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- Volume 2006, Issue 1, 2006
Southern African Journal of Anaesthesia and Analgesia - Volume 2006, Issue 1, 2006
Volume 2006, Issue 1, 2006
Source: Southern African Journal of Anaesthesia and Analgesia 2006, pp 7.1 –7.8 (2006)More Less
Extracted from text ... GUIDELINES SECTION VII GUIDELINES FOR INTENSIVE CARE IN SOUTH AFRICA Introduction The recommendations in this document should be used as a guideline for the provision of ideal conditions for the care of critically ill patients. It is accepted that some of these are only feasible in certain training institutions; nevertheless other centers should aspire to the guidelines set out herein. They should not be viewed as a binding code of practice. These guidelines for intensive care have been formulated to assist in the practice and provision of intensive care for physicians, hospital administrators and developers. Intensive care (or intensive therapy ..
Source: Southern African Journal of Anaesthesia and Analgesia 2006, pp 6.1 –6.2 (2006)More Less
Extracted from text ... GUIDELINES SECTION VI MAJOR REGIONAL ANAESTHESIA 1. Introduction 1.1 Major regional anaesthesia should only be administered by medical practitioners with appropriate training and resuscitation skills 1.2 A single operator may not assume the dual role of anaesthesiologist / anaesthetist and surgeon / obstetrician 1.3 An exception may occur in that, in an emergency situation, a single practitioner may assume the dual responsibility of the operator and the anaesthesiologist/anaesthetist in the context of neuraxial blockade or major plexus anaesthesia. 2. Principles 2.1 The practitioner is expected to have the skill and ability to promptly recognise and adequately treat any complication that ..
Source: Southern African Journal of Anaesthesia and Analgesia 2006, pp 5.1 –5.2 (2006)More Less
Extracted from text ... GUIDELINES SECTION V GUIDELINES FOR THE CARE OF PATIENTS RECOVERING FROM ANAESTHESIA GENERAL PRINCIPLES 1. Recovery from anaesthesia must take place under appropriate supervision in an area designed for this purpose. 2. This area should be either in the theatre itself or close to where the anaesthetic was administered. 3. The staff working in this area must be appropriately trained. When the need arises the staff must be able to contact the anaesthesiologist or his/her designate promptly. 4. It is desirable for patients to have regained consciousness and be in a stable state before they are transported any distance. 5. ..
Source: Southern African Journal of Anaesthesia and Analgesia 2006, pp 4.1 –4.4 (2006)More Less
Extracted from text ... GUIDELINES SECTION IV RECOMMENDED FACILITIES FOR SAFE ANAESTHETIC PRACTICE IN HOSPITALS 1. Principles of anaesthetic care 1.1 Anaesthesia should be administered only by medical practitioners with appropriate training in anaesthesia (see Section II) 1.2 The sine qua non of the safe conduct of anaesthesia is the physical presence of such a practitioner constantly in attendance during anaesthesia. Furthermore, the anaesthesiologist should be readily available during the period of recovery from anaesthesia until such time as the patient is deemed fit for transfer from the recovery area. Only in exceptional circumstances should the anaesthesiologist physically leave the operating room, and then ..
Source: Southern African Journal of Anaesthesia and Analgesia 2006, pp 3.1 –3.2 (2006)More Less
Extracted from text ... GUIDELINES SECTION III GUIDELINES TO THE PRE-OPERATIVE ANAESTHETIC EVALUATION 1. General 1.1 These standards apply to all patients who receive anaesthesia or monitored anaesthesia care (sedation). Under unusual circumstances, e.g., extreme emergencies, these standards may be modified. When this is the case, the circumstances shall be documented in the patient's record. 1.2 An anaesthesiologist shall be responsible for determining the medical status of the patient, developing a plan of anaesthesia care and acquainting the patient or the responsible adult with the proposed plan. 1.3 Information is obtained by reviewing the medical record, interviewing the patient in terms of the medical ..
Source: Southern African Journal of Anaesthesia and Analgesia 2006, pp 2.1 –2.2 (2006)More Less
Extracted from text ... GUIDELINES SECTION II ESSENTIAL TRAINING FOR GENERAL PRACTITIONERS PROPOSING TO ADMINISTER ANAESTHETICS 1. Introduction The Society at the outset acknowledges the inadequate number of specialist anaesthetists to meet the needs of South Africa. Standards vary with location; the urban population benefits largely from first world standards of anaesthetic practice while a significant percentage of the rural population lack access to even rudimentary primary health care facilities. The position of general practitioners in a community where no specialist anaesthetic service is available and where it is necessary for surgical procedures to be undertaken is acknowledged. In this respect South Africa is ..
Source: Southern African Journal of Anaesthesia and Analgesia 2006 (2006)More Less
Extracted from text ... GUIDELINES SECTION I THE DUTIES OF AN ANAESTHESIOLOGIST 1. Preamble These guidelines attempt to define the general duties and responsibilities of anaesthesiologists (specialist anaesthetists) and anaesthetists. 2. Scope of practice 2.1 Scope of practice includes: 2.1.1 Maintaining personal knowledge and skills 2.1.2 Providing anaesthetic services or supervising trainees who are providing anaesthetic services : 220.127.116.11 To be directly responsible for only one anaesthetic procedure at anyone time unless acting in a supervisory capacity. 18.104.22.168 Where a local anaesthetic technique is used for pain relief without concomitant surgery e.g. labour epidural, responsibility for patient supervision may be delegated to a suitably ..