Zugl.: Giessen, Univ., Diss., 2009

Thesis (Ph.D.) - University of Queensland, 2005. / Includes bibliography.

Thesis (doctor of medicine)--Universitetet i Lund.

Thesis (D.N. Sc.)--Catholic University of America. / Typescript. Bibliography: leaves 95-97.

Thesis (M.A.)--Georgia State University, 2009. / Title from title page (Digital Archive@GSU, viewed June 25, 2010) Lindsey L. Cohen, committee chair; Erin Tone, Chris Henrich, committee members. Includes bibliographical references (p. 40-44).

Thesis (Ph. D.)--University of Rhode Island, 2005. / Typescript. Includes bibliographical references (leaves 179-196).

A Thesis submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, in fulfilment of the requirements for the degree of Doctor of Philosophy. 14th October 2016 in Johannesburg / Poorly controlled pain following caesarean section surgery can have a debilitating effect on the physical and emotional well being of a woman during the post-operative period. Good intra-operative anaesthetic management during caesarean section surgery is requisite to improve post-operative analgesia, and thereby contribute to the well being of the patient. In South Africa (SA) there are currently no national obstetric anaesthesia practice guidelines. Anaesthetic service providers therefore rely on knowledge acquired during their anaesthetic training and recommendations from international guidelines (which may not be applicable in SA). In order to establish a reference standard of anaesthetic care for obstetric patients in SA, a semi-structured interview was conducted with the heads of department and/or their representatives from the eight anaesthesiology academic departments in SA in 2012. The experts provided recommendations on the intra-operative anaesthetic management of patients for elective and emergency caesarean sections, as well as the post-operative monitoring and analgesic management of these patients. The recommendations were based on the experts’ understanding of the uniquely local healthcare environment in SA. Following the establishment of the SA reference standard, a national survey of anaesthetic service providers was conducted in 2014 to establish what the practises are in South Africa for caesarean section anaesthetics. Ninehundred- and-thirty-three survey responses were analysed, which equated to a 58% response rate. The majority of anaesthesia providers (97.8%) perform single shot spinal anaesthesia for caesarean sections. Thirty percent of respondents chose to use Quincke spinal needles, despite the increased risk of this needle causing post-dural puncture headaches (PDPH). The preferred local anaesthetic drug was 0.5% bupivacaine with dextrose, and fentanyl was the most commonly used additive agent, as opposed to common international practice, which advocates morphine. The survey also revealed that 58% of doctors work in hospitals that do not have a post-operative monitoring protocol for patients following caesarean section surgery. This contrasts to recommendations suggested by the national experts regarding patient monitoring requirements. A clinical trial was then conducted to compare the analgesic efficacy of two different doses of intrathecal morphine (50μg and 100μg) with 25μg fentanyl. Patients in both morphine treatment groups had significantly lower postoperative opioid requirements than patients in the fentanyl group. The pain numerical rating scale (NRS) scores were however not statistically different and there was also no difference in the side effects profile or emotional parameters measured, between the groups. This study highlights the differences in the recommended practise of obstetric anaesthesia in SA compared to other countries and demonstrates how obstetric anaesthesia is practised in SA. The final component of this study has demonstrated how international best practices can be easily implemented in SA to improve the anaesthetic care of the obstetric patient. / MT2017

No description available.

Postoperative ICU admission is afforded to patients with high clinical severity, but the benefits and harms of such an endeavour are debateable. The purpose of my thesis was to further understand a) the type of patients being admitted to ICU, b) the role of age in ICU admission, and c) the association (if any) between ICU admission and subsequent mortality and complications. The thesis consists of 4 chapters. Chapter I provides a brief introduction of the topic and the rationale behind the researched questions. Chapter II examines the association between chronological age and ICU admission in postoperative patients. This analysis sheds light on one of the 17 variables included in the score (i.e. age), which drives the clinical severity score in parts of the population. Chapter III uses a propensity score model to match patients that were admitted to ICU and those that were not based on several pretreatment variables, to assess the impact ICU admission has on postoperative mortality and complications. Finally, Chapter IV reflects the conclusions of the thesis and suggests further research agendas. Overall, these three thesis components will illustrate the role of ICU admission in an adult postoperative population as well as its consequences in comparison to those not admitted to an ICU. / Thesis / Master of Science (MSc)

Tian, Yuanyuan. / Thesis (Ph.D.)--Chinese University of Hong Kong, 2013. / Includes bibliographical references (leaves 101-124). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstracts also in Chinese.