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Diagnosis and management of Addison's disease: insights gained from a large South African cohort
Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: IL Ross --- Division of Endocrinology, NS Levitt --- Division of Endocrinology,The prevalence of Addison's disease in South Africa is lower than in Western countries. This is concerning, since patients could be dying, undiagnosed. Enhanced awareness of this highly treatable condition is warranted. The epidemiology, aetiology, clinical presentation, screening and management... -
The intubating laryngeal mask produces less heart rate response to intubation than conventional laryngoscopy
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: NR Evans --- Department of Anaesthesia, South Africa MFM James --- Department of Anaesthesia, South AfricaWe compared heart rate and blood pressure changes to intubation produced by conventional laryngoscopic-guided intubation to those produced by blind intubation through the intubating laryngeal mask (ILM) in normotensive adults with normal airways. Forty paralysed, anaesthetised adults undergoing elective surgery... -
Recovery room nurses' knowledge regarding postoperative airway emergencies in adults in private hospitals in Northern Gauteng, South Africa
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: T van Huyssteen --- Critical care unit, South Africa ADH Botha --- Department of Nursing Science, South AfricaBackground: Recovery room nurses should have the knowledge and skill to identify and manage postoperative airway emergencies in adult patients. Aim: To determine the knowledge of recovery room nurses regarding postoperative airway emergencies in adult patients in private hospitals in... -
Submucous dissection of the nasopharynx complicating nasotracheal intubation
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: BO Bolaji --- Departments of Anaesthesia, Nigeria IK Kolawole --- Departments of Anaesthesia, Nigeria AAG Abdulrahman --- Departments of Surgery, NigeriaWe present the case of a 60-year old woman, who had an unusual complication of nasotracheal intubation, which was carried out to relieve post-thyroidectomy respiratory distress at the University of Ilorin Teaching Hospital (UITH). She presented with a huge malignant... -
Advances in obstetric anesthesia: ambulation during labor with combined spinal-epidural analgesia
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: KM Kuczkowski --- Departments of Anesthesiology and Reproductive Medicine, USAEpidural analgesia is widely considered as the most effective method of providing pain relief in labor. However, epidural labor analgesia is not a generic procedure and many technical modifications have been invented over time. Continuous search for a balanced labor... -
Anaesthetic management of a parturient with severe pulmonary stenosis undergoing Caesarean section
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: JK Makkar --- Department of Anaesthesia and Intensive Care, India S Jindal --- Department of Anaesthesia and Intensive Care, India A Jain --- Department of Anaesthesia and Intensive Care, India J Wig --- Department of Anaesthesia and Intensive Care, IndiaWe report the successful management of a parturient with severe pulmonary stenosis undergoing Caesarean section. Anaesthesia was managed with combined spinal and epidural anaesthetic technique. During the intraoperative period, haemodynamic parameters were well maintained. There were no episodes of haemodynamic... -
A meta-analysis of intraoperative factors associated with postoperative cardiac complications
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: DL Skinner --- Department of Surgery, S Goga --- Perioperative Research Unit, Department of Anaesthetics, RN Rodseth --- Perioperative Research Unit, Department of Anaesthetics, BM Biccard --- Perioperative Research Unit, Department of Anaesthetics,Background: Preoperative cardiac risk is commonly determined with the help of risk scores and risk stratification tools. This predetermined cardiac risk may be profoundly changed by intraoperative surgical events. This meta-analysis aimed to identify intraoperative factors that independently predict postoperative... -
Myotonic dystrophy: a retrospective diagnosis
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: D Jain --- Department of Anaesthesiology and Intensive Care, India A Chakravarty --- Department of Anaesthesiology and Intensive Care, IndiaMyotonic dystrophy is not commonly encountered in anaesthetic practice and its existence in a patient can easily go undetected, leading to intraoperative and postoperative complications. We report a case of a 45-year-old female without any typical features of myotonic dystrophy,... -
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. -
Complications of the arterial tourniquet
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: L Van der Spuy [AN0001] -
Expensive anaesthesia complications
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: AG Beeton --- Private Practice, Anaesthesiologist, Wits Donald Gordon Medical Centre,The major, costly, and catastrophic adverse consequences of anaesthesia are reviewed. The American Society of Anesthesiologists' closed claims registry yields valuable insights. The size and success of claims is determined by the standard of care, and extent of injury. Ongoing... -
Contraception for first-time users: a problem-orientated guide to product selection and safe prescription
Item type: Journal Article • Journal: South African Family Practice • Authors: WM Kruger --- Department of Obstetrics and Gynaecology, PS Steyn --- Department of Obstetrics and Gynaecology, -
Community perception of traditional circumcision in a sub-region of the Transkei, Eastern Cape, South Africa
Item type: Journal Article • Journal: South African Family Practice • Authors: BL Meel --- Department of Forensic Medicine, Faculty of Health Sciences,The ritual of traditional male circumcisions (initiation) of young adults goes back generations among Xhosa people of South Africa. Xhosa tribe is committed to preserving the old cultural traditions. Recently, this ritual has been tarnished by serious complications that have... -
Second-stage primary Caesarean deliveries: Are maternal complications increased?
Item type: Journal Article • Journal: South African Family Practice • Authors: J Moodley --- Women's Health and HIV Research Unit and Department of Obstetrics and Gynaecology, J Devjee --- Department of Obstetrics and Gynaecology, SM Khedun --- Women's Health and HIV Research Unit and Department of Obstetrics and Gynaecology, T Esterhuizen --- Programme of Biostatistics, Research Ethics and Medical Law, College of Health Sciences, University of KwaZulu-Natal,Background: Second-stage Caesarean sections (CSs) are known to be associated with increased complications but most reports originate from tertiary hospitals, which attend to high-risk patients. Complication rates may differ in district hospitals, which attend to low-risk patients. -
The ocular complications of an envenomous snakebite
Item type: Journal Article • Journal: South African Family Practice • Authors: HL Sithole --- School of Interdisciplinary Research and Graduate Studies, College of Graduate Studies, College of Graduate Studies, University of South Africa,An envenomous snakebite is an important public health problem that can lead to irreversible loss of vision. Snake venom neurotoxins mainly act on the peripheral nervous system at the neuromuscular junction, and result in the implication of the cranial nerves... -
Characteristics of patients presenting with complications of abortion in a tertiary health facility in south-west Nigeria
Item type: Journal Article • Journal: South African Family Practice • Authors: AO Adeniji --- Department of Obstetrics and Gynaecology, Nigeria OOA Atanda --- Department of Obstetrics and Gynaecology, Nigeria AS Adeyemi --- Department of Obstetrics and Gynaecology, NigeriaObjectives: Abortion is associated with significant healthproblem with short- and long-term complications that affect the quality of life of those who are fortunate enough to escape mortality. This study evaluated the population of patients with complications of abortion, identified the... -
Labour epidural analgesia audit in a teaching hospital in a developing country
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: G.G. Jacobs-Martin --- Department of Anesthesiology and Critical Care, South Africa J.L. Burke --- Department of Anesthesiology and Critical Care, South Africa A.I. Levin --- Department of Anesthesiology and Critical Care, South Africa A.R. Coetzee --- Department of Anesthesiology and Critical Care, South AfricaBackground: Neuraxial analgesia is currently considered to be the most effective method of intrapartum analgesia, causing little maternal and foetal sedation. While epidural analgesia has been well studied in developed countries, it is uncertain whether or not the results, particularly... -
Habitual physical activity, peripheral neuropathy, foot deformities and lower limb function: characterising prevalence and interlinks in patients with type 2 diabetes mellitus
Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: AF Adeniyi --- Department of Physiotherapy, Nigeria OS Aiyegbusi --- Department of Physiotherapy, Nigeria OO Ogwumike --- Department of Physiotherapy, Nigeria PO Adejumo --- Department of Nursing, Nigeria AA Fasanmade --- Department of Medicine, NigeriaBackground: Patients with type 2 diabetes mellitus (T2DM) may have diverse foot problems, but how these problems are linked with physical activity is not clear. This study investigated the prevalence of foot problems among patients with T2DM and investigated how... -
Long-term complications of pelvic radiotherapy
Item type: Journal Article • Journal: Southern African Journal of Gynaecological Oncology • Authors: H Simonds --- Division of Radiation Oncology Tygerberg Hospital/University of Stellenbosch,Complications following pelvic radiation are frequently under-reported and inadequately addressed. This overview examines the nature and the intensity of complications encountered by cancer survivors; it focuses specifically on gastrointestinal and vaginal complications, and the problems surrounding the methods of recording... -
The United Kingdom National Audit Projects: a narrative review
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: G Thomas --- Royal United Hospital Bath NHS Foundation Trust, UK TM Cook --- Royal United Hospital Bath NHS Foundation Trust, UKThe Royal College of Anaesthetists’ National Audit Project (NAP) programme has been running in its current form since 2006. Since NAP3 was commissioned the NAPs have examined rare but important complications of anaesthesia and related sub-specialties. The topics covered include... -
The informed consent process for anaesthesia: perspectives of elective surgical patients at Inkosi Albert Luthuli Central Hospital, Durban, South Africa
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: S Naidu --- Discipline of Anaesthesiology and Critical Care, South Africa PD Gopalan --- Discipline of Anaesthesiology and Critical Care, South AfricaBackground: Amongst state hospitals in the eThekwini municipality, obtaining informed consent for anaesthesia is often an informal interaction between the patient and anaesthetist, lacking structure and standardisation. -
Complications relating to enteral and parenteral nutrition in trauma patients: a retrospective study at a level one trauma centre in South Africa
Item type: Journal Article • Journal: South African Journal of Clinical Nutrition • Authors: C. Aaben --- Clintec, Sweden F. Hammarqvist --- Clintec, Sweden T. Mabesa --- Inkosi Albert Luthuli Central Hospital, South Africa Tc Hardcastle --- Department of Surgery,Objectives: The aim of the study was to compare the incidence of complications in patients receiving enteral and parenteral nutrition (PN), and review how the early initiation of enteral feeding and early achievement of caloric goal would affect the incidence... -
Pregnant women admitted with urinary tract infections to a public sector hospital in South Africa: Are there lessons to learn?
Item type: Journal Article • Journal: Southern African Journal of Infectious Diseases • Authors: Francois de Paul Siemefo Kamgang --- Department of Obstetrics and Gynaecology and Women’s Health and HIV Research Group, South Africa Hopolang C Maise --- Department of Obstetrics and Gynaecology and Women’s Health and HIV Research Group, South Africa Jagidesa Moodley --- Women’s Health and HIV Research Group, South AfricaBackground: Urinary tract infection (UTI) is associated with poor maternal and foetal outcomes. There is little information on UTI in pregnancy in South Africa. -
Intraoperative management of ETT and LMA cuff pressures: a survey of anaesthetists’ knowledge, attitude and current practice
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: A de Castro --- Discipline of Anaesthesiology & Critical Care, South Africa PD Gopalan --- Discipline of Anaesthesiology & Critical Care, South AfricaBackground: Endotracheal tubes and laryngeal mask airway devices are routinely used during anaesthesia. Inappropriate inflation of cuffs has been shown to cause postoperative airway morbidity, and limiting the pressure decreases the incidence of pharyngo-laryngeal complications. Subjective measurements of cuff pressures... -
A survey of propofol injection practices reveals poor knowledge of and unsatisfactory adherence to the SASA Guidelines for Infection Control
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: Anneme Breedt --- Anesthesiology and Critical Care, South Africa Johan (Jeff) F. Coetzee --- Anesthesiology and Critical Care, South Africa Hyla Kluyts --- Department of Anaesthesiology, South Africa Pamela Scheepers --- Anesthesiology and Critical Care, South AfricaBackground: Propofol lipid emulsion supports bacterial growth and various outbreaks of postoperative infection are attributed to extrinsic contamination. This study’s objectives were to ascertain propofol administration practices among South African anaesthesiologists and to determine the influence of the 2014 South... -
A retrospective analysis of electrocardiographic abnormalities found in black South African patients with diabetes attending a regional hospital in KwaZulu-Natal
Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: S Pillay --- Department of Internal Medicine, South Africa R Hift --- School of Clinical Medicine, South Africa C Aldous --- School of Clinical Medicine, South Africa -
Increasing the labour epidural rate in a state hospital in South Africa: challenges and opportunities
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: Stephanus F van Zyl --- Department of Anesthesiology and Critical Care, South Africa Jonathan L Burke --- Department of Anesthesiology and Critical Care, South AfricaBackground: A 2012 audit on labour epidural analgesia rates in Tygerberg Hospital (TBH) revealed that only 2.2% of labouring parturients received epidural analgesia. This unacceptably low number necessitated a dedicated epidural service that was subsequently initiated in June 2014 by... -
Anthropometric profile and complications in patients with diabetes mellitus seen at Maluti Adventist Hospital, Lesotho
Item type: Journal Article • Journal: South African Family Practice • Authors: MT Makwero --- Department of Family Medicine, South Africa WF Mollentze --- Department of Internal Medicine, South Africa G Joubert --- Department of Biostatistics, South Africa WJ Steinberg --- Department of Family Medicine, South AfricaBackground: Patients attending outpatient departments for follow-up of diabetes mellitus (DM) may seem content about the control of their disease. However, complications resulting from DM may present before diagnosis and treatment initiation or continue to develop while on treatment. -
DNA fragmentation damage as a predictive marker for diabetic nephropathy in Type II diabetes mellitus
Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: Nourhan Soliman --- Clinical Pathology Department, Egypt Mohamed El-Shabrawi --- Clinical Pathology Department, Egypt Seham Omar --- Internal Medicine Department, EgyptBackground: Increased production of free radicals and oxidative stress in type II diabetic patients could be one of the probable causes for development of complications. The authors hypothesise that such a mechanism also contributes to the development of diabetic nephropathy... -
Typhoid ileal perforation in a semi-urban tertiary health institution in north-eastern Nigeria
Item type: Journal Article • Journal: South African Family Practice • Authors: BA Grema --- Family Medicine Department, Aminu Kano Teaching Hospital Kano, Nigeria I Aliyu --- Paediatric Department, Aminu Kano Teaching Hospital, Nigeria GC Michael --- Family Medicine Department, Aminu Kano Teaching Hospital Kano, Nigeria A Musa --- Surgery Department, Federal Medical Center Nguru, Nigeria AG Fikin --- Family Medicine Department, Federal Medical Center Nguru, Nigeria BM Abubakar --- Surgery Department, Federal Medical Center Nguru, Nigeria S Olusegun --- Surgery Department, Federal Medical Center Nguru, NigeriaIntroduction: Typhoid ileal perforation is a very serious complication of typhoid fever and remains a significant surgical problem in developing countries like Nigeria, where it is associated with higher mortality and morbidity, due to lack of adequate clean drinking water,... -
Trends in glycaemic control and morbidity over 10 years in patients with type 1 diabetes mellitus at Inkosi Albert Luthuli Central Hospital
Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: Muhammed Zaid Hoosen --- , South Africa Imran M Paruk --- , South Africa Fraser J Pirie --- , South Africa Ayesha A Motala --- , South AfricaAim: To assess control and morbidity in patients with type 1 diabetes mellitus (T1 attending a tertiary adult diabetes clinic in Durban, South Africa. -
Nerve conduction and its correlations with duration of diabetes mellitus and glycosylated haemoglobin in type 2 diabetes mellitus (T2DM)
Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: Wissam S Hamid --- , Sudan Humeda S Ahmed --- , Sudan Mona A Osman --- , Sudan Rasha Babiker --- , Sudan -
Hypertension and diabetes mellitus: a collision of two heavyweight non-communicable diseases
Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: S Pillay --- , South AfricaIntroduction: Patients living with type 2 diabetes mellitus (PLWD) are at an increased risk of developing hypertension (HPT). The presence of HPT in PLWD (PLWDH) accelerates diabetes-related complications (DRC). Scarce data exist from South Africa on the impact of HPT... -
Nutritional management of a patient with acute myeloid leukaemia complicated by gastrointestinal symptoms and typhlitis
Item type: Journal Article • Journal: South African Journal of Clinical Nutrition • Authors: Zelda Hugo --- Pretoria East Hospital,Leukaemia is the 11th most prevalent cancer worldwide, with acute myeloid leukaemia (AML) representing an acute and highly aggressive subtype that requires urgent medical intervention. Although national data on incidence and mortality in South Africa remain limited, an epidemiological study...