{"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}
{"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}
{"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}
{"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}
{"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}