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 ...
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 ...
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 ...
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 ...
Plenge, Ulla; Parker, Romy; Davids, Shamiela; Davies, Gareth L.; Fullerton, Zahnne; Gray, Lindsay; Groenewald, Penelope; Isaacs, Refqah; Kauta, Ntambue; Louw, Frederik M.; Mazibuko, A.N. (Andile); North, David M.; Nortje, Marc; Nunes, Glen M.; Pebane, Neo; Rajah, Chantal; Roos, John; Ryan, Paul; September, Winlecia V.; Shanahan, Heidi; Siebritz, Ruth E.; Smit, Rian W.; Sombili, Simon; Torborg, Alexandra; Van der Merwe, Johan F.; Van der Westhuizen, Nico; Biccard, Bruce McIure(BioMed Central, 2020-11)
BACKGROUND: Encouraged by the widespread adoption of enhanced recovery protocols (ERPs) for elective total hip
and knee arthroplasty (THA/TKA) in high-income countries, our nationwide multidisciplinary research group ...
BACKGROUND: Body mass is commonly used to determine medication dosages and equipment size. In emergency situations
(including cases necessitating surgery) weighing paediatric patients can be impractical. Clinicians may ...
BACKGROUND: Obesity changes body composition including fat free mass (FFM), regarded as the “pharmacologically active mass”. Scaling drug doses to obese patients by total body mass (TBM) results in overdose. We aimed to ...
Duys, R.; Adam, M.; Spijkerman, Sandra; Purcell-Jones, J.(MedPharm Publications, 2019)
In South Africa, the shortage of trained doctors and nurses
contributes to 50% of all maternal deaths, according to the
2014–2016 Saving Mother’s Report of the National Committee
on Confidential Enquiries into Maternal ...
Background
National clinical data on perioperative care in South Africa are scarce. There is both an urgent need, and the imminent opportunity, to increase the body of evidence necessary to inform on initiatives to improve ...
BACKGROUND : Children comprise a large proportion of the population in sub-Saharan Africa. The burden of paediatric surgical disease exceeds available resources in Africa, potentially increasing morbidity and mortality. ...
Plenge, U.; Nortje, M.B.; Marais, L.C.; Jordaan, J.D.; Parker, R.; Van der Westhuizen, N.; Van der Merwe, J.F.; Marais, J.; September, W.V.; Davies, G.L.; Pretorius, T.; Solomon, C.; Ryan, P.; Torborg, A.M.; Farina, Z.; Smit, R.; Cairns, C.; Shanahan, H.; Sombili, Simon; Mazibuko, A.N. (Andile); Hobbs, H.R.; Porrill, O.S.; Timothy, N.E.; Siebritz, R.E.; Van der Westhuizen, C.; Troskie, A.J.; Blake, C.A.; Gray, L.A.; Munting, T.W.; Steinhaus, H.K.S.; Rowe, P.; Van der Walt, J.G.; Noordien, R. Isaacs; Theron, A.; Biccard, Bruce McIure(BioMed Central, 2018-05-09)
BACKGROUND : A structured approach to perioperative patient management based on an enhanced recovery
pathway protocol facilitates early recovery and reduces morbidity in high income countries. However, in low- and
middle-income ...
Mediastinal pathology presents a diagnostic and therapeutic
dilemma that requires management from a multidisciplinary
team, often consisting of members of various specialties,
including an anaesthetist, surgeon, ...
Modern equipment and surgical techniques have enabled
endoscopic procedures in smaller patients, making thoracoscopy
a possibility for a variety of diagnostic and therapeutic
procedures, even in very young patients.1,2 ...
Laryngospasm is a common and serious respiratory complication
in anaesthetic practice which can be fatal if not diagnosed
and treated timeously. This review will look at the definition,
epidemiology, mechanism, risk ...
Objective To compare the cardiopulmonary function of cheetahs (Acinonyx jubatus) undergoing propofol total intravenous anaesthesia (TIVA) to isoflurane maintenance in order to evaluate their feasibility for field use. Study ...
Kisten, P.; Kluyts, Hyla-Louise(Taylor and Francis, 2018-02-22)
BACKGROUND : Job satisfaction is a vital contributor to occupational well-being and may be instrumental in mitigating stress and
the adverse effects thereof. This is particularly pertinent in anaesthesiology, which is an ...
BACKGROUND : Propofol lipid emulsion supports bacterial growth and various outbreaks of postoperative infection are attributed
to extrinsic contamination. This study’s objectives were to ascertain propofol administration ...
Biccard, Bruce McIure; Alphonsus, C.S.; Bishop, D.G.; Cronje, L.; Kluyts, Hyla-Louise; Kusel, B.; Maswime, Salome; Oodit, R.; Reed, A.R.; Torborg, A.M.; Wise, R.(Health and Medical Publishing Group, 2016-05)
BACKGROUND. Perioperative research is currently unco-ordinated in South Africa (SA), with no clear research agenda.
OBJECTIVE. To determine the top ten national research priorities for perioperative research in SA.
...