BACKGROUND :
It is often difficult for clinicians in African low- and middle-income countries middle-income countries to access useful aggregated data to identify areas for quality improvement. The aim of this Delphi ...
Janse van Rensburg, Henroe; Van der Merwe, Dawid J.(Medpharm Publications, 2023-03)
BACKGROUND: Paediatric caudal anaesthesia is an established technique. Commercially, only one paediatric caudal part-tasktrainer (PTT) exists. In the South African context, access to caudal block simulation training is ...
Dippenaar, Johannes Marthinus (Tinus)(Medpharm Publications, 2023-03)
Cost-effective care amidst the rapidly rising cost of medical services necessitates the implementation of a standardised multimodal
analgesia plan to aid patient care. This review aims to address the physiology and ...
Cost-effective care amidst the rapidly rising cost of medical services necessitates the implementation of a standardised multimodal
analgesia plan to aid patient care. This review aims to address the physiology and ...
Cronje, Larissa; Torborg, Alexandra M.; Meyer, Heidi M.; Bhettay, Anisa Z.; Diedericks, Johan B.J.S.; Cilliers, Celeste; Kluyts, Hyla; Mrara, Busisiwe; Kalipa, Mandisa; Cloete, Esther; Burke, Annemie; Mogane, Palesa N.; Alphonsus, Christella S.; Mbeki, Motselisi; Thomas, Jennifer; Rodseth, Reitze; Biccard, Bruce M.(Lippincott Williams and Wilkins, 2022-04)
BACKGROUND :
Severe anesthetic-related critical incident (SARCI) monitoring is an essential component of safe, quality anesthetic care. Predominantly retrospective data from low- and middle-income countries (LMICs) ...
In 2015, the World Health Organization and member states recognised surgery and anaesthesia care as a component of universal health coverage, yet 1.7 billion children and adolescents continue to lack access to safe surgical ...
The phrase “knowing-doing gap” was first coined by Pfeffer and Sutton in 2000.1 They postulated that while big businesses often knew correct management principles, implementation of appropriate change was not always possible. ...
Lombard, Theodi; Spijkerman, Sandra; Van Rooyen, C.(Medpharm Publications, 2022)
BACKGROUND : Post-traumatic stress symptoms (PTSS) have been described in healthcare workers after disease outbreaks.
Anaesthetists are at high risk of exposure to COVID-19 due to the nature of the airway procedures they ...
Naidoo, K.; Spijkerman, Sandra; Wyngaard, J.; De Menezes-Williams, H.; Janse van Rensburg, C.(Health and Medical Publishing Group, 2022-01)
BACKGROUND. Patients with severe COVID-19 may require endotracheal intubation. Unique adjustments to endotracheal intubation and extubation practices are necessary to decrease the risk of SARS-CoV-2 transmission to healthcare ...
Alphonsus, C.S.; Naidoo, N.; Chakane, P.Motshabi; Cassimjee, I.; Firfiray, L.; Louwrens, H.; Van der Westhuizen, J.; Malan, A.; Spijkerman, Sandra; Kluyts, Hyla-Louise; Cloete, N.J.; Kisten, T.; Nejthardt, M.B.; Biccard, Bruce McIure(Health and Medical Publishing Group, 2021-10)
The South African (SA) guidelines for cardiac patients for non-cardiac surgery were developed to address the need for cardiac risk
assessment and risk stratification for elective non-cardiac surgical patients in SA, and ...
Mdzinwa, Nasiphi; Voigt, M.; Janse van Rensburg, Dina Christina; Paruk, Fathima(Health and Medical Publishing Group, 2021-11)
BACKGROUND : The availability of well and functional healthcare workers (HCWs) and support staff is pivotal to a country’s ability to
manage the COVID-19 pandemic effectively. While HCWs have been identified as being at ...
INTRODUCTION : Clinicians may find early identification of patients at risk for high cost of care during and after surgery useful, to
prepare for focused management that results in optimal clinical outcome. The aim of the ...
One night during a polytrauma theatre case, I asked the anaesthetic nurse to run a blood gas analysis in a nearby intensive care unit. He returned with saline, glucose and insulin, announcing from the door that “we need ...
Pacemakers (PM) and implantable cardioverter defibrillators (ICDs) are likely to be encountered by anaesthetists in South Africa
in everyday practice because of increasing rates of implantation of these cardiac implantable ...
BACKGROUND : Data on the factors that influence mortality after surgery in South Africa are scarce, and neither these data nor data on risk-adjusted in-hospital mortality after surgery are routinely collected. Predictors ...
Herselman, Ronel; Lalloo, Vidya; Ueckermann, Veronica; Van Tonder, Daniel Johannes; De Jager, Edwin John; Spijkerman, Sandra; Van der Merwe, Wanda; Du Pisane, Marizane; Hattingh, Fanie; Stanton, David; Hofmeyr, Ross(Elsevier, 2021-12)
INTRODUCTION : SARS-CoV-2 has resulted in increased worldwide demand for personal protective equipment (PPE).
With pressure from ongoing epidemic and endemic episodes, we assessed an adapted snorkel mask that provides
full-face ...
BACKGROUND : The prevalence of anemia in the South African pediatric surgical population is unknown. Anemia may be associated with increased postoperative complications. We are unaware of studies documenting these findings ...
Du Preez, T.; Dippenaar, Johannes Marthinus (Tinus)(MedPharm Publications, 2020)
BACKGROUND : Day case surgery offers advantages to the patient, the family and the performing institution. Children are excellent
candidates since they are generally healthy and often require brief surgical interventions. ...
OBJECTIVE : To characterize the institutional oxygen management practices during cardiopulmonary bypass (CPB) in patients undergoing cardiac surgery, including any potential changes during an 8-year study period.
DESIGN ...