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- Southern African Journal of Anaesthesia and Analgesia
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- Volume 8, Issue 2, 2002
Southern African Journal of Anaesthesia and Analgesia - Volume 8, Issue 2, 2002
Volume 8, Issue 2, 2002
Author C. LundgrenSource: Southern African Journal of Anaesthesia and Analgesia 8, pp 1 –3 (2002)More Less
Extracted from text ... EDITORIAL Professor Christina Lundgren Editor-in-chief The Congress issue of the SAJAA has a varied selection of articles, catering for anaesthesia colleagues in many areas of the specialty. Professor Morrell draws our attention to the problem of the Impaired Physician, and what our roles should be, as colleagues, in managing this difficult set of circumstances. With permission from the HPCSA we have printed a copy of the new regulations in this regard. Although "OPCABS" may not form part of your daily operating lists, Dr Tony Keene has written a very practical, but superbly detailed review ..
Author D. MorrellSource: Southern African Journal of Anaesthesia and Analgesia 8, pp 4 –5 (2002)More Less
Extracted from text ... GUEST EDITORIAL Professor D Morrell SASA President "A covenant of Trust" Driven by the clearly incompetent practice of one of its members, the South Africa Society of Anaesthetists had to face the stark reality of having to curtail the practice of members who were physically or mentally impaired. The task was a sensitive and unpleasant one, for who likes not just to sit in judgement of a colleague's practice, but also to curtail it? Nevertheless SASA set about drawing up a protocol for the management of the "Sick Doctor" as a ..
Source: Southern African Journal of Anaesthesia and Analgesia 8, pp 6 –11 (2002)More Less
Extracted from text ... REVIEW ARTICLE Government Notice Department of Health NO. R. 495 8 June 2001 Health Professions Act, 1974 Regulations relating to impairment of students and practitioners The Minister of Health has, under section 51, read with section 61(1) of the Health Professions Act, 1974 (Act No. 56 of 1974), in consultation with the Health Professions Council of South Africa, made the regulations in the Schedule. SCHEDULE Definitions 1. In these regulations any word or expression to which a meaning has been assigned in the Act shall bear such meaning, and unless the context ..
Author A. KeeneSource: Southern African Journal of Anaesthesia and Analgesia 8, pp 12 –21 (2002)More Less
Off-pump coronary artery bypass graft (OPCAB) surgery has regained popularity because it may avoid some of the complications associated with cardiopulmonary bypass (CPB). There are also potential cost savings to the patient and these factors have led surgeons to re-examine the procedure to counteract the rapidly developing competition of cardiological revascularisation by angioplasty and stenting. The technique of anaesthesia for OPCAB surgery has evolved to meet the surgical advances that have taken place. The major challenge faced by anaesthesiologists is in the prevention, early diagnosis and treatment of arrhythmias associated with manipulation of the heart that is integral to this type of surgery.
Author C.L. OdendaalSource: Southern African Journal of Anaesthesia and Analgesia 8, pp 22 –29 (2002)More Less
Extracted from text ... REVIEW ARTICLE Prof CL Odendaal Pain Control Unit (G18), Dept. Anaesthesiology Faculty: Health Sciences, Bloemfontein Correspondence Prof CL Odendaal email@example.com Neuropathic Pain Introduction The incidence of neuropathic pain has been put at 20% of all patients visiting pain clinics.1 The prevalence of neuropathic pain is not at all clear and this can be attributed to the fact that terminology defining the disease is very uncertain. Neuropathic pain conditions are not at all a new entity. The first cases have been described in the 19th century. However, only recently has the ..
Author H.M. RadfordSource: Southern African Journal of Anaesthesia and Analgesia 8, pp 30 –42 (2002)More Less
Extracted from text ... REVIEW ARTICLE Dr. H.M. Radford FCA(SA)(Critical Care) MBBCh, Parttime Consultant, Department of Anaesthesia and Intensive Care, Johannesburg Hospital, University of the Witwatersrand Correspondence Dr HM Radford firstname.lastname@example.org Sepsis, severe sepsis and septic shock in adults and anaesthesia Anaesthesiologists commonly encounter sepsis in varying degrees. It may be during the initial surgery or in the course of the patient's treatment in the intensive care unit(ICU). In this article the pathophysiology, the systemic effects and the perioperative management of patients with sepsis, severe sepsis and septic shock will be discussed. In 1991 the American College of ..
Source: Southern African Journal of Anaesthesia and Analgesia 8, pp 44 –51 (2002)More Less
Extracted from text ... GUIDELINES Guidelines for sedation-analgesia in children Conscious sedation Part II (Continued from the SAJAA Volume 8 Number 1 February 2002) 7. Specific Techniques The pharmacopoeia of agents used for sedation and analgesia has evolved from a limited number of long acting agents (diazepam, trimeprazine, pethidine, morphine) with limited routes of administration to a wide range of shorter acting agents with many routes of administration (topical, local, transmucosal, oral, intranasal, rectal, intramuscular, intravenous and inhalational). A sedation analgesia plan should be individualised according to the child needs and may often be influenced by the anxiety of the ..