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  1. Anaesthesia for transvenous transcatheter tricuspid valve-in-valve implantation

    Anaesthesia for transvenous transcatheter tricuspid valve-in-valve implantation

    Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: LJ Du Preez --- Department of Anaesthesiology and Critical Care, P Le Roux --- Department of Anaesthesiology and Critical Care, AR Coetzee --- Department of Anaesthesiology and Critical Care,
    The authors report and discuss the anaesthetic management of a transvenous transcatheter tricuspid valve replacement. The conduct of anaesthesia, the challenges encountered and the specific risks associated with the procedure will be discussed. Percutaneous tricuspid valve replacement may be safely...
  2. Case study: An unusual cause of clotted blood in epidural catheter

    Case study: An unusual cause of clotted blood in epidural catheter

    Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: S Kiran --- Department of Anaesthesia, Pandit Bhagwat Dayal Sharma, India R Taneja --- Department of Anaesthesia, Pandit Bhagwat Dayal Sharma, India
    The failure of an epidural catheter after initially functioning well may be due to kinking, knotting or epidural catheter lumen blockage. The presence of blood in the epidural catheter is usually due to the catheter's traumatic placement or to intravascular...
  3. The where, what and how of paediatric central venous access

    The where, what and how of paediatric central venous access

    Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: RM Gray --- Red Cross Children's Hospital, University of Cape Town,
    This review aims to help practitioners positioning central venous catheters (CVCs) in paediatric patients to make informed decisions about the site, insertion technique, type of catheter to use, and care of the CVC.
  4. The LMA Classic™ as a conduit for tracheal intubation in adult patients: a review and practical guide

    The LMA Classicâ„¢ as a conduit for tracheal intubation in adult patients: a review and practical guide

    Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: ANJ Alberts --- Clinical Unit, Department of Anaesthesiology and Critical Care Kalafong Hospital; Faculty of Health Sciences,
    Unexpected difficulty in maintaining an open airway following induction of anaesthesia remains an ever-present hazard. Repetitive attempts at direct laryngoscopy and intubation are generally acknowledged to be inappropriate. The LMA ClassicTM is recognised as a rescue ventilation device in failed...
  5. A knotty affair

    A knotty affair

    Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: Srivishnu Vardhan Yallapragada --- Department of Anaesthesiology, India Nagendra Nath Vemuri --- Department of Anaesthesiology, India Mastan Saheb Shaik --- Department of Anaesthesiology, India
    Continuous epidural anaesthesia through a catheter certainly offers the advantage of titrated, safe and prolonged anaesthesia along with a good quality of postoperative analgesia. Epidural catheters can cause some complications and one such rare complication is knotting in the epidural...
  6. An unusual conduit for a paediatric tracheostomy tube exchange

    An unusual conduit for a paediatric tracheostomy tube exchange

    Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: BS Küsel --- Anaesthesia Registrar, South Africa RE Hodgson --- Inkosi Albert Luthuli Central Hospital, Durban, South Africa and Department of Anaesthesia and Critical Care, South Africa
    This case report demonstrates the challenges of the paediatric airway, and useful, practical solutions in the management of tracheostomies in children. A six-year-old child underwent a tracheostomy, where an inappropriately large tracheostomy tube was inserted. The choice was guided by...
  7. Efficacy of antimicrobial lock solutions in preventing catheter-related blood stream infection in haemodialysis patients: a systematic review and meta-analysis of prospective randomised controlled trials

    Efficacy of antimicrobial lock solutions in preventing catheter-related blood stream infection in haemodialysis patients: a systematic review and meta-analysis of prospective randomised controlled trials

    Item type: Journal Article • Journal: Southern African Journal of Infectious Diseases • Authors: Ahmad Maifada Yakasai --- Infectious and Tropical Diseases Unit, Department of Medicine, Public Health and Diagnostic Institute, College of Medical Sciences, Nigeria Hamza Muhammad --- Infectious and Tropical Diseases Unit, Department of Medicine, Nigeria Garba Iliyasu --- Infectious and Tropical Diseases Unit, Department of Medicine, Nigeria Aisha Muhammad Nalado --- Aminu Kano Teaching Hospital, Nigeria Mahmood Muhammad Dalhat --- Infectious and Tropical Diseases Unit, Department of Medicine, Nigeria Zaiyad Garba Habib --- Department of Medicine, Nigeria Farouk Daiyabu --- Infectious and Tropical Diseases Unit, Department of Medicine, Nigeria Chinagozi Precious Edwin --- Department of Microbiology, Nigeria Musa Baba Maiyaki --- Aminu Kano Teaching Hospital, Nigeria Daiyabu Alhaji Ibrahim --- Aminu Kano Teaching Hospital, Nigeria
    Background: Catheter-related blood stream infection (CRBSI) contributes to morbidity and mortality among patients on haemodialysis (HD). We carried out a systematic review and meta-analysis to assess the efficacy of antimicrobial lock solutions (ALS) in preventing CRBSI. Method: Electronic search of...
  8. Deceptive jugular manometry, blood colour and Po<sub>2</sub> in the presence of an ipsilateral upper extremity arteriovenous fistula: a report of two cases

    Deceptive jugular manometry, blood colour and Po2 in the presence of an ipsilateral upper extremity arteriovenous fistula: a report of two cases

    Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: David M Corda --- Department of Anesthesiology, USA Stephen Aniskevich III --- Department of Anesthesiology and Perioperative Medicine, USA
    Manometry, blood gas analysis and colour of blood are often used as adjuncts to verify central venous access and rule out inadvertent arterial puncture. Several clinical scenarios may make these techniques unreliable. Two cases are presented involving patients with mature...
  9. Antibiotic resistance profiles of biofilm-forming bacteria associated with urine and urinary catheters in a tertiary hospital in Ile-Ife, Nigeria

    Antibiotic resistance profiles of biofilm-forming bacteria associated with urine and urinary catheters in a tertiary hospital in Ile-Ife, Nigeria

    Item type: Journal Article • Journal: Southern African Journal of Infectious Diseases • Authors: Michael O. Osungunna [COR0001] Grace O. Onawunmi --- Department of Pharmaceutics, Nigeria
    Background: Microorganisms that infect humans differ in pathogenesis, virulence factors and antimicrobial resistance profiles. In natural settings, bacterial cells are most often found in close association with surfaces and interfaces, in the form of multicellular aggregates commonly called biofilms. Given...