OpenUCT :: Browsing by Author "Ruttmann, Tom"

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Open Access
Coagulation for the clinician
(Health and Medical Publishing Group, 2006) Ruttmann, Tom
The integrity of the circulation is maintained through the provision of a rapid, potent, but tightly localised coagulation response to vascular damage. There is, however, one extraordinary problem in the regulation of haemostasis – blood flows. Normal haemostasis is the ability of the haemostatic system to control activation of clot formation and clot lysis in order to prevent haemorrhage without causing thrombosis.
Open Access
Conscious sedation v. monitored anaesthersia care - 20years in the South African context
(2006) Stefanutto, Tish; Ruttmann, Tom
Sedation of patients for minor procedures is here to stay. However, it is the responsibility of every physician to be aware of the potential complications associated with the combination of drugs administered and to practise in an environment where no risks are taken and no procedures performed outside the circle of safety. Furthermore, as an anaesthetic service, monitored anaesthesia care (MAC) is clearly distinct from moderate sedation and it is important for patient safety that these differences are recognised and adhered to. In essence, all practitioners must observe the strict distinctions between sedation and MAC to prevent the drift into deeper sedation under inappropriate circumstances.