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The efficacy of ultrasound-guided oblique subcostal transversus abdominis plane block in patients undergoing open cholecystectomy
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: CK Chen --- Department of Anaesthesiology and Intensive Care, Malaysia VE Phui --- Department of Anaesthesiology and Intensive Care, MalaysiaBackground: Ultrasound-guided oblique subcostal transversus abdominis plane (TAP) blockade has been described recently as providing a wider analgesic blockade than the posterior approach, with the possibility of being suitable for surgery both superior and inferior to the umbilicus. The objective... -
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... -
Observational study of choice of anaesthesia and outcome in patients with severe pre-eclampsia who present for emergency Caesarean section
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: K Keerath --- King Edward VIII Hospital, L Cronje --- King Edward VIII Hospital,Objectives: Recent evidence in the literature suggests that regional anaesthesia may be the preferred choice over general anaesthesia for patients with severe pre-eclampsia who present for a Caesarean section. This study was conducted to determine if this applied to our... -
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,... -
Intraoperative neurophysiological monitoring for the anaesthetist
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: JJN Van Der Walt --- Department of Anaesthesia, JM Thomas --- Red Cross War Memorial Children's Hospital, University of Cape Town, AA Figaji --- Division of Neurosurgery,Intraoperative neurophysiological monitoring (IONM) has become the gold standard for the monitoring of functional nervous tissue and mapping of eloquent brain tissue during neurosurgical procedures. The multimodal use of somatosensory-evoked potentials and motor-evoked potentials ensures adequate monitoring of anterior sensory... -
An unusual case of ST elevation
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: K Gordon --- Department of Anaesthetics, Critical Care, and Pain Management, R Wise --- University of KwaZulu-Natal,This report presents an unusual case of ST elevation on induction of anaesthesia in a patient undergoing an elective, noncardiac surgical procedure. Through scrutiny of this case and its unanticipated events, together with the subsequent workup and management, the diagnosis... -
Intraoperative neurophysiological monitoring for the anaesthetist
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: JJN Van Der Walt --- Department of Anaesthesia, Red Cross War Memorial Children's Hospital, JM Thomas --- Red Cross War Memorial Children's Hospital, AA Figaji --- Division of Neurosurgery,The use of intraoperative neurophysiological monitoring (INM) during spinal orthopaedic and neurosurgical procedures provides a challenge to the attending anaesthesiologist. Since all anaesthetic agents affect synaptic function, the choice of agent will be determined by the type of surgery and... -
Intraoperative management of the patient with severe lung disease
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: P Slinger --- University of Toronto, CanadaOf all perioperative complications, respiratory difficulties represent the greatest cost to the healthcare system. Patients undergoing cardiac, thoracic, gastrointestinal and orofacial surgery are particularly at risk. However, the highest 30-day mortality for pulmonary complications follows abdominal surgery. Patients with chronic... -
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. -
Intraoperative fluid therapy in neonates
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: AR Visram --- Barts Health NHS Trust, UKThe evidence base for the administration of intraoperative fluids in neonates is poor and extrapolated from adults and children. Differences from adults and children in physiology and anatomy of neonates inform our practice. -
Incidence of intraoperative nausea and vomiting during spinal anaesthesia for Caesarean section in two Cape Town state hospitals
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: BJ Magni --- Department of Anaesthesia and Perioperative Medicine, South Africa RA Dyer --- Department of Anaesthesia and Perioperative Medicine, South Africa D van Dyk --- Department of Anaesthesia and Perioperative Medicine, South Africa J van Nugteren --- Department of Anaesthesia and Perioperative Medicine, South Africa -
Intraoperative glucose management in children < 1 year or < 10 kg: an observational study
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: K. Bester --- Division of Paediatric Anaesthesia, Department of Anaesthesia and Perioperative Medicine, South Africa T. Pretorius --- Department of Anaesthesia and Perioperative Medicine, South AfricaBackground: Infants may be at risk of hypoglycaemia in the perioperative period. Current evidence has led to the global use of maintenance fluid with low-concentration dextrose in these patients. This study aimed to analyse the current practice of anaesthetists in...