Browsing by Author "Torr, Greg"

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    Otology Outreach Surgery in Developing Countries Under Local & Regional Anaesthesia: Techniques & Pitfalls
    (University of Cape Town, 2025-03-08) Wagner, Richard; Torr, Greg; Fagan, Johan
    This chapter describes some techniques to safely perform middle ear and mastoid sur-gery in outreach ear surgery programs and discusses tips and pitfalls. It should be read in conjunction with the chapter: Local and regional anaesthesia techniques for otologic (ear) surgery which provides a more de-tailed account of local anaesthesia technique for ear surgery. When surgeons travel to developing countries to do outreach ear surgery, they often lack the convenience of having a qualified anaesthetist, trained recovery room staff, adequate monitoring equipment for safe general anaesthesia, and are faced with long lines of patients requiring ear surgery. It is under such circumstances that ear surgery is ideally done under local or regional anaesthesia.
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    Thyroidectomy Under Local or Regional (Cervical Plexus Block) Anaesthesia
    (University of Cape Town, 2025-05-09) Fagan, Johan; Konney, Anna; Torr, Greg; Fagan, Johan
    Thyroidectomy or parathyroidectomy can safely be performed under local and/or regional anaesthesia. It is useful in low resource centers when safe general anaesthesia is not available, or when patients are unsuitable for general anaesthesia. It is also performed in developed world centers especially for minimally invasive thyroid and parathyroid surgery. Patient selection is however important. Advantages of local and/or regional anaesthesia include: •Quicker and cheaper •Can monitor voice and breathing during surgery •Does not require anaesthetist (although preferred) •Avoids risks of general anaesthesia •Favorable for day case surgery