Pub Date : 2021-11-01DOI: 10.36303/sajaa.2021.27.6.2657
G. Stegmann, R. Llewellyn, R. Hofmeyr
Unstable cervical fractures pose a twofold challenge: patients may present with a difficult airway and the airway intervention itself could cause or exacerbate spinal cord injury. Reasons for a difficult airway may include limited mouth opening as well as limited movement due to spinal motion restriction techniques employed. Patients can be hypotensive, hypovolaemic, hypoxic, or present with a threatened airway due to spinal cord or associated injuries.5 Maxillofacial injuries and/or intraoral bleeding may further complicate management while the mean blood pressure should be maintained at 90 mmHg, or above.6 The clinician is tasked with multiple problems that require simultaneous management, so that these patients can often be challenging for the anaesthetist.
{"title":"Global airway management of the unstable cervical spine survey (GAUSS)","authors":"G. Stegmann, R. Llewellyn, R. Hofmeyr","doi":"10.36303/sajaa.2021.27.6.2657","DOIUrl":"https://doi.org/10.36303/sajaa.2021.27.6.2657","url":null,"abstract":"Unstable cervical fractures pose a twofold challenge: patients may present with a difficult airway and the airway intervention itself could cause or exacerbate spinal cord injury. Reasons for a difficult airway may include limited mouth opening as well as limited movement due to spinal motion restriction techniques employed. Patients can be hypotensive, hypovolaemic, hypoxic, or present with a threatened airway due to spinal cord or associated injuries.5 Maxillofacial injuries and/or intraoral bleeding may further complicate management while the mean blood pressure should be maintained at 90 mmHg, or above.6 The clinician is tasked with multiple problems that require simultaneous management, so that these patients can often be challenging for the anaesthetist.","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44014986","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 : 2021-11-01DOI: 10.36303/sajaa.2021.27.6.2634
R. Renuka
{"title":"Perception about anaesthesia and anaesthesiologists among non-medical graduate professionals","authors":"R. Renuka","doi":"10.36303/sajaa.2021.27.6.2634","DOIUrl":"https://doi.org/10.36303/sajaa.2021.27.6.2634","url":null,"abstract":"","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43198927","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 : 2021-11-01DOI: 10.36303/sajaa.2021.27.6.2752
E. Turton
{"title":"Point-of-care ultrasound for all – teaching, training and use at every opportunity","authors":"E. Turton","doi":"10.36303/sajaa.2021.27.6.2752","DOIUrl":"https://doi.org/10.36303/sajaa.2021.27.6.2752","url":null,"abstract":"","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45513665","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 : 2021-11-01DOI: 10.36303/sajaa.2021.27.6.2613
R. Iputo, S. Maswime, P. Motshabi
The World Health Organization (WHO) considers any health condition attributed to or aggravated by pregnancy and childbirth which has negative effects on maternal wellbeing, as maternal morbidity.1 Severe acute maternal morbidity is also referred to as a maternal near-miss (MNM) and has been defined by the WHO as any woman who nearly dies from either a complication of pregnancy or within 42 days of delivery or termination of the pregnancy.1 The MNM classification was first described by Mantel et al.2 who subdivided these criteria into an organ-based system classification (end organ dysfunction) and a management-based system classification (emergency hysterectomy and massive blood transfusion), and which has been widely used internationally.
{"title":"Perioperative management of caesarean section-related haemorrhage in a maternal near-miss population: a retrospective study","authors":"R. Iputo, S. Maswime, P. Motshabi","doi":"10.36303/sajaa.2021.27.6.2613","DOIUrl":"https://doi.org/10.36303/sajaa.2021.27.6.2613","url":null,"abstract":"The World Health Organization (WHO) considers any health condition attributed to or aggravated by pregnancy and childbirth which has negative effects on maternal wellbeing, as maternal morbidity.1 Severe acute maternal morbidity is also referred to as a maternal near-miss (MNM) and has been defined by the WHO as any woman who nearly dies from either a complication of pregnancy or within 42 days of delivery or termination of the pregnancy.1 The MNM classification was first described by Mantel et al.2 who subdivided these criteria into an organ-based system classification (end organ dysfunction) and a management-based system classification (emergency hysterectomy and massive blood transfusion), and which has been widely used internationally.","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42022252","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 : 2021-11-01DOI: 10.36303/sajaa.2021.27.6.2491
A. Isa, S. Chetty
Chronic pain imposes a significant health burden on society and has a debilitating impact on individuals and their productivity.1 Chronic pain has been reported to affect 20% of people worldwide.2 With the current world population at 7.8 billion, it is estimated that approximately 1.5 billion people suffer from chronic pain. The socioeconomic burden of chronic pain in the USA is between US$560 and US$635 billion annually.3 The impact of chronic pain in Africa is also worrisome: Nigeria has a prevalence 5.5%,4 while approximately 1 in 5 South Africans (18.3%) has been reported to suffer from chronic pain.5
{"title":"Physiology and pathophysiology of chronic pain (Part I)","authors":"A. Isa, S. Chetty","doi":"10.36303/sajaa.2021.27.6.2491","DOIUrl":"https://doi.org/10.36303/sajaa.2021.27.6.2491","url":null,"abstract":"Chronic pain imposes a significant health burden on society and has a debilitating impact on individuals and their productivity.1 Chronic pain has been reported to affect 20% of people worldwide.2 With the current world population at 7.8 billion, it is estimated that approximately 1.5 billion people suffer from chronic pain. The socioeconomic burden of chronic pain in the USA is between US$560 and US$635 billion annually.3 The impact of chronic pain in Africa is also worrisome: Nigeria has a prevalence 5.5%,4 while approximately 1 in 5 South Africans (18.3%) has been reported to suffer from chronic pain.5","PeriodicalId":21769,"journal":{"name":"Southern African Journal of Anaesthesia and Analgesia","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48304531","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.2021.27.5.2682
A. Torborg
{"title":"Considerations for assessing optimal regional anaesthesia and analgesia in paediatric surgical patients","authors":"A. Torborg","doi":"10.36303/sajaa.2021.27.5.2682","DOIUrl":"https://doi.org/10.36303/sajaa.2021.27.5.2682","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":"45446897","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.2021.27.5.2508
Mbm Majangara, K. Limakatso, R. Parker
{"title":"Patient satisfaction at the Chronic Pain Management Clinic at Groote Schuur Hospital","authors":"Mbm Majangara, K. Limakatso, R. Parker","doi":"10.36303/sajaa.2021.27.5.2508","DOIUrl":"https://doi.org/10.36303/sajaa.2021.27.5.2508","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":"47796570","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.2021.27.5.2489
A. Reddy, A. Bhandary, S. Shetty, BG Harish
{"title":"Comparative study between an ultrasound-guided transversus abdominis plane block and an ultrasound-guided caudal block for postoperative analgesia in children undergoing lower abdominal surgeries – a prospective randomised study","authors":"A. Reddy, A. Bhandary, S. Shetty, BG Harish","doi":"10.36303/sajaa.2021.27.5.2489","DOIUrl":"https://doi.org/10.36303/sajaa.2021.27.5.2489","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":"48619203","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.2021.27.5.2587
DS Almghairbi, KH Al Gormi, TC Marufu
{"title":"Anaesthesia drugs preparation and administration in Libyan tertiary hospitals: a multicentre qualitative observational study","authors":"DS Almghairbi, KH Al Gormi, TC Marufu","doi":"10.36303/sajaa.2021.27.5.2587","DOIUrl":"https://doi.org/10.36303/sajaa.2021.27.5.2587","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":"45198060","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.2021.27.5.2580
G. Lamacraft, J. de Beer, C. van Rooyen
{"title":"Minimum alveolar concentration of sevoflurane required to prevent Bell’s phenomenon during examination of the eye under anaesthesia","authors":"G. Lamacraft, J. de Beer, C. van Rooyen","doi":"10.36303/sajaa.2021.27.5.2580","DOIUrl":"https://doi.org/10.36303/sajaa.2021.27.5.2580","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":"43193673","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}