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Papers by C. Lundgren

Research paper thumbnail of Preoperative work-up of the HIV vascular patient—have the goalposts moved?

Southern African Journal of Anaesthesia and Analgesia, 2006

Research paper thumbnail of Scope of Practice of Anaesthesia in the Republic of South Africa

Southern African Journal of Anaesthesia and Analgesia, 2006

Research paper thumbnail of Substance abuse and anaesthesia-Part 2

Southern African Journal of Anaesthesia and …, 2007

MBChB(UCT);DA(SA);FFA(SA) Department of Anaesthesia, University of the Witwatersrand Tobacco and ... more MBChB(UCT);DA(SA);FFA(SA) Department of Anaesthesia, University of the Witwatersrand Tobacco and alcohol remain the most abused substances in South Africa and elsewhere in the western world. Tobacco is commonly smoked, but in South Africa it is also "sniffed" as snuff, and if inhaled causes as much damage as inhaled tobacco smoke. There is also a high incidence of related cancer. 1 Likewise people exposed passively to tobacco smoke may acquire smoking-related conditions such as coronary artery disease and asthma. 2

Research paper thumbnail of Audit of perioperative pain management in paediatric patients following tonsillectomy at a tertiary hospital in Johannesburg

Southern African Journal of Anaesthesia and Analgesia

Background: Adenotonsillectomy remains one of the most frequently performed surgical procedures i... more Background: Adenotonsillectomy remains one of the most frequently performed surgical procedures in children. Despite improvements in anaesthetic and surgical techniques, severe pain is reported in as many as 25–50% of children. Pain assessment and knowledge of drug pharmacodynamics and pharmacokinetics in the paediatric patient, is a prerequisite for optimal care. Much has been written on perioperative pain management following tonsillectomy. However, no consensus has been reached on what the ideal analgesic regimen should be. This audit is a review of current practice at Chris Hani Baragwanath Academic Hospital. It aims to identify problems and develop possible solutions to improve anaesthetic practice. Methods: A prospective, contextual, descriptive study design using a data collection sheet was used on paediatric patients presenting for tonsillectomy. Results: Eighty-five patients aged three to 12 years of age, with ASA grading I or II, were enrolled in the study. The choice of a...

Research paper thumbnail of Convection warmers - not just hot air

Research paper thumbnail of Counter statement to open letter to the Executive Director of the European Medicines Agency concerning the licensing of hydroxyethyl starch solutions for fluid resuscitation

British journal of anaesthesia, 2014

Research paper thumbnail of Convection warmers - not just hot air

Anaesthesia, 1997

We sought to determine whether the forced air convection warmers (nine Bair Huggers, Augustine Me... more We sought to determine whether the forced air convection warmers (nine Bair Huggers, Augustine Medical, and one Warm Touch, Mallinkrodt Medical) used in our operating theatres could be a source of microbial pathogens. Agar plates were placed directly in the air stream of the warmers. Four of these grew potentially pathogenic organisms. When the warmers were set to blow through perforated blankets, no growth occurred. Three of the warmers were swabbed and sites of colonisation were found in their hoses. After fixing a microbial filter to the end of the hose, organisms were no longer detectable. We conclude that these warming devices are a potential source of nosocomial infection. They should only be used in conjunction with perforated blankets, should have their microbial filters changed regularly and their hoses sterilised. The inclusion of a microbial filter into the nozzle of the hose could be incorporated into the design of the warmer.

Research paper thumbnail of Preoperative work-up of the HIV vascular patient—have the goalposts moved?

Southern African Journal of Anaesthesia and Analgesia, 2006

Research paper thumbnail of Scope of Practice of Anaesthesia in the Republic of South Africa

Southern African Journal of Anaesthesia and Analgesia, 2006

Research paper thumbnail of Substance abuse and anaesthesia-Part 2

Southern African Journal of Anaesthesia and …, 2007

MBChB(UCT);DA(SA);FFA(SA) Department of Anaesthesia, University of the Witwatersrand Tobacco and ... more MBChB(UCT);DA(SA);FFA(SA) Department of Anaesthesia, University of the Witwatersrand Tobacco and alcohol remain the most abused substances in South Africa and elsewhere in the western world. Tobacco is commonly smoked, but in South Africa it is also "sniffed" as snuff, and if inhaled causes as much damage as inhaled tobacco smoke. There is also a high incidence of related cancer. 1 Likewise people exposed passively to tobacco smoke may acquire smoking-related conditions such as coronary artery disease and asthma. 2

Research paper thumbnail of Audit of perioperative pain management in paediatric patients following tonsillectomy at a tertiary hospital in Johannesburg

Southern African Journal of Anaesthesia and Analgesia

Background: Adenotonsillectomy remains one of the most frequently performed surgical procedures i... more Background: Adenotonsillectomy remains one of the most frequently performed surgical procedures in children. Despite improvements in anaesthetic and surgical techniques, severe pain is reported in as many as 25–50% of children. Pain assessment and knowledge of drug pharmacodynamics and pharmacokinetics in the paediatric patient, is a prerequisite for optimal care. Much has been written on perioperative pain management following tonsillectomy. However, no consensus has been reached on what the ideal analgesic regimen should be. This audit is a review of current practice at Chris Hani Baragwanath Academic Hospital. It aims to identify problems and develop possible solutions to improve anaesthetic practice. Methods: A prospective, contextual, descriptive study design using a data collection sheet was used on paediatric patients presenting for tonsillectomy. Results: Eighty-five patients aged three to 12 years of age, with ASA grading I or II, were enrolled in the study. The choice of a...

Research paper thumbnail of Convection warmers - not just hot air

Research paper thumbnail of Counter statement to open letter to the Executive Director of the European Medicines Agency concerning the licensing of hydroxyethyl starch solutions for fluid resuscitation

British journal of anaesthesia, 2014

Research paper thumbnail of Convection warmers - not just hot air

Anaesthesia, 1997

We sought to determine whether the forced air convection warmers (nine Bair Huggers, Augustine Me... more We sought to determine whether the forced air convection warmers (nine Bair Huggers, Augustine Medical, and one Warm Touch, Mallinkrodt Medical) used in our operating theatres could be a source of microbial pathogens. Agar plates were placed directly in the air stream of the warmers. Four of these grew potentially pathogenic organisms. When the warmers were set to blow through perforated blankets, no growth occurred. Three of the warmers were swabbed and sites of colonisation were found in their hoses. After fixing a microbial filter to the end of the hose, organisms were no longer detectable. We conclude that these warming devices are a potential source of nosocomial infection. They should only be used in conjunction with perforated blankets, should have their microbial filters changed regularly and their hoses sterilised. The inclusion of a microbial filter into the nozzle of the hose could be incorporated into the design of the warmer.

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