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- Southern African Journal of Anaesthesia and Analgesia
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- Volume 8, Issue 5, 2002
Southern African Journal of Anaesthesia and Analgesia - Volume 8, Issue 5, 2002
Volumes & issues
Volume 8, Issue 5, 2002
Author Christina LundgrenSource: Southern African Journal of Anaesthesia and Analgesia 8 (2002)More Less
Extracted from text ... EDITORIAL Professor Christina Lundgren - Editor-in-chief Our final issue of the SAJAA for 2002 contains a variety of articles, and hopefully there is something that will be of interest to everyone. We have looked at a variety of practical issues, ranging from patients on long term corticosteroid therapy, problems associated with arterial tourniquets, fever in pregnancy, beta blockers to "how to do" low flow anaesthesia. Our first article is a comprehensive review by Krzysztof Kuczkowski on the choice of anaesthesia for the febrile parturient, a dilemma which faces us all at some time. What is ..
Author Ivan JoubertSource: Southern African Journal of Anaesthesia and Analgesia 8 (2002)More Less
Extracted from text ... GUEST EDITORIAL Ivan Joubert Department of Anaesthesia, and Respiratory Intensive Care Unit, Groote Schuur Hospital Correspondence: e-mail: firstname.lastname@example.org The case for Perioperative steroid supplementation The issue of providing steroid supplementation, during the peri-operative period, for patients receiving steroid therapy has long been a hotly debated issue. In the Lancet of 1996, Levy1 wrote that, "The need for patients on long term steroid treatment to increase their dose of glucocorticoids when under stress is a principle that rests in one of the most tranquil corners of medical dogma". Reviewing the literature ..
Author Krzysztof M. KuczkowskiSource: Southern African Journal of Anaesthesia and Analgesia 8, pp 6 –20 (2002)More Less
Extracted from text ... REVIEW ARTICLE Krzysztof M. Kuczkowski, MD Assistant Clinical Professor of Anesthesiology and Reproductive Medicine. Departments of Anesthesiology and Reproductive Medicine Co-Director of Obstetric Anesthesia. University of California, San Diego. San Diego, California Correspondence: Krzysztof M. Kuczkowski, M.D. Department of Anesthesiology. UCSD Medical Center. 402 Dickinson Street, San Diego, CA 92103-8812. E-mail email@example.com Fax (619) 543-5424. Phone (619) 543-5720 Key words: Pregnancy, Fever, Infection, Herpes simplex virus, Hepatitis, Human immunodeficiency virus, Urinary tract infections, Chorioamnionitis, Pneumonia, Septic shock, Anesthesia; regional, general, Epidural analgesia and maternal fever The febrile parturient: choice of anesthesia INTRODUCTION ..
Author A. RowseSource: Southern African Journal of Anaesthesia and Analgesia 8, pp 22 –29 (2002)More Less
Arterial tourniquets are widely used in limb surgery to reduce intra-operative bleeding, thereby providing for better operative conditions. There are, however, a number of consequences, both localised and systemic, related to tourniquet use. While these may be relatively benign in the healthy patient, they may be devastating in the patient with, for example, poor cardiac reserve.
Author B.M. BiccardSource: Southern African Journal of Anaesthesia and Analgesia 8, pp 30 –35 (2002)More Less
Author Ernest WelchSource: Southern African Journal of Anaesthesia and Analgesia 8, pp 36 –38 (2002)More Less
The practice of volatile anaesthetic agent delivery using a fresh gas flow less than the minute volume has been with us since the early days of anaesthesia. Its popularity has closely paralleled the introduction of new volatile anaesthetic agents, where the cost saving of using lowflow is a prerequisite to affording a new, expensive agent. The introduction of Desflurane and Sevoflurane in the South African market over the past few years, along with the 0028 code for lowflow earlier this year has renewed interest in the technique. Some anaesthesia machines now come equipped with "econometers" designed to achieve the optimal fresh gas flow, while also reassuring one that an adequate fresh gas flow is being delivered. With the widespread availability of agent, CO<sub>2</sub> and oxygen monitors the use of low-flow anaesthesia has become a predictable technique that can be titrated against measurable results.