A5078601755- Respiratory Support and Mechanisms
- Neonatal Respiratory Health Research
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Intensive Care Unit Cognitive Disorders
- Hip and Femur Fractures
- Cystic Fibrosis Research Advances
- Therapeutic Uses of Natural Elements
- Airway Management and Intubation Techniques
- Clinical Nutrition and Gastroenterology
- Congenital Diaphragmatic Hernia Studies
- Frailty in Older Adults
- Long-Term Effects of COVID-19
- Nutrition and Health in Aging
- Empathy and Medical Education
- Disaster Response and Management
- Thermal Regulation in Medicine
- Trauma Management and Diagnosis
- Hemodynamic Monitoring and Therapy
- Interprofessional Education and Collaboration
- Evaluation of Teaching Practices
- Healthcare Decision-Making and Restraints
- Chronic Disease Management Strategies
- Trauma and Emergency Care Studies
- Non-Invasive Vital Sign Monitoring
- Family and Patient Care in Intensive Care Units
Western Cape Department of Health
2024-2025
Stellenbosch University
2018-2025
National Research Foundation
2021
University of Cape Town
2013-2017
BACKGROUND: Persistent respiratory symptoms and lung function deficits are common after patients with TB. We aimed to define the burden of post-TB disease (PTLD) assess associations between impairment in two high TB incidence communities.METHODS: This was a cross-sectional survey adults Cape Town, South Africa who completed treatment 1-5 years previously. Questionnaires, spirometry 6-minute walking distance (6MWD) were used relationships outcome measures associated factors.RESULTS: Of 145...
Grip strength has been identified as an important indicator of health status and predictor clinical outcomes. The gold standard for measuring grip is the JAMAR® Hydraulic Hand Dynamometer. Less expensive dynamometers are available but have not validated within a hospital setting.To validate Camry Digital Handgrip Dynamometer (Model EH101) against J00105) in population.A cross-sectional observational study with randomised single-blind cross-over component was conducted on consenting adult...
Objectives: To determine the effect of prone positioning on ventilation distribution in children with acute respiratory distress syndrome. Design: Prospective observational study. Setting: Paediatric Intensive Care at Red Cross War Memorial Children's Hospital, Cape Town, South Africa. Patients: Mechanically ventilated Interventions: Electrical impedance tomography measures were taken supine position, after which child was turned into and subsequent electrical measurements taken....
Growing evidence shows that a significant number of patients with COVID-19 experience persistent symptoms, also known as long COVID-19. We sought to identify symptoms in frontline workers at Right Care South Africa, who are past the acute phase illness, using cross-sectional survey. analysed data from 207 eligible positive participated two-month post-COVID-19 online self-administered The survey response rate was 30%; 62 respondents median age 33.5 years (IQR= 30-44 years), 47 (76%) were...
Abstract Background Feedback is an important part of learning, however, it often does not have the desired effect. Much work has been done exploring students’ engagement with feedback and factors which may impact engagement. Mutual understanding practice on student educator essential. Methods This study explored perceptions final-year physiotherapy students at Stellenbosch University (South Africa). Twelve semi-structured interviews were conducted to generate data. Cultural-historical...
IMPORTANCE AND OBJECTIVES: The aim of this study was to explore peripheral and respiratory muscle structure strength from unit admission hospital discharge among ICU patients in a resource-constrained setting. DESIGN: Prospective, observational study. SETTING: Tertiary academic hospital. PARTICIPANTS: Newly intubated critically ill adults admitted the medical surgical ICUs expected be mechanically ventilated for more than 48 hours were included MAIN OUTCOMES MEASURES: Ultrasonography right...
Background. Traditionally, it was understood that children universally show greater ventilation of the non-dependent lung. Recent studies have questioned understanding distribution patterns in paediatric population. There are no examining effect body position mechanically ventilated infants/children. Objectives. To determine on regional children. Methods. Thoracic electrical impedance tomography (EIT) measurements were taken left- and right-side lying, supine prone positions Functional EIT...
Rationale Current understanding is that infants and children preferentially ventilate non-dependent lungs, a reversal of adults, based on studies using krypton-81m ventilation scanning. Participants in these had lung disease were either sedated or ventilated. There little the distribution spontaneous breathing healthy children. Objectives This study aimed to determine effects side lying healthy, spontaneously between ages 6 months 9 years. Methods Measurements taken electrical impedance...
Background: Body positioning and diaphragmatic breathing may alter respiratory pattern reduce dyspnoea in people with chronic obstructive pulmonary disease (COPD).Objectives: To determine the effect of on muscle activity a convenience sample COPD, using surface electromyography (sEMG).Methods: This prospective descriptive study recorded sEMG measurements at baseline, after upright positioning, during 5 minutes thereafter. Vital signs levels perceived were baseline end study. Data analysed...
Positioning of ill children is often used to optimise ventilation-perfusion matching, thereby improving oxygenation.To determine the effects supine and prone positions, different head on distribution ventilation in healthy, spontaneously breathing infants between ages 6 months 9 years.Electrical impedance tomography measurements were recorded from participants positions. Head positions included turned left right midline position. Distribution was described using...
Objectives: Monitoring muscle mass (cross-sectional area [CSA]) and quality (echogenicity) using ultrasound may help optimise nutrition support in the critically ill. However, to date, imaging has not been included undergraduate training of dietitians, who are mostly responsible for care ill patients. This study assessed accuracy reliability bedside performed by a dietitian trained according standardised methodology, followed blinded analyses.
Background. Bronchiectasis is a chronic lung disorder that affects the lives of many South Africans. Post-tuberculosis (TB) bronchiectasis an important complication previous pulmonary TB and common cause in Africa (SA). No statements on management SA have been published. Objectives. To provide position statement will act as template for adult patients with SA. Methods. The African Thoracic Society appointed editorial committee to compile non-cystic fibrosis (CF) Results. A addressing non-CF...
Trauma is one of the leading causes mortality and morbidity world wide, affecting both adult paediatric populations.The objective this book to provide physiotherapists at all stages their careers with current evidencebased information guide physiotherapeutic management adults children traumarelated injuries.Information has been drawn from published research as well clinical expertise contributors readers a comprehensive that details physiotherapist's role trauma related injuries.Chapter 1...
To determine the prevalence and incidence of pediatric acute respiratory distress syndrome (pARDS) among infants children admitted to PICU.A single-center descriptive point study with twice weekly data collection over a 6 months (August 2020 February 12, 2021).Red Cross War Memorial Children's Hospital, Cape Town, South Africa.All PICU on days were included.Data captured electronically standardized case record form using Research Electronic Data Capture electronic database.The Pediatric...
In Zulu, a native South African Language, there is greeting—Sawubona, which means ‘I see you’. This insight piece reflects the collaboration between student and educator, in meaning of Sawubona took root. recent clinical education session, student-driven plan was to evaluate an invasively ventilated, awake, polytrauma patient who sustained multiple rib fractures. On arrival at bedside, seemed agitated, his blood pressure extremely high heart rate climbing. He became increasingly agitated; we...
Aims & Objectives: Mechanical ventilation (MV) leads to diaphragm dysfunction in adults, with associated morbidity. There is limited research on ventilator-induced diaphragmatic the paediatric population. This study aimed describe change function during MV children admitted intensive care unit (PICU). Methods was a prospective observational conducted PICU of Red Cross War Memorial Children's Hospital, Cape Town, South Africa. Daily standardised ultrasound measures were taken end-inspiratory...
CITATION: Lupton-Smith, A. 2018. There’s more to weaning than just the lungs!. Southern African Journal of Critical Care, 34(2):35-36, doi:10.7196/SAJCC.2018.v34i2.371.