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Introduction Approaches to airway management have undergone a dramatic transformation since the advent of video laryngoscopy (VL). Access to VLs for anaesthesia providers (AP) in operating theatres in South Africa has not previously been described, and the current usage is unknown. Methods We design...
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| Format: | Thesis |
| Language: | English |
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Department of Anaesthesia and Perioperative Medicine
2024
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| _version_ | 1867613544069988352 |
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| access_status_str | Open Access |
| author | Young, Matthew |
| author2 | Hofmeyr, Michael |
| author_browse | Hofmeyr, Michael Young, Matthew |
| author_facet | Hofmeyr, Michael Young, Matthew |
| author_sort | Young, Matthew |
| collection | Thesis |
| description | Introduction Approaches to airway management have undergone a dramatic transformation since the advent of video laryngoscopy (VL). Access to VLs for anaesthesia providers (AP) in operating theatres in South Africa has not previously been described, and the current usage is unknown. Methods We designed a cross-sectional survey investigating AP access and type of VL, as well as AP usage of VL in general, in obstetric anaesthesia, and in patients infected with SARS CoV-2. By using a combination of survey and direct contact audit we atempted to contact all medical facilities with an operating theatre in South Africa. Results 98% (661/676) of hospitals provided responses to the survey or were contacted directly via telephone. Of the total 559 hospitals with operating theatres, 65% (362/559) had access to a VL. 84% (1983/2357) of theatres are found in hospitals which have access to a VL. Larger hospitals are more likely to have video laryngoscopes. The C-MAC® and GlideScope® VL account for 85% of devices found in South Africa. 71% (395/559) of hospitals reported providing obstetric theatre services, while 58% (229/395) of these reported having access to a VL. 54% (301/559) of hospitals reported performing intubatons on patients infected with SARS-CoV-2, of these 79% (238/301) reported having access to a VL. Discussion Our data quantified the expected inequality in the distributon of VLs. There are large discrepancies between the different provinces, as well as between state and privately funded hospitals in South Africa. Despite having become a common device, VL is underutilized, even in high-risk populations. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/39939 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:37:49.952Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | Department of Anaesthesia and Perioperative Medicine |
| publisherStr | Department of Anaesthesia and Perioperative Medicine |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/39939 Anaesthesia providers accessibility and usage of video Young, Matthew Hofmeyr, Michael Anaesthesia & Perioperative Medicine Introduction Approaches to airway management have undergone a dramatic transformation since the advent of video laryngoscopy (VL). Access to VLs for anaesthesia providers (AP) in operating theatres in South Africa has not previously been described, and the current usage is unknown. Methods We designed a cross-sectional survey investigating AP access and type of VL, as well as AP usage of VL in general, in obstetric anaesthesia, and in patients infected with SARS CoV-2. By using a combination of survey and direct contact audit we atempted to contact all medical facilities with an operating theatre in South Africa. Results 98% (661/676) of hospitals provided responses to the survey or were contacted directly via telephone. Of the total 559 hospitals with operating theatres, 65% (362/559) had access to a VL. 84% (1983/2357) of theatres are found in hospitals which have access to a VL. Larger hospitals are more likely to have video laryngoscopes. The C-MAC® and GlideScope® VL account for 85% of devices found in South Africa. 71% (395/559) of hospitals reported providing obstetric theatre services, while 58% (229/395) of these reported having access to a VL. 54% (301/559) of hospitals reported performing intubatons on patients infected with SARS-CoV-2, of these 79% (238/301) reported having access to a VL. Discussion Our data quantified the expected inequality in the distributon of VLs. There are large discrepancies between the different provinces, as well as between state and privately funded hospitals in South Africa. Despite having become a common device, VL is underutilized, even in high-risk populations. 2024-06-19T07:48:08Z 2024-06-19T07:48:08Z 2023 2024-06-06T13:46:33Z Thesis / Dissertation Masters MMed http://hdl.handle.net/11427/39939 eng application/pdf Department of Anaesthesia and Perioperative Medicine Faculty of Health Sciences |
| spellingShingle | Anaesthesia & Perioperative Medicine Young, Matthew Anaesthesia providers accessibility and usage of video |
| thesis_degree_str | Master's |
| title | Anaesthesia providers accessibility and usage of video |
| title_full | Anaesthesia providers accessibility and usage of video |
| title_fullStr | Anaesthesia providers accessibility and usage of video |
| title_full_unstemmed | Anaesthesia providers accessibility and usage of video |
| title_short | Anaesthesia providers accessibility and usage of video |
| title_sort | anaesthesia providers accessibility and usage of video |
| topic | Anaesthesia & Perioperative Medicine |
| url | http://hdl.handle.net/11427/39939 |
| work_keys_str_mv | AT youngmatthew anaesthesiaprovidersaccessibilityandusageofvideo |