Laryngospasm in anaesthesia

Laryngospasm is a common and serious respiratory complication in anaesthetic practice which can be fatal if not diagnosed and treated timeously. This review will look at the definition, epidemiology, mechanism, risk factors, clinical presentation, differential diagnosis, prevention, treatment and complications of laryngospasm.http://www.sajaa.co.za/index.php/sajaaam2018Anaesthesiolog

Anaesthesia for thoracoscopy in paediatric patients

Modern equipment and surgical techniques have enabled endoscopic procedures in smaller patients, making thoracoscopy a possibility for a variety of diagnostic and therapeutic procedures, even in very young patients.1,2 (Table I) To understand the perioperative anaesthetic requirements of paediatric patients for video-assisted thoracoscopic surgery (VATS), a review of the physiology of one-lung ventilation in the lateral decubitus position and techniques of lung isolation are imperative. A review of the general considerations of paediatric anaesthetic practice fall outside the scope of this review, but should be kept in mind during VATS procedures in children.http://www.sajaa.co.za/index.php/sajaaam2018Anaesthesiolog

Contributing factors for preoperative caregiver anxiety at Steve Biko Academic Hospital

https://drive.google.com/file/d/1Id5X8lK3VUN3s-p6LCJvXV8BLT5iiQ_P/view?usp=sharinghttps://drive.google.com/drive/folders/1nELDECp29zO-u72nACcqrdmRjUHqidUZ?usp=sharinghttps://drive.google.com/drive/folders/1qK5XOOdJhIu3ZjY0FakMISTYALx2W-_L?usp=sharin

Prevalence and predisposing factors of post-traumatic stress symptoms in anaesthetists during the COVID-19 outbreak in South Africa: a cross-sectional survey

https://drive.google.com/file/d/1CtkzLkZA_AecE7a6MRf64Oz79UZ3uyOc/view?usp=sharinghttps://drive.google.com/drive/folders/1lrBzuKwkDv0YDd1J-XDC4ZgQYy4cqkRI?usp=sharinghttps://drive.google.com/drive/folders/1YPEEicEz2MaCFeq_81Z6d-lbZ2zWewlg?usp=sharin

A four-domain approach of frailty explored in the Doetinchem Cohort Study.

Accumulation of problems in physical, psychological, cognitive, or social functioning is characteristic for frail individuals. Using a four-domain approach of frailty, this study explored how sociodemographic and lifestyle factors, life events and health are associated with frailty

Development of a clinical prediction model for in-hospital mortality from the South African cohort of the African surgical outcomes study

BACKGROUND : Data on the factors that influence mortality after surgery in South Africa are scarce, and neither these data nor data on risk-adjusted in-hospital mortality after surgery are routinely collected. Predictors related to the context or setting of surgical care delivery may also provide insight into variation in practice. Variation must be addressed when planning for improvement of risk-adjusted outcomes. Our objective was to identify the factors predicting in-hospital mortality after surgery in South Africa from available data. METHODS : A multivariable logistic regression model was developed to identify predictors of 30-day in-hospital mortality in surgical patients in South Africa. Data from the South African contribution to the African Surgical Outcomes Study were used and included 3800 cases from 51 hospitals. A forward stepwise regression technique was then employed to select for possible predictors prior to model specification. Model performance was evaluated by assessing calibration and discrimination. The South African Surgical Outcomes Study cohort was used to validate the model. RESULTS : Variables found to predict 30-day in-hospital mortality were age, American Society of Anesthesiologists Physical Status category, urgent or emergent surgery, major surgery, and gastrointestinal-, head and neck-, thoracic- and neurosurgery. The area under the receiver operating curve or c-statistic was 0.859 (95% confidence interval: 0.827–0.892) for the full model. Calibration, as assessed using a calibration plot, was acceptable. Performance was similar in the validation cohort as compared to the derivation cohort. CONCLUSION : The prediction model did not include factors that can explain how the context of care influences post-operative mortality in South Africa. It does, however, provide a basis for reporting risk-adjusted perioperative mortality rate in the future, and identifies the types of surgery to be prioritised in quality improvement projects at a local or national level.http://link.springer.com/journal/268hj2022AnaesthesiologyMaxillo-Facial and Oral SurgerySurger

Mediastinoscopy in paediatric patients

Mediastinal pathology presents a diagnostic and therapeutic dilemma that requires management from a multidisciplinary team, often consisting of members of various specialties, including an anaesthetist, surgeon, radiologist, oncologist and intensivist. Discourse and planning are paramount.http://www.sajaa.co.za/index.php/sajaaam2018Anaesthesiolog

Microbial contamination of mobile phones used in operating theatres and the efficacy of disinfecting with alcohol swabs

https://drive.google.com/file/d/1OctcXOGkLe8yYNhpcWb2SMvSnA6xkOtE/view?usp=sharinghttps://drive.google.com/drive/folders/1maeTEKQoX6I70mHQZbqg3HYjknyeP2cj?usp=sharinghttps://drive.google.com/drive/folders/1vUgBHclXuWNkAj_OfD1Fpcxyf43GxtuP?usp=sharin

Effect of nitrous oxide on spectral entropy during sevoflurane anaesthesia at an altitude of 1 400 metres

No abstract availabl