{"title":"When CO 2 goes wild – a tale of surgical emphysema, pneumothorax and a gas-filled adventure in laparoscopic hernia repair","authors":"F. Uys","doi":"10.36303/sajaa.3003","DOIUrl":"https://doi.org/10.36303/sajaa.3003","url":null,"abstract":"","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":"76 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139303111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Leadership dynamics and gender transformation in anaesthesiology in South Africa","authors":"B. Mrara","doi":"10.36303/sajaa.3089","DOIUrl":"https://doi.org/10.36303/sajaa.3089","url":null,"abstract":"","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":"24 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139299803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The profile of female anaesthesiologists in South Africa: past and present","authors":"LM Fombad, H. Perrie, J. Scribante","doi":"10.36303/sajaa.3000","DOIUrl":"https://doi.org/10.36303/sajaa.3000","url":null,"abstract":"","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":"23 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139297318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Quality of anaesthesia care in elective surgery at a Western Cape academic hospital in South Africa: a perioperative patient satisfaction survey","authors":"C. Mathews, L. Firfiray","doi":"10.36303/sajaa.3009","DOIUrl":"https://doi.org/10.36303/sajaa.3009","url":null,"abstract":"","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":"8 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139303143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"“Belt and braces”: prophylactic vasoconstrictors after spinal blocks in the elderly","authors":"A. Milner","doi":"10.36303/sajaa.3088","DOIUrl":"https://doi.org/10.36303/sajaa.3088","url":null,"abstract":"","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":"10 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139293868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Optimal dose of phenylephrine infusion in the prevention of spinal anaesthesia-induced hypotension in elderly patients","authors":"AB Filani, AF Faponle, SO Olateju","doi":"10.36303/sajaa.2946","DOIUrl":"https://doi.org/10.36303/sajaa.2946","url":null,"abstract":"","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":"36 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139303118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
surveillance system was in place. Conclusion: This study demonstrates that the overall SAP knowledge and practice was fair, but core principles such as dosing, timing and duration of SAP were inadequate and need urgent attention. We recommend that through a multidisciplinary collaborative effort, a recognised guideline should be adapted and introduced, and awareness of correct SAP practices promoted at Tygerberg Hospital. Furthermore, the introduction of a surveillance system will help improve the quality of surgical care.
监控系统已经到位。结论本研究表明，SAP的总体知识和实践水平尚可，但SAP的剂量、时间和持续时间等核心原则存在不足，亟需引起重视。我们建议通过多学科合作，在泰格博格医院调整和引入公认的指南，并提高对正确 SAP 操作的认识。此外，引入监督系统将有助于提高外科护理的质量。
{"title":"Knowledge and practice of surgical antimicrobial prophylaxis at a tertiary academic hospital in a low-middle income country","authors":"YC Yu, C. Steadman, S. Chetty","doi":"10.36303/sajaa.2958","DOIUrl":"https://doi.org/10.36303/sajaa.2958","url":null,"abstract":"surveillance system was in place. Conclusion: This study demonstrates that the overall SAP knowledge and practice was fair, but core principles such as dosing, timing and duration of SAP were inadequate and need urgent attention. We recommend that through a multidisciplinary collaborative effort, a recognised guideline should be adapted and introduced, and awareness of correct SAP practices promoted at Tygerberg Hospital. Furthermore, the introduction of a surveillance system will help improve the quality of surgical care.","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":"64 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139330591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
in a 1 000 ml water bath preheated to 46°C. Using a 4-probe electronic thermometer, we measured the following temperatures: ambient, PRBC bag, water bath and outflow. Results: Mean outflow temperature was 35.2°C (95% CI 35.1–35.4); mean emptying time 9.0 minutes (95% CI 8.7–10.2) with a mean flow rate of 25.4 ml.min -1 (95% CI 24.1–26.6). Conclusion: The Khaya-warmer proved to be effective in safely warming cold PRBC units to a mean temperature of 35.2°C using a cost-effective method. Future studies include investigating various flow rates using a pressure bag or a flow regulating device, and to replace the preheated water bath with a thermally insulated flask.
预热至 46°C 的 1 000 毫升水浴中。我们使用 4 探头电子温度计测量了以下温度：环境温度、PRBC 袋温度、水浴温度和流出温度。结果平均流出温度为 35.2°C（95% CI 35.1-35.4）；平均排空时间为 9.0 分钟（95% CI 8.7-10.2），平均流速为 25.4 毫升/分钟-1（95% CI 24.1-26.6）。结论事实证明，卡亚加温器能以经济有效的方法安全地将冷的 PRBC 单位加温至平均温度 35.2°C。未来的研究包括使用压力袋或流量调节装置研究各种流速，以及用保温烧瓶取代预热水浴。
{"title":"Khaya-warmer: blood warming in a resource-constrained setting","authors":"A. Kenny, T. Lotz, J. Coetzee","doi":"10.36303/sajaa.2981","DOIUrl":"https://doi.org/10.36303/sajaa.2981","url":null,"abstract":"in a 1 000 ml water bath preheated to 46°C. Using a 4-probe electronic thermometer, we measured the following temperatures: ambient, PRBC bag, water bath and outflow. Results: Mean outflow temperature was 35.2°C (95% CI 35.1–35.4); mean emptying time 9.0 minutes (95% CI 8.7–10.2) with a mean flow rate of 25.4 ml.min -1 (95% CI 24.1–26.6). Conclusion: The Khaya-warmer proved to be effective in safely warming cold PRBC units to a mean temperature of 35.2°C using a cost-effective method. Future studies include investigating various flow rates using a pressure bag or a flow regulating device, and to replace the preheated water bath with a thermally insulated flask.","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":"5 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139326374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
more informed comparison with the international literature. This first iteration is intended to start the conversation about procedural times and indices, and initiate a process aimed at refining these terms as further versions are required and developed.
{"title":"The South African procedural times glossary","authors":"GL Davies, AR Reed, MH Tsai","doi":"10.36303/sajaa.3002","DOIUrl":"https://doi.org/10.36303/sajaa.3002","url":null,"abstract":"more informed comparison with the international literature. This first iteration is intended to start the conversation about procedural times and indices, and initiate a process aimed at refining these terms as further versions are required and developed.","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":"10 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139331423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
any problems. General anaesthesia was maintained with 2% sevoflurane and 50% O 2 in the air, remifentanil infusion (0.01–0.5 μg/kg per hour) and rocuronium infusion (0.3 mg/kg). Proper ventilation settings were arranged. Gastric contents were suctioned. Since these patients have a low body temperature, we used a circulating-water mattress and a forced-air warming device to prevent hypothermia and followed up with a nasopharyngeal temperature probe. Haemodynamic changes were monitored with Pulse index Contour Continuous Cardiac Output (PiCCO) measured parameters, including stroke volume, stroke volume variation, pulse pressure variation and cardiac output. Fluid therapy was administered, guided by an algorithm depending on the PiCCO parameters. In total, 110 ml of the red Glycogen storage disease (GSD) type III is a metabolic disorder caused by a deficiency in amylo-1,6-glucosidase enzyme, which is responsible for the breakdown of the glycogen molecule, resulting in glycogen accumulating in the organs, hypoglycaemia, muscle weakness, liver dysfunction, delayed anaesthetic recovery, excessive surgical bleeding, cardiomyopathy and end-organ dysfunction. This case report presents a child with GSD type IIIa who underwent orthotopic liver transplantation (OLT) with her mother as a donor. A multidisciplinary approach should be provided to optimise the preoperative period and minimise complications in these patients.
{"title":"Anaesthetic management for orthotopic liver transplantation in a patient with glycogen storage disease type IIIa","authors":"D. Haka, N. Çekmen","doi":"10.36303/sajaa.2987","DOIUrl":"https://doi.org/10.36303/sajaa.2987","url":null,"abstract":"any problems. General anaesthesia was maintained with 2% sevoflurane and 50% O 2 in the air, remifentanil infusion (0.01–0.5 μg/kg per hour) and rocuronium infusion (0.3 mg/kg). Proper ventilation settings were arranged. Gastric contents were suctioned. Since these patients have a low body temperature, we used a circulating-water mattress and a forced-air warming device to prevent hypothermia and followed up with a nasopharyngeal temperature probe. Haemodynamic changes were monitored with Pulse index Contour Continuous Cardiac Output (PiCCO) measured parameters, including stroke volume, stroke volume variation, pulse pressure variation and cardiac output. Fluid therapy was administered, guided by an algorithm depending on the PiCCO parameters. In total, 110 ml of the red Glycogen storage disease (GSD) type III is a metabolic disorder caused by a deficiency in amylo-1,6-glucosidase enzyme, which is responsible for the breakdown of the glycogen molecule, resulting in glycogen accumulating in the organs, hypoglycaemia, muscle weakness, liver dysfunction, delayed anaesthetic recovery, excessive surgical bleeding, cardiomyopathy and end-organ dysfunction. This case report presents a child with GSD type IIIa who underwent orthotopic liver transplantation (OLT) with her mother as a donor. A multidisciplinary approach should be provided to optimise the preoperative period and minimise complications in these patients.","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":"12 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139328540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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