SummaryNumerous indirect laryngoscopes have been introduced into clinical practice and their use for tracheal intubation under local anaesthesia has been described. However, a study comparing indirect laryngoscopic vs fibreoptic intubation under local anaesthesia and sedation appears lacking. Therefore, we evaluated both techniques in 100 patients with an anticipated difficult nasal intubation time for intubation the primary outcome. We also assessed success rate, glottic view, Ramsey score, and patients' and anaesthetists' satisfaction. The median (IQR [range]) time for intubation was significantly shorter with the videolaryngoscope with 38 (24-65 [11-420]) s vs 94 (48-323 [19-1020]) s (p < 0.0001). There was no difference in the success rate of intubation (96% for both techniques; p > 0.9999) and satisfaction of the anaesthetists and patients. We conclude that in anticipated difficult nasal intubation a videolaryngoscope represents an acceptable alternative to fibreoptic intubation.

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Abstract.-To investigate the phylogenetic affinity of Yuknessia simplex Walcott,

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Specimens from the Wheeler and Marjum Formations of Utah comprising an elongate stipe with freely projecting conical thecae are described as dithecoid graptolites, the first reported from these units. The Wheeler Shale specimens, assigned to Archaeolafoea monegettae (Chapman, 1919), provide the first record of Archaeolafoea Chapman, 1919 from the Cambrian of Laurentia and show clear fusellar structure in backscattered electron images, confirming a graptolite affinity for this taxon. Mastigograptus sp., described on the basis of a single well-preserved specimen from the Marjum Formation, shows for the first time in a Cambrian mastigograptid an arrangement of thecae similar to that known for Ordovician representatives of the genus.