Speakers

Dr Ryan Davids

Dr Ryan Davids [MBChB, DA (SA), MMED (Anaes), FCA, MPhil (Applied Ethics),Cert Critical Care ] is an anaesthetist-intensivist with varied interests. He heads the Surgical ICU at Tygerberg Hospital.

Dr Davids also holds a Masters in Philosophy and Applied Ethics. In terms of his Bioethics involvement, Ryan serves on a number of local and national research and clinical ethics committees. Including SA medical research council and ethics consultant to the Mediclinic group nationally. Ryan is affiliated with the Division of Medical Law and Bioethics at Stellenbosch University where he serves as a senior lecturer and member of the Executive committee of this division.

Dr David Ferreirinha

David is a final year anaesthesiology registrar at the University of Cape Town. He has a keen
interest in cardiac and thoracic anaesthesia, and is an ultrasound enthusiast. Outside of
medicine, David explores the outdoors with his wife and 2 sons.

Dr

Nicole Hendricks

As a practicing anaesthesiologist, Dr Nicole Hendricks is known for her patience and dedication to her patients. She enjoys mentoring anaesthesiologists in training and finds balance in art, nature and exploring new cultures and tastes in her travels.

She completed her anaesthesia training in WITS University. She is currently a consultant specialist anaesthesiologist in Tygerberg Hospital as part of the Stellenbosch Department of Anaesthesiology and Critical Care.

She hopes to continue her own medical growth in research and clinical skills at Tygerberg Hospital to improve patient outcomes and encourage the next generation of anaesthesiologists.

Dr Faaidha Hendricks

Dr Faaidha Hendricks – Specialist Anaesthesiologist

Completed her specialist training at Tygerberg Hospital and currently working in Private Practice, with a special interest in cardiac and thoracic anaesthesia.

Other than anaesthesia I enjoy being outdoors- in my spare time you’ll find me hiking mountains, running, cooking and eating good food with friends and family.

Title: A practical approach to the management of Malignant Hyperthermia

Time:  15- 20 mins

Introduction: what is MH and AIR including the importance of prompt recognition and its management as a life-threatening anaesthetic complication and emergency.

Body: Trigger- free theatre preparation for the patient with suspected MH.

Preparation and administration of Dantrolene Sodium.

Quick Q & A to end off to highlight the most salient points of management and preparation.

Dr Justin King

Originally from KZN, Pietermaritzburg, I completed my undergraduate degree in 2002 at Free State University. After completing internship and community service, I joined the Critical Care and Anaesthesia department Ngwelezne Hospital. This is where my love and passion for anaesthesia started. Prior to joining the Anaesthetic department at Tygerberg Hospital in 2010, I was an Emergency Registrar for 2 years. My areas of interest include Nurse training and educational development of the anaesthetic nurses as well as Geriatric anaesthesia. In my spare time to relax and unwind, I enjoy quality time on the couch either reading or binge-watching series, cuddled up with my dog.

Oliver Kwete

Olivier Kwete is a dedicated registrar from the Departments of Anaesthesiology and Critical Care at Tygerberg Hospital. With a keen interest in neurosciences and consciousness, he is passionate about advancing understanding in these fields. Olivier is also one of the registrar representatives, actively promoting wellness and well-being among his colleagues

Dr Ruth Lindt

Dr. Ruth Lindt is an anesthetist ( MB, CHB, DA(SA), Mmed (Anaes) FCA). 

She works privately and as a sessional consultant at Paarl Provincial Hospital, with a keen interest in shared airway patients and regional anaesthesia. 

Outside of work, she enjoys outdoor activities and spending time with family and friends.

Dr Jacob Moutlana

Dr Jacob Moutlana is an anaesthesiologist currently working in Private Practice in Johannesburg. He is the former Head of Clinical Unit at Charlotte Maxeke Johannesburg Academic Hospital. He served briefly in the SASA National Council as the SASA Transformation and Diversity Committee Convener in 2022. Jacob completed an MSc Med in Bioethics and Health Law at Wits in 2018. He advices on ethicolegal matters pertaining to anaesthetic practice.

Talk description

The talk will focus on ethicolegal dilemmas in anaesthesia. A few scenarios will be given outlining potential ethical challenges one may face in the perioperative period. The ethical subjects to be explored includes DNR orders in the perioperative period, Validity of consent, and Blood transfusion challenges in Jehovah’s Witness minors A brief overview of the ethical principles and laws applicable to the dilemma will be outlined followed by an audience engagement of the ethical dilemma.

Dr Viantha Pather

My name is Viantha Pather. I am a 3^rd year registrar at the SUNDACC at Tygerberg Hospital. I have a special interest in paediatric, regional, and obstetric anaesthesia. In my spare time, you can find me exploring the depths of Table Mountain. I am also an avid runner and rookie rock climber. Being an outdoors person has led to my keen interest in sustainable anaesthesia.

Green Anaesthesia

“The greatest health threat of the 21^st century is climate change”.

 – World Health Organisation

In daily practice, the use of low flow anaesthesia, omission of nitrous oxide and sparing drug use,  as well as the correct segregation and disposal of waste in theatre can help decrease our carbon footprint. Mass disposal of waste at landfill sites and incineration of medical waste releases large amounts of greenhouse gases into the environment.

It has been established that most of the anaesthesia waste is produced before the patient enters the operating room. Thus, it can be deduced that most of the waste is non-contaminated and can also potentially be recycled.  Appropriate waste management is a small task that we can do to make a big difference.

Dr Maretha Smit

Dr. Maretha Smit is an associate for Southern Anaesthetics in private practice Cape Town. Maretha grew up in Gauteng and attended the University of Pretoria where she graduated MBChB with Distinction in 2013. Maretha completed her internship, community service and medical officer training in anaesthesia at Helen Joseph & Rahima Moosa Hospitals in Gauteng where she obtained her Diploma in Anaesthesia in 2016. She joined the UCT Anaesthesia training program in January 2018 where she excelled in all departments. She was the UCT Anaesthesia registrar represenative in 2019, won the Registrar’s Registrar Award in the same year, and won Best Registrar in Paediatric Anaesthesia award in 2020.

Maretha obtained her Master of Medicine in Anaesthesiology (MMed) with Distinction in 2021, the same year that she obtained her Fellowship of the College of Anaesthesiologists (FCA)(SA). She worked as a Specialist Anaesthetist in 2022 rotating through Groote Schuur Hospital Intensive Care Units and Red Cross Children’s Hospital where she developed an interest in Paediatric Anaesthesia. Maretha has six publications to her name (three of which are first author publications), and is actively involved in ongoing registry and research projects. Her primary research field is obstetric airway management, and she has won two research awards at international congresses.

Maretha is also an extraordinarliy talented runner and her personal achievements include: top 20 female overall in the 90km Comrades Marathon (6h56) 2024; 15th female overall at the 56km Two Oceans Ultra Marathon (4h05) 2024; Cape Town Marathon (Sub 3hrs – 2h55) 2023. During the Covid19 pandemic Maretha raised R65,000 for the Cape of Good Hope SPCA by running 37 laps around Rondebosch Common (90km) for the virtual Comrades.

Maretha is married to Dewald Basson, a product development specialist, and they have three beautiful fur children. Besides running, she enjoys outdoor adventures and loves spending time with her family and friends.

Paediatric sedation for the occasional paediatric anaesthetist

Providing safe and effective sedation for children, often in remote locations, can be overwhelming and challenging. The MRI suite is the most common area in which you will be required to perform procedural sedation for children. This poses unique scenarios in which specific knowledge and situational awareness is required. The aim of this talk is to define limitations, break stigmata and enhance confidence for the occasional paediatric sedationist. We will focus on child-appropriate equipment, drugs and monitors as well as thoughtful selection of patients suitable for sedation in remote locations.

Dr Dirk van Zijl

Dirk van Zijl has more than 29 years of experience in Anaesthesia for various types of surgery ranging from complex colorectal cancer procedures to high risk obstetric surgery.

He has been in full time private practice since 2006, and is an associates in Southern Anaesthetics in Cape Town.

MEMBERSHIP ACTIVITIES (ALL VOLUNTEER)

Past President South African Society of Anaesthesiologists (SASA)

Past Convener & Current Member SASA Private Practice Business Unit

Current Treasurer, Past Chairman SASA Cape Western Branch

Current Member of Medical Protection Society (MPS) Medical Advisory board

LIFE OUTSIDE OF WORK

I love mountain biking and hiking, and escaping to wilderness areas with my wife and two daughters. Also enjoy birdwatching and photography.

SASA WC Branch update about National Health Insurance (NHI)

19^th October 2024

Dirk van Zijl

In response to the program organiser’s requests and feedback questions from members in previous meetings, the following will be addressed in this brief NHI update.

– The time frame that SASA has been involved in NHI talks

– What has SASA done so far?

– The legal framework and definitions in the bill in brief as it pertains to anaesthesia, including:

          – Contracts with the NHI via public entities (hospitals, government, juristic persons)

          – The concept of set prices vs negotiated prices vs global fees

          – Medical schemes and their future role in NHI.

          – Accreditation of practices and hospitals

–  Is anaesthesia in its own silo regarding NHI discussions or have we joined with the surgical and critical care societies etc.

–  Where are we currently with NHI?