Anaesthesia providers accessibility and usage of video

dc.contributor.advisorHofmeyr, Michael
dc.contributor.authorYoung, Matthew
dc.date.accessioned2024-06-19T07:48:08Z
dc.date.available2024-06-19T07:48:08Z
dc.date.issued2023
dc.date.updated2024-06-06T13:46:33Z
dc.description.abstractIntroduction 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-MACĀ® and GlideScopeĀ® 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.
dc.identifier.apacitationYoung, M. (2023). <i>Anaesthesia providers accessibility and usage of video</i>. (). ,Faculty of Health Sciences ,Department of Anaesthesia and Perioperative Medicine. Retrieved from http://hdl.handle.net/11427/39939en_ZA
dc.identifier.chicagocitationYoung, Matthew. <i>"Anaesthesia providers accessibility and usage of video."</i> ., ,Faculty of Health Sciences ,Department of Anaesthesia and Perioperative Medicine, 2023. http://hdl.handle.net/11427/39939en_ZA
dc.identifier.citationYoung, M. 2023. Anaesthesia providers accessibility and usage of video. . ,Faculty of Health Sciences ,Department of Anaesthesia and Perioperative Medicine. http://hdl.handle.net/11427/39939en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Young, Matthew AB - 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-MACĀ® and GlideScopeĀ® 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. DA - 2023 DB - OpenUCT DP - University of Cape Town KW - Anaesthesia &amp KW - Perioperative Medicine LK - https://open.uct.ac.za PY - 2023 T1 - Anaesthesia providers accessibility and usage of video TI - Anaesthesia providers accessibility and usage of video UR - http://hdl.handle.net/11427/39939 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/39939
dc.identifier.vancouvercitationYoung M. Anaesthesia providers accessibility and usage of video. []. ,Faculty of Health Sciences ,Department of Anaesthesia and Perioperative Medicine, 2023 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/39939en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Anaesthesia and Perioperative Medicine
dc.publisher.facultyFaculty of Health Sciences
dc.subjectAnaesthesia &amp
dc.subjectPerioperative Medicine
dc.titleAnaesthesia providers accessibility and usage of video
dc.typeThesis / Dissertation
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMMed
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