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- Southern African Journal of Anaesthesia and Analgesia
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- Volume 10, Issue 1, 2004
Southern African Journal of Anaesthesia and Analgesia - Volume 10, Issue 1, 2004
Volume 10, Issue 1, 2004
Author Christina LundgrenSource: Southern African Journal of Anaesthesia and Analgesia 10 (2004)More Less
Extracted from text ... The "congress" issue of the SAJAA has a distinct obstetric and regional anaesthesia flavour. It is a very sobering fact that anaesthetic deaths still occur in women having Caesarean sections both in our rural and urban hospitals. Gillian Lamacroft's review of complications associated with regional anaesthesia, highlights the potential pitfalls. In particular, it addresses those associated with spinal anaesthesia. The unusual complication of hypocalcaemia is discussed in Kumar et al's case report. Our 'regular' obstetrics contributor, Krzystof Kuczkowski, looks at the anaesthetic management of the pregnant trauma patient, and Adrian Bosenberg highlights the problems associated with Campomelic Dysplasia. Our ..
Author R.A. DyerSource: Southern African Journal of Anaesthesia and Analgesia 10 (2004)More Less
Extracted from text ... GUEST EDITORIAL Southern African Journal of Anaesthesia & Analgesia - February 2004 5 Spinal anaesthesia for Caesarean section: How can we make it safer? practicing specialists. In addition, pioneering work soon to be published, has been initiated at the University of the Free State, in order to ensure that essential drugs and equipment are provided at all level one and two hospitals in the Free State. Hospitals have been identified where predominantly general anaesthesia for caesarean section is still performed, and training sessions have been organised to raise awareness on spinal anaesthesia. The all-important denominator data is being collected, ..
Post-operative neuromuscular function of patients receiving non-depolarising muscle relaxants at Universitas Hospital, Bloemfontein, South Africa : researchSource: Southern African Journal of Anaesthesia and Analgesia 10, pp 6 –8 (2004)More Less
<I>Objectives</I>: To determine the number of patients whose non-depolarising muscle relaxation is adequately reversed. To define factors that contribute to reversal. <br><I>Design</I>: A cross sectional study. <br><I>Setting</I>: Universitas Hospital recovery room over a 2 month period. <br><I>Subjects</I>: Patients that received non-depolarising muscle relaxants and who gave informed consent. <br><I>Outcome measures</I>: A quantitative train-of-four (TOF) ratio was determined within 5 to 15 minutes after arrival in the recovery room. <br><I>Results</I>: Recovery to TOF>0.9: 57.1% [95% CI 44.8%; 68.9%] patients. Recovery to TOF >0.8: 82.9% [95% CI 72.0%; 90.8%] patients. More patients who received vecuronium recovered to a TOF <0.8 compared with atracurium and cis-atracurium (Fisher's exact test, p=0.0151). <br><I>Conclusions</I>: The muscle relaxation of many patients is not fully reversed in the recovery room, despite a long time lapse since the last drug administration, as well as the administration of neostigmine.
Anaesthetic considerations in little people. Part 1: campomelic dysplasia : syndromic vignettes in anaesthesiaAuthor A. BosenbergSource: Southern African Journal of Anaesthesia and Analgesia 10, pp 11 –13 (2004)More Less
Extracted from text ... SYNDROMIC VIGNETTES IN ANAESTHESIA Southern African Journal of Anaesthesia & Analgesia - February 2004 11 Anaesthetic considerations in little people Part 1: Campomelic Dysplasia Campomelic dysplasia was first described in the 1950's2, 3 but recognised as an entity in 1970.4 The term campomelia, from the Greek word campos meaning curved and melia meaning limb, was adopted5 although camptomelic from a Greek word camptos meaning bent was first suggested by Bianchine.6 Both are used interchangeably in the literature. The condition is also known as CMD1 and CMPD1. The syndrome has many other skeletal and extra-skeletal manifestations7 but the bent limbs ..
Author G. LamacraftSource: Southern African Journal of Anaesthesia and Analgesia 10, pp 15 –20 (2004)More Less
Extracted from text ... REVIEW Southern African Journal of Anaesthesia & Analgesia - February 2004 15 Complications associated with regional anaesthesia for Caesarean section Complications of Regional Anaesthesia for CS The three categories of RA currently employed for CS are: 1. Spinal (subarachnoid), 2. Epidural, and 3. Combined Spinal-Epidural (CSE) anaesthesia. In the public sector most Caesarian Sections are performed using SA. In this setting, epidural anaesthesia for labour is infrequently used, so relatively few epidurals are extended for CS. Both maternal and fetal complications may occur as a consequence of the use of RA. These may develop during administration of the RA, ..
Author K.M. KuczkowskiSource: Southern African Journal of Anaesthesia and Analgesia 10, pp 23 –26 (2004)More Less
Extracted from text ... REVIEW Southern African Journal of Anaesthesia & Analgesia - February 2004 23 Perioperative care of a pregnant trauma victim: a review of anesthetic considerations while decreasing the time available and the margin of safety. The pregnant trauma victim presents a unique spectrum of challenges to the trauma healthcare team. The surgical diagnosis may be unknown at the time of incision, as may be the nature and extend of the procedure being undertaken. The fact that pregnancy may not always be known to be present to the health care team (at the scene of transportation accidents, in the emergency room, ..
Source: Southern African Journal of Anaesthesia and Analgesia 10, pp 29 –30 (2004)More Less
The most common cause of hypocalcaemia under general anaesthesia is acute mechanical hyperventilation, but hypocalcaemia during spinal anaesthesia has not been reported. This case report describes the development of hypocalcaemia due to hyperventilation in a patient undergoing appendicectomy under spinal anaesthesia. The diagnostic features of hypocalcaemia and its treatment are explained in detail.
Source: Southern African Journal of Anaesthesia and Analgesia 10 (2004)More Less
Extracted from text ... CPD QUESTIONNAIRE Southern African Journal of Anaesthesia & Analgesia - February 2004 36 1. Decreased functional residual lung capacity (FRC) is true regarding the anatomic and physiologic changes associated with pregnancy? 2. Placental abruption complicates 1-5% of minor injuries and 20-50% of major injuries. 3. If awake fiberoptic intubation of the trachea has been selected, midazolam should not be used for sedation because of adverse fetal effects, which have been reported. 4. It has been empirically established that trauma victims with a GCS of 8 or less usually require intubation and mechanical ventilation for both, the airway control and ..