Pub Date : 2021-09-01DOI: 10.36303/sajaa.2021.27.5.2582
K. Kemp
{"title":"22q11.2 deletion syndrome: an anaesthetic perspective","authors":"K. Kemp","doi":"10.36303/sajaa.2021.27.5.2582","DOIUrl":"https://doi.org/10.36303/sajaa.2021.27.5.2582","url":null,"abstract":"","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49380490","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}
Pub Date : 2021-09-01DOI: 10.36303/sajaa.2021.27.5.2448
H. Kluyts, P. Becker
{"title":"Development of a clinical prediction model for high hospital cost in patients admitted for elective non-cardiac surgery to a private hospital in South Africa","authors":"H. Kluyts, P. Becker","doi":"10.36303/sajaa.2021.27.5.2448","DOIUrl":"https://doi.org/10.36303/sajaa.2021.27.5.2448","url":null,"abstract":"","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43523591","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}
Pub Date : 2021-04-01DOI: 10.36303/sajaa.2021.27.2.2456
G. Sund, M. Lipnick, T. Law, E. Wollner, G.E. Rwibuka
Background: Data regarding the capacity to provide safe anaesthesia is lacking in many low-income countries. With the increasing popularity of WhatsApp for both personal and professional communication in Africa, we sought to test the feasibility of using this platform to administer a brief survey of anaesthesia equipment availability in Burundi. The aims of the study were to survey a subset of anaesthesia equipment availability in Burundi and to assess the suitability of using a WhatsApp chat group to administer such a survey. Methods: The survey was distributed via WhatsApp by ATSARPS (Agora des Techniciens Superieurs Anesthesistes Reanimateurs pour la Promotion de la Sante), an association of anaesthesia providers in Burundi. The questions focused on the presence of five pieces of anaesthesia equipment recommended by the World Health Organization – World Federation of Societies of Anesthesiologists (WHO–WFSA) International Standards for a Safe Practice of Anesthesia, namely a Lifebox pulse oximeter, anaesthesia machine, capnograph, ECG and defibrillator. Questions were sent as free text, and responses were received as a reply or as a personal message to the president of ATSARPS who sent the survey. Results: Responses received represented data from 55 (85%) of the 65 hospitals that offer anaesthesia care across Burundi. Eightynine per cent of hospitals had a Lifebox pulse oximeter, 91% had an anaesthesia machine, 16% had capnography, 24% had an ECG and 14% had a defibrillator. Among hospitals which responded to our survey, only 60% reported perfoming general endotracheal anaesthesia on a monthly basis. Conclusion: Data collection in low- and middle-income countries (LMICs) can be challenging; therefore, simple, low-cost methods of data collection need to be developed. We have demonstrated the feasibility of using a WhatsApp chat group among a national society of anaesthesia providers in Burundi to perform an initial abbreviated audit of anaesthesia facilities. We have also identified significant deficits in anaesthesia equipment in Burundi.
{"title":"Anaesthesia facility evaluation : a Whatsapp survey of hospitals in Burundi","authors":"G. Sund, M. Lipnick, T. Law, E. Wollner, G.E. Rwibuka","doi":"10.36303/sajaa.2021.27.2.2456","DOIUrl":"https://doi.org/10.36303/sajaa.2021.27.2.2456","url":null,"abstract":"Background: Data regarding the capacity to provide safe anaesthesia is lacking in many low-income countries. With the increasing popularity of WhatsApp for both personal and professional communication in Africa, we sought to test the feasibility of using this platform to administer a brief survey of anaesthesia equipment availability in Burundi. The aims of the study were to survey a subset of anaesthesia equipment availability in Burundi and to assess the suitability of using a WhatsApp chat group to administer such a survey. \u0000Methods: The survey was distributed via WhatsApp by ATSARPS (Agora des Techniciens Superieurs Anesthesistes Reanimateurs pour la Promotion de la Sante), an association of anaesthesia providers in Burundi. The questions focused on the presence of five pieces of anaesthesia equipment recommended by the World Health Organization – World Federation of Societies of Anesthesiologists (WHO–WFSA) International Standards for a Safe Practice of Anesthesia, namely a Lifebox pulse oximeter, anaesthesia machine, capnograph, ECG and defibrillator. Questions were sent as free text, and responses were received as a reply or as a personal message to the president of ATSARPS who sent the survey. \u0000Results: Responses received represented data from 55 (85%) of the 65 hospitals that offer anaesthesia care across Burundi. Eightynine per cent of hospitals had a Lifebox pulse oximeter, 91% had an anaesthesia machine, 16% had capnography, 24% had an ECG and 14% had a defibrillator. Among hospitals which responded to our survey, only 60% reported perfoming general endotracheal anaesthesia on a monthly basis. \u0000Conclusion: Data collection in low- and middle-income countries (LMICs) can be challenging; therefore, simple, low-cost methods of data collection need to be developed. We have demonstrated the feasibility of using a WhatsApp chat group among a national society of anaesthesia providers in Burundi to perform an initial abbreviated audit of anaesthesia facilities. We have also identified significant deficits in anaesthesia equipment in Burundi.","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41875440","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}
Pub Date : 2021-04-01DOI: 10.36303/sajaa.2021.27.2.2612
Rowan Duys, J. Park-Ross, D Van Straaten, E. Grant, C. Copley
Mobile messaging platforms (MMP) are increasingly the de facto vehicle for communication in low resource environments. The statistics are striking. Dramatic reductions in the cost of smartphone devices as well as data, mean that an estimated 44% of Africans had access to a smartphone in 2019.1 This is anticipated to grow to 65% by 2025.1 Access among healthcare workers is even higher, with 97% of the researchers approached through the African Perioperative Research Group (APORG) reported having smartphone access (unpublished data).
{"title":"WhatsApp and Internet Protocol messaging in healthcare : a transformative opportunity","authors":"Rowan Duys, J. Park-Ross, D Van Straaten, E. Grant, C. Copley","doi":"10.36303/sajaa.2021.27.2.2612","DOIUrl":"https://doi.org/10.36303/sajaa.2021.27.2.2612","url":null,"abstract":"Mobile messaging platforms (MMP) are increasingly the de facto vehicle for communication in low resource environments. The statistics are striking. Dramatic reductions in the cost of smartphone devices as well as data, mean that an estimated 44% of Africans had access to a smartphone in 2019.1 This is anticipated to grow to 65% by 2025.1 Access among healthcare workers is even higher, with 97% of the researchers approached through the African Perioperative Research Group (APORG) reported having smartphone access (unpublished data).","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46712657","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}
Pub Date : 2021-04-01DOI: 10.36303/SAJAA.2021.27.2.2617
E. Coetzee, A. Absalom
{"title":"Stability of BIS with Schnider or modified Marsh effect-site targeted infusions : as you like it, or much ado about nothing?","authors":"E. Coetzee, A. Absalom","doi":"10.36303/SAJAA.2021.27.2.2617","DOIUrl":"https://doi.org/10.36303/SAJAA.2021.27.2.2617","url":null,"abstract":"","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46079006","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}
Pub Date : 2021-04-01DOI: 10.36303/sajaa.2021.27.2.2379
B. Salmond, Z. Farina, R. von Rahden, R. Rodseth
{"title":"Comparison of point-of-care device DiaSpect against the HemoCue and laboratory analyser in an ICU population","authors":"B. Salmond, Z. Farina, R. von Rahden, R. Rodseth","doi":"10.36303/sajaa.2021.27.2.2379","DOIUrl":"https://doi.org/10.36303/sajaa.2021.27.2.2379","url":null,"abstract":"","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47309949","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}
Pub Date : 2021-04-01DOI: 10.36303/sajaa.2021.27.2.2461
D. Shead, S. Chetty
Background: Mobile medical applications have evolved rapidly in the 21st century, making it easier for anaesthetic service providers to utilise these for work-related queries. However, there is no South African data available to determine if this technology is being utilised. The usage patterns of mobile medical health applications and the accessibility of this technology to a resource-limited environment, along with a focus on what apps South African anaesthetic service providers are using was assessed and quantified. Secondly, the favourability of a South African-based app and any possible barriers to entry were examined. Methods: A prospective, contextual, descriptive study was conducted amongst anaesthetic service providers attending the 2018 South African Society of Anaesthesiologists National Congress in Cape Town. Two hundred and thirty-two (116 specialists and 116 registrars) surveys were completed voluntarily between 4 to 8 April 2018, and analysed. Results: 100% of participants utilise smartphones for work-related queries. 169/232 (72%) participants favoured a South African-based app. Drug referencing and calculator functionality were the most frequently used mobile applications. Specialists were more likely to admit to nonprofessional use of smartphones in theatre. High data costs contribute to decreased usage amongst respondents. Conclusions: A South African-based pharmacology app would be welcomed and utilised by the South African anaesthetic community. Smartphone and app usage patterns, as well as limitations to this technology usage in South Africa appear to reflect those seen worldwide. Poor internet connectivity and high data costs were limiting factors to technology utilisation.
{"title":"Smartphone and app usage amongst South African anaesthetic service providers","authors":"D. Shead, S. Chetty","doi":"10.36303/sajaa.2021.27.2.2461","DOIUrl":"https://doi.org/10.36303/sajaa.2021.27.2.2461","url":null,"abstract":"Background: Mobile medical applications have evolved rapidly in the 21st century, making it easier for anaesthetic service providers to utilise these for work-related queries. However, there is no South African data available to determine if this technology is being utilised. The usage patterns of mobile medical health applications and the accessibility of this technology to a resource-limited environment, along with a focus on what apps South African anaesthetic service providers are using was assessed and quantified. Secondly, the favourability of a South African-based app and any possible barriers to entry were examined. \u0000Methods: A prospective, contextual, descriptive study was conducted amongst anaesthetic service providers attending the 2018 South African Society of Anaesthesiologists National Congress in Cape Town. Two hundred and thirty-two (116 specialists and 116 registrars) surveys were completed voluntarily between 4 to 8 April 2018, and analysed. \u0000Results: 100% of participants utilise smartphones for work-related queries. 169/232 (72%) participants favoured a South African-based app. Drug referencing and calculator functionality were the most frequently used mobile applications. Specialists were more likely to admit to nonprofessional use of smartphones in theatre. High data costs contribute to decreased usage amongst respondents. \u0000Conclusions: A South African-based pharmacology app would be welcomed and utilised by the South African anaesthetic community. Smartphone and app usage patterns, as well as limitations to this technology usage in South Africa appear to reflect those seen worldwide. Poor internet connectivity and high data costs were limiting factors to technology utilisation.","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42249607","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}
Pub Date : 2021-04-01DOI: 10.36303/sajaa.2021.27.2.2583
J. Coetzee, A. Links, A. Levin
{"title":"Assessment of the clinical validity of an adjusted Marsh pharmacokinetic model using an effect-site rate constant (ke0) of 1.21 min-1","authors":"J. Coetzee, A. Links, A. Levin","doi":"10.36303/sajaa.2021.27.2.2583","DOIUrl":"https://doi.org/10.36303/sajaa.2021.27.2.2583","url":null,"abstract":"","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46346125","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}
Pub Date : 2021-04-01DOI: 10.36303/sajaa.2021.27.2.2492
G. Manjooran, J. Scribante, H. Perrie, C. Redelinghuys
Numerous factors that influence the choice of anaesthesiology as a career have been described. Previously, personality and intrinsic aspects of the job were marked as important influences in choosing anaesthesiology as a career.3,4 Recent literature, however, revealed a manageable lifestyle and better working conditions as more important.5,6 Other key influences noted were undergraduate and postgraduate exposure to the specialty, as well as role models within the specialty.3,6 Additional factors identified were related to the intrinsic nature of anaesthesiology: “hands-on”, practical, immediate gratification with the work (immediate results), and the applicability of physiology and pharmacology.4,6-8 Differences between gender have been identified, with females increasingly opting for specialties allowing for part-time work.3,9 Studies on choosing anaesthesiology as a career have been conducted in developing countries,10-13 including African countries such as Rwanda14 and Ghana,15 that have a severe shortage of anaesthetists. The findings of these studies are similar to those in developed countries.6-8,16 Studies have found that increased exposure to anaesthesiology at an undergraduate level as well as during an internship, improved the likelihood of someone choosing anaesthesiology as a career.13,14
{"title":"Career choice of anaesthetists in a department of anaesthesiology at a tertiary institution in South Africa","authors":"G. Manjooran, J. Scribante, H. Perrie, C. Redelinghuys","doi":"10.36303/sajaa.2021.27.2.2492","DOIUrl":"https://doi.org/10.36303/sajaa.2021.27.2.2492","url":null,"abstract":"Numerous factors that influence the choice of anaesthesiology as a career have been described. Previously, personality and intrinsic aspects of the job were marked as important influences in choosing anaesthesiology as a career.3,4 Recent literature, however, revealed a manageable lifestyle and better working conditions as more important.5,6 Other key influences noted were undergraduate and postgraduate exposure to the specialty, as well as role models within the specialty.3,6 Additional factors identified were related to the intrinsic nature of anaesthesiology: “hands-on”, practical, immediate gratification with the work (immediate results), and the applicability of physiology and pharmacology.4,6-8 Differences between gender have been identified, with females increasingly opting for specialties allowing for part-time work.3,9 Studies on choosing anaesthesiology as a career have been conducted in developing countries,10-13 including African countries such as Rwanda14 and Ghana,15 that have a severe shortage of anaesthetists. The findings of these studies are similar to those in developed countries.6-8,16 Studies have found that increased exposure to anaesthesiology at an undergraduate level as well as during an internship, improved the likelihood of someone choosing anaesthesiology as a career.13,14","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45533382","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}
Pub Date : 2021-02-24DOI: 10.36303/SAJAA.2021.27.1.2594
R. Hofmeyr, M. Sorbello
Faced with limited time, severely constrained resources and a lack of manpower in the face of the overwhelming numbers in Xerxes’ invading Persian Army, the Greeks strategised to halt their foe using two natural barriers which restricted movement: the Straits of Atremisium, and the narrow pass at Thermopylae. King Leonidas of Sparta led 7 000 mettlesome troops to engage at the Hot Gates, preparing to face a force today believed to have exceeded 150 000 fighters. When told that the Persians were so multitudinous that each volley of their arrows would block out the sun, Herodotus writes that the plucky Spartan soldier, Dienekes, replied laconically: “In the shade, then, we will fight!” The Battle of Thermopylae is history interwoven with legend, but speaks of the power of strategic interventions applied at the right place, at the right time, by the right people, even in the face of overwhelming odds.
{"title":"Airway management in COVID-19: Time to start thinking outside the box?","authors":"R. Hofmeyr, M. Sorbello","doi":"10.36303/SAJAA.2021.27.1.2594","DOIUrl":"https://doi.org/10.36303/SAJAA.2021.27.1.2594","url":null,"abstract":"Faced with limited time, severely constrained resources and a lack of manpower in the face of the overwhelming numbers in Xerxes’ invading Persian Army, the Greeks strategised to halt their foe using two natural barriers which restricted movement: the Straits of Atremisium, and the narrow pass at Thermopylae. King Leonidas of Sparta led 7 000 mettlesome troops to engage at the Hot Gates, preparing to face a force today believed to have exceeded 150 000 fighters. When told that the Persians were so multitudinous that each volley of their arrows would block out the sun, Herodotus writes that the plucky Spartan soldier, Dienekes, replied laconically: “In the shade, then, we will fight!” The Battle of Thermopylae is history interwoven with legend, but speaks of the power of strategic interventions applied at the right place, at the right time, by the right people, even in the face of overwhelming odds.","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45090082","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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