A prognostic index for patients with acute myocardial infarction treated in a coronary care unit was presented. It was derived by multiple regression analysis, and was based on the only three factors, of the many examined, that made significant independent contributions to the outcome. These were the serum aspartic aminotransferase (SGOT) level, cardiogenic shock, and oliguria. The system of scoring was simple, especially with a readyreckoner which was provided. There was very good agreement between the coronary prognostic index and the observed mortality rate, and there was a highly significant linear correlation between the two (r=oo986,

Awake intubation is frequently described in the literature as the preferred method for securing the airway in adult patients with epiglottitis, whereas children with epiglottitis are usually intubated following an inhalational induction. However, if topicalization is difficult due to the presence of an abscess or an uncooperative patient, an inhalational induction may still be a reasonable approach in the adult patient. In a review of the literature, only one recent case report had been found describing an inhalational induction with video laryngoscopy. However, this attempt was unsuccessful, mandating the need for a surgical airway. Our case report describes a successful inhalational induction and video laryngoscope intubation without the use of a paralytic agent in an adult patient with an epiglottic abscess and moderate airway stenosis.

Ventricular septal defects (VSDs) are the most common congenital cardiac abnormalities occurring in five out of every 1000 births. Supracristal VSDs (located above the crista supraventicularis) are very rare and comprise only 2%-3% of all VSDs. Many VSDs close spontaneously during childhood; however, a substantial portion may not and are present in adulthood with a myriad of symptoms. We describe the management of a complex case of an adult patient with a supracristal VSD and resultant severe aortic insufficiency (AI) in the perioperative setting.