Scot Med J
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In order to assess the availability of appropriate resources for a programme of in-theatre teaching of airway skills using anaesthetised patients, two surveys of airway management on anaesthetised patients with identification of those suitable for teaching airway care; and a questionnaire to senior anaesthetists assessing attitudes to such teaching were performed. The results demonstrated that, of all patients undergoing general anaesthesia 45% were intubated and of these 29% were regarded as suitable for teaching intubation. ⋯ In our survey 16% had a Laryngeal Mask Airway (LMA) placed for airway securement and of these 29% would have been intubated had the LMA not been available. Finally, amongst anaesthetists in our survey there is a wide variety of attitudes to teaching airway skills using anaesthetised patients.
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This case report describes a patient with anergic pulmonary tuberculosis who presented with pyrexia of unknown origin and vasculitis. He did not exhibit any pulmonary symptoms at his initial presentation and developed acute myelocytic leukaemia, a recognised association, during the subsequent course of his illness.