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The febrile parturient: choice of anesthesia
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: Krzysztof M Kuczkowski --- Departments of Anesthesiology and Reproductive Medicine, -
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... -
Emergency Caesarean section in a patient with known sickle-cell disease and myasthenia gravis
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: AA Ehiozie-Osifo --- Department of Anaesthesia, Nigeria JO Olatosi --- Department of Anaesthesia, Nigeria OT Kushimo --- Department of Anaesthesia, NigeriaA 33-year-old patient with known sickle-cell disease (SS) booked for antenatal care at the Lagos University Teaching Hospital at six weeks gestational age. She had been diagnosed with myasthenia gravis three years prior to presentation and placed on oral anticholinesterase... -
Case study: Anaesthetic management of an achondroplastic dwarf undergoing radical nephrectomy
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: A Jain --- Department of Anaesthesia and Intensive Care, India K Jain --- Department of Anaesthesia and Intensive Care, India JK Makkar --- Department of Anaesthesia and Intensive Care, India K Mangal --- Department of Anaesthesia and Intensive Care, IndiaA three feet two inch (96 cm) tall achondroplastic patient with urothelial cell carcinoma involving renal pelvis was scheduled for a radical nephrectomy. Radial artery cannulation and central venous access were secured in the pre-induction period. After induction, the airway... -
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, IndiaThe 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... -
Cervical epidural anaesthesia for shoulder arthroscopy and effective postoperative physiotherapy for a frozen shoulder: a case study
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: K Marodkar --- Department of Anaesthesiology, India S Deshmukh --- Department of Anaesthesiology, IndiaShoulder arthroscopy is used to treat various diseases of the shoulder, including refractory adhesive capsulitis. Effective postoperative pain relief is critical for these patients, as the success of surgery largely depends on early and regular physiotherapy. Although traditionally, various methods... -
Perioperative effect of epidural dexmedetomidine with intrathecal bupivacaine on haemodynamic parameters and quality of analgesia
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: D Jain --- Department of Anaesthesiology and Intensive Care, India RM Khan --- Department of Anaesthesiology, Oman D Kumar --- Department of Medicine, India N Kumar --- Department of Anaesthesiology and Intensive Care, IndiaBackground: The present study was a randomised controlled trial designed to evaluate the perioperative effect of epidural dexmedetomidine, in conjunction with intrathecal bupivacaine. -
Outcome of pregnancy in the morbidly obese woman
Item type: Journal Article • Journal: South African Family Practice • Authors: E Ngoga --- Department of Obstetrics asnd Gynaecology, D Hall --- Department of Obstetrics asnd Gynaecology, F Mattheyse --- Department of Anaesthesiology and Critical Care, D Grové --- Department of Obstetrics asnd Gynaecology,Background: Obesity is a growing global health problem. In South Africa, more than half of the adult women are overweight and almost 30% are obese. The problems associated with obesity, such as diabetes, hypertension, thrombo-embolism and coronary heart disease, are... -
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... -
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, IndiaContinuous 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... -
Graded epidural anaesthesia for Caesarean section in a parturient with Shone’s syndrome: a case study
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: Anjum Naz --- Department of Anaesthesiology and Intensive Care, India Sugata Dasgupta --- Department of Anaesthesiology and Intensive Care, India Bijoy Kumar Bandyopadhyay --- Department of Anaesthesiology and Intensive Care, India Hasibul Hasan Shirazee --- Department of Obstetrics and Gynaecology, IndiaPregnancy with underlying heart disease is a unique challenge both to the obstetrician and the anesthesiologist. Asymptomatic women with mild to moderate single lesions can successfully carry a pregnancy to term and undergo vaginal delivery. However, pregnancy can result in... -
Caesarean section in Eisenmenger’s syndrome: anaesthetic management with titrated epidural and nebulised alprostadil
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: Sugata Dasgupta --- Division of Critical Care Medicine, Department of Anaesthesiology & Critical Care Medicine, India Soumi Das --- Department of Cardiac Anaesthesiology, India Biswajit Majumdar --- Department of Cardiology, India SM Basu --- Former Professor & Head, Calcutta National Medical College, IndiaPregnancy in patients with Eisenmenger’s syndrome is associated with a high mortality. This article reports two cases of women with Eisenmenger’s syndrome (secondary to two different primary cardiac defects) who presented with near-term pregnancies. Both the patients underwent successful elective... -
Thoracic epidural anaesthesia for major abdominal surgeries: experience in private hospital setting in Uyo, South-South Nigeria
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: Otu E Etta --- Department of Anaesthesia, Nigeria Kingsley Umeh --- Department of Surgery, Nigeria Sylvia G Akpan --- Department of Anaesthesia, NigeriaBackground: Thoracic epidural anaesthesia (TEA) has many benefits over general anaesthesia in major abdominal surgeries including avoidance of endotracheal intubation. -
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... -
Analgesic efficacy of dexmedetomidine versus fentanyl as an adjunct to thoracic epidural in patients undergoing upper abdominal surgery: a randomized controlled trial
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: Neerja Bharti --- Department of Anesthesia & Intensive Care, India Shweta N Pokale --- Department of Anesthesia & Intensive Care, India Indu Bala --- Department of Anesthesia & Intensive Care, India Vikas Gupta --- Department of Surgery, IndiaBackground: This randomised, double-blind study was designed to assess the analgesic efficacy of dexmedetomidine as compared with fentanyl as an adjunct to local anaesthetic in thoracic epidural for upper abdominal surgeries. -
Transforaminal epidural steroid injections for the treatment of lumbosacral radicular pain in a Nigeria tertiary hospital: observational study
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: ZA Suleiman --- Department of Anaesthesia, Nigeria IK Kolawole --- Department of Anaesthesia, Nigeria BA Ahmed --- Department of Surgery, Nigeria OM Babalola --- Department of Surgery, Nigeria GH Ibraheem --- Department of Surgery, NigeriaBackground: Lumbosacral radicular pain is a common cause of chronic low back pain. Despite published reports of effectiveness of transforaminal epidural steroid for lumbosacral radicular pain, it is underutilised in many tertiary hospitals in sub-Saharan Africa. This study assessed the...