameters has been infrequently applied in long-term follow up studies with an extended number of subjects. These methods usually presuppose a laboratory setting which can be considered as too laborious and expensive for some applications. Additionally, the sleep laborat...

We have used flexible fibreoptic bronchoscopy using sedation and local anaesthesia in 50 children aged 2-19 years (median 10) using an Olympus BFP20 instrument. Indications were opportunistic pneumonias (n = 11), persistent atelectasis (n = 11), recurrent pneumonia (n = 7), miscellaneous lower airway disease (n = 7), recurrent wheezing (n = 3), haemoptysis (3), to diagnose infection or rejectio...

To cite: Hoey AW, Dusu K, Gane S. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2017219635 DESCRIPTION Acute airway obstruction is a common ENT emergency with a wide range of aetiologies. The most common causes are infection, malignancy and foreign bodies, but more unusual causes should be considered. A 77-year old gentleman presented to the emergency department...

A 60 year old lady presented to the emergency room with 2 days history of abdominal distention, colicky pain and constipation. Her chest x-ray showed pneumoperitoneum. She underwent exploratory laparotomy the same day. She was found to have a tumour of the sigmoid colon alongwith caecal perforation. A subtotal colonic resection with ileocolic anastomosis was performed. Her preoperative assessme...

OBJECTIVE To perform acoustic analysis of swallowing sounds, using a microphone and a notebook computer system, in healthy subjects and patients with dysphagia affected by neurological diseases, testing the positive/negative predictive value of a pathological pattern of swallowing sounds for penetration/aspiration. DESIGN Diagnostic test study, prospective, not blinded, with the penetration/a...

In 1983 a postal survey of the bronchoscopic practice of chest physicians in the United Kingdom produced a 90% response rate. Two hundred and thirty one physicians were carrying out bronchoscopy; they had performed about 40 000 bronchoscopies in the preceding year, 87% of these being fibreoptic procedures with topical anaesthesia. The mortality rate of fibreoptic bronchoscopy was 0.04%, with a ...

BACKGROUND Impingement of the tracheal tube (ETT) on upper airway structures during railroading over the fibreoptic bronchoscope (FOB) occurs commonly. Potential complications of impingement include prolonged intubation time, leading to arterial desaturation, failed intubation and laryngeal trauma. The objective of this randomized, controlled trial was to assess the effect of the double setup E...

Fifty-one patients with large bowel disease were examined with the Olympus CF-SB fibreoptic colonoscope. With adequate bowel preparation and employing inhalational analgesia administered by a self-demand valve the whole sigmoid colon could be examined in the majority of patients within 30 minutes. In 23% of cases (12/51) the diagnosis was either made or confirmed by this procedure alone. Fibreo...

Fibreoptic intubation is a valuable modality for airway management. This study aimed to compare the effectiveness of dexmedetomidine vs target controlled propofol infusion in providing sedation during fibreoptic intubation. Forty patients with anticipated difficult airways and due to undergo tracheal intubation for elective surgery were enrolled and randomly allocated into the dexmedetomidine g...

BACKGROUND Treatment rates for social anxiety, a prevalent and potentially debilitating condition, remain among the lowest of all major mental disorders today. Although computer-delivered interventions are well poised to surmount key barriers to the treatment of social anxiety, most are only marginally effective when delivered as stand-alone treatments. A new, Web-based cognitive behavioral the...