Hyla Kluyts

Hyla Kluyts
Sefako Makgatho Health Sciences University · Department of Anaesthesiology

Doctor of Medicine

About

73
Publications
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1,409
Citations

Publications

Publications (73)
Article
Full-text available
Background Safe anaesthesia and surgery are a public health imperative. There are few data describing outcomes for children undergoing anaesthesia and surgery in Africa. We aimed to get robust epidemiological data to describe patient care and outcomes for children undergoing anaesthesia and surgery in hospitals in Africa. Methods This study was a 1...
Article
Summary Background Safe anaesthesia and surgery are a public health imperative. There are few data describing outcomes for children undergoing anaesthesia and surgery in Africa. We aimed to get robust epidemiological data to describe patient care and outcomes for children undergoing anaesthesia and surgery in hospitals in Africa. Methods This study...
Article
Full-text available
Background Safe anaesthesia and surgery are a public health imperative. There are few data describing outcomes for children undergoing anaesthesia and surgery in Africa. We aimed to get robust epidemiological data to describe patient care and outcomes for children undergoing anaesthesia and surgery in hospitals in Africa. Methods This study was a...
Article
Background Safe anaesthesia and surgery are a public health imperative. There are few data describing outcomes for children undergoing anaesthesia and surgery in Africa. We aimed to get robust epidemiological data to describe patient care and outcomes for children undergoing anaesthesia and surgery in hospitals in Africa. Methods This study was a...
Article
Full-text available
Background: The patient's experience of their postoperative recovery is an important perioperative outcome, with the 15-item quality of recovery scale (QoR-15) recommended as a standardised outcomes measure. Desflurane has a faster emergence from anaesthesia compared with other volatile anaesthetics, but it is uncertain whether this translates to b...
Article
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Background: Low- and middle-income countries have a critical shortage of specialist anaesthetists. Most patients arriving for surgery are of low perioperative risk. Without immediate access to preoperative specialist care, an appropriate interim strategy may be to ensure that only high-risk patients are seen preoperatively by a specialist. Matchin...
Article
BACKGROUND The African Surgical Outcomes Study (ASOS) found that maternal mortality following cesarean delivery in Africa is 50 times higher than in high-income countries, and associated with obstetric hemorrhage and anesthesia complications. Mothers who died were more likely to receive general anesthesia (GA). The associations between GA versus sp...
Article
BACKGROUND: There is an unmet need for essential surgical services in Africa. Limited anes�thesia services are a contributing factor. Nonphysician anesthesia providers are utilized to assist with providing anesthesia and procedural sedation to make essential surgeries available. There is a paucity of data on outcomes following procedural sedation...
Data
on behalf of the African Surgical Outcomes Study (ASOS) investigators. ASOS Steering Committee B M Biccard, T E Madiba, R M Pearse, on behalf of the African Surgical Outcomes Study (ASOS) investigators.
Article
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Background It is often difficult for clinicians in African low- and middle-income countries middle-income countries to access useful aggregated data to identify areas for quality improvement. The aim of this Delphi study was to develop a standardised perioperative dataset for use in a registry.MethodsA Delphi method was followed to achieve consensu...
Article
Full-text available
Background: There is an unmet need for essential surgical services in Africa. Limited anesthesia services are a contributing factor. Nonphysician anesthesia providers are utilized to assist with providing anesthesia and procedural sedation to make essential surgeries available. There is a paucity of data on outcomes following procedural sedation f...
Article
Full-text available
on behalf of the African Surgical Outcomes Study (ASOS) investigators BACKGROUND: There is an unmet need for essential surgical services in Africa. Limited anesthesia services are a contributing factor. Nonphysician anesthesia providers are utilized to assist with providing anesthesia and procedural sedation to make essential surgeries available. T...
Article
Full-text available
Background This is the first Enhanced Recovery After Surgery (ERAS®) Society guideline for primary and secondary hospitals in low–middle-income countries (LMIC’s) for elective abdominal and gynecologic care. Methods The ERAS LMIC Guidelines group was established by the ERAS® Society in collaboration with different representatives of perioperative...
Article
BACKGROUND: There is an unmet need for essential surgical services in Africa. Limited anesthesia services are a contributing factor. Nonphysician anesthesia providers are utilized to assist with providing anesthesia and procedural sedation to make essential surgeries available. There is a paucity of data on outcomes following procedural sedation fo...
Article
Background: Severe anesthetic-related critical incident (SARCI) monitoring is an essential component of safe, quality anesthetic care. Predominantly retrospective data from low- and middle-income countries (LMICs) report higher incidence but similar types of SARCI compared to high-income countries (HIC). The aim of our study was to describe the ba...
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Full-text available
Background: The burden of cardiovascular disease in patients requiring non-cardiac surgery in Africa is not known. These patients are at increased risk for postoperative cardiovascular complications. Objectives: In this sub-study, to use data on comorbidities and surgical outcomes from two large observational studies, the South African Surgical...
Article
Full-text available
Executive summary The South African (SA) guidelines for cardiac patients for non-cardiac surgery were developed to address the need for cardiac risk assessment and risk stratification for elective non-cardiac surgical patients in SA, and more broadly in Africa.The guidelines were developed by updating the Canadian Cardiovascular Society Guidelines...
Article
Full-text available
Executive summary The South African (SA) guidelines for cardiac patients for non-cardiac surgery were developed to address the need for cardiac risk assessment and risk stratification for elective non-cardiac surgical patients in SA, and more broadly in Africa.The guidelines were developed by updating the Canadian Cardiovascular Society Guidelines...
Article
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Background Risk of mortality following surgery in patients across Africa is twice as high as the global average. Most of these deaths occur on hospital wards after the surgery itself. We aimed to assess whether enhanced postoperative surveillance of adult surgical patients at high risk of postoperative morbidity or mortality in Africa could reduce...
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Background There have been insufficient data for African patients with COVID-19 who are critically ill. The African COVID-19 Critical Care Outcomes Study (ACCCOS) aimed to determine which resources, comorbidities, and critical care interventions are associated with mortality in this patient population. Methods The ACCCOS study was a multicentre, pr...
Article
Background Data on the factors that influence mortality after surgery in South Africa are scarce, and neither these data nor data on risk‐adjusted in‐hospital mortality after surgery are routinely collected. Predictors related to the context or setting of surgical care delivery may also provide insight into variation in practice. Variation must be...
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Background: Burnout is a psychological syndrome that develops in response to chronic job-related stressors. Its three predominant manifestations are emotional exhaustion, cynicism, and feelings of ineffectiveness and unfulfillment (low efficacy). Our study objectives were to establish the prevalence and severity of burnout among South African anaes...
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Introduction: The purpose of this two-part study was to determine the prevalence and severity of the burnout syndrome among South African anaesthetists working in the public and private sectors, and to identify areas of work-life (AWLs) that predispose to burnout. We reported our burnout findings in Part 1.1 In this paper (Part 2) we report on the...
Article
Background The prevalence of anaemia in the South African paediatric surgical population is unknown. Anaemia may be associated with increased postoperative complications. We are unaware of studies documenting these findings in patients in low‐ and middle‐income countries (LMICs). Aim The primary aim of this study was to describe the association be...
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on behalf of the ASOS investigators* Summary Background Maternal and neonatal mortality is high in Africa, but few large, prospective studies have been done to investigate the risk factors associated with these poor maternal and neonatal outcomes.
Article
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Background: The African Surgical Outcomes Study (ASOS) showed that surgical patients in Africa have a mortality twice the global average. The working hypothesis is that patients die as a result of failure to rescue following complications in the postoperative period. The African Surgical OutcomeS-2 (ASOS-2) Trial plans to test the efficacy of incre...
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Background: Children comprise a large proportion of the population in sub-Saharan Africa. The burden of paediatric surgical disease exceeds available resources in Africa, potentially increasing morbidity and mortality. There are few prospective paediatric perioperative outcomes studies, especially in low- and middle-income countries (LMICs). Meth...
Article
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Background: The African Surgical Outcomes Study (ASOS) showed that surgical patients in Africa have a mortality twice the global average. Existing risk assessment tools are not valid for use in this population because the pattern of risk for poor outcomes differs from high-income countries. The objective of this study was to derive and validate a...
Article
Background: Job satisfaction is a vital contributor to occupational well-being and may be instrumental in mitigating stress and the adverse effects thereof. This is particularly pertinent in anaesthesiology, which is an inherently stressful field. There are myriad factors, including personality traits, shown to influence job satisfaction. Personali...
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Background: There is a need to increase access to surgical treatments in African countries, but perioperative complications represent a major global health-care burden. There are few studies describing surgical outcomes in Africa. Methods: We did a 7-day, international, prospective, observational cohort study of patients aged 18 years and older...
Article
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Background: Propofol lipid emulsion supports bacterial growth and various outbreaks of postoperative infection are attributed to extrinsic contamination. This study’s objectives were to ascertain propofol administration practices among South African anaesthesiologists and to determine the influence of the 2014 South African Society of Anaesthesiolo...
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Background. Appropriate critical care admissions are an important component of surgical care. However, there are few data describing postoperative critical care admission in resource-limited low- and middle-income countries. Objective. To describe the demographics, organ failures, organ support and outcomes of non-cardiac surgical patients admitted...
Article
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This edition of the journal contains a comprehensive review of the National Audit Projects (NAPs) from the United Kingdom.1 This review is important for anaesthesiology in South Africa, as it provides the history and evolution of NAPs in the United Kingdom, the methodology adopted to establish the incidence of uncommon, yet important adverse outcom...
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Background: Perioperative research is currently unco-ordinated in South Africa (SA), with no clear research agenda. Objective: To determine the top ten national research priorities for perioperative research in SA. Methods: A Delphi technique was used to establish consensus on the top ten research priorities. Results: The top ten research pr...
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Background: Non-cardiac surgical morbidity and mortality is a major global public health burden. Data from sub-Saharan African countries on perioperative outcomes are sparse. South Africa presents a unique public health problem simultaneously engulfed by four epidemics of poverty-related diseases, noncommunicable diseases, human immunodeficiency vi...
Article
eHealth is the use of information and communication technologies for health. mHealth is the use of mobile technology in health. As with all information technology (IT), advances in development are rapidly taking place. The application of such technology to individual ambulatory anaesthesia practice should improve the delivery of quality patient car...

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