Anaesthesia, Vigilance and Precision Care
While You Are Sleeping
Northern Anaesthetic Practice provides expert anaesthesia services with 8 specialist anaesthetists in Durbanville, Cape Town.
About Northern Anaesthetic Practice
We are there for you while you are sleeping!
Excellence in Anaesthetic Care
Northern Anaesthetic Practice (NAP) is a distinguished group of 8 specialist anaesthetists, each with over 12 years of rigorous training and postgraduate examinations. Our specialists bring more than a decade of private practice experience, ensuring the highest standards of patient care.
As proud members of the South African Society of Anaesthesiologists, we specialize in comprehensive patient monitoring during surgical procedures. Our expertise extends beyond the operating room - we provide complete peri-operative management, serving as medical consultants for complex surgical and medical conditions.
Our approach combines advanced physiology and pharmacology knowledge to deliver vigilant, precise care throughout your surgical journey. From pre-operative assessment to post-operative recovery, we ensure your safety and comfort at every stage.
8 Specialist Anaesthetists
Highly trained professionals with extensive experience
Certified Members
South African Society of Anaesthesiologists
24/7 Monitoring
Continuous care during surgery and recovery
Our Specialist Team
Meet our experienced anaesthetists
Our team of highly qualified anaesthetists brings together diverse expertise and decades of combined experience. Each specialist is committed to providing personalized, compassionate care tailored to your unique medical needs.
Dr. C. J. Leerkamp
MBChB, M.Med (Anaes)
Specialist in general and regional anaesthesia with extensive experience in complex surgical procedures.
Dr. P. Coetzee
MBChB, M.Med (Anaes)
Expert in cardiac and thoracic anaesthesia with a focus on patient-centered care.
Dr. C.J. Coetzee
MBChB, Hons.BSc (Med Physiol), M.Med (Anaes), FCA (SA)
Fellow of the College of Anaesthetists with specialized training in medical physiology and pain management.
Dr. G. Brynard
MBChB, FCA (SA)
Fellow of the College with expertise in neurological and spinal anaesthesia techniques.
Dr. H. Van Loggerenberg
MBChB, DA(SA), Dip Mid (COG), M.Med (Anaes)
Specialist in obstetric anaesthesia with additional midwifery qualification for comprehensive maternal care.
Dr. C. Van Teijlingen
MBChB, FCA (SA)
Cape Wine Master
Fellow of the College with special interest in geriatric anaesthesia and post-operative recovery.
Dr. E. Louw
MBChB, Dip Obst (SA), DCH (SA), FCA (SA)
Comprehensive expertise in obstetric and pediatric anaesthesia with child health certification.
Dr. A. Acker
MBChB, M.Med (Anaes), FCA (SA)
Fellow specializing in ambulatory surgery and enhanced recovery protocols.
Our Services
Comprehensive anaesthesia care
Peri-operative Management
Complete care before, during, and after your surgical procedure
- Pre-operative assessment and optimization
- Intra-operative monitoring and management
- Post-operative pain control and recovery
Advanced Patient Monitoring
State-of-the-art monitoring systems ensuring your safety throughout surgery
- Continuous vital signs monitoring
- Depth of anaesthesia assessment
- Real-time physiological adjustments
Comprehensive Pain Management
Multimodal approach to managing surgical pain effectively
- Regional anaesthesia techniques
- Patient-controlled analgesia
- Minimized opioid requirements
Specialized Consultations
Comprehensive medical assessment and personalized care planning
- Risk stratification and optimization
- Anaesthetic technique selection
- Post-operative care coordination
Patient Information
Important information for your surgery
Pre-operative Guidelines
Detailed instructions to prepare for your surgery and anaesthesia
Learn MoreFrequently Asked Questions
Common questions about anaesthesia and our services
An anaesthesiologist is a medical doctor who has completed specialized training in anaesthesiology. After completing medical school and an internship, they undergo at least 5 years of additional training in anaesthesia and perioperative medicine. They are experts in managing pain, maintaining vital functions during surgery, and ensuring patient safety throughout the surgical process. Our anaesthesiologists at NAP have over 12 years of training and are board-certified specialists.
Informed consent means that your anaesthesiologist will explain the anaesthetic procedure, including the benefits, risks, and alternatives. You have the right to understand what will happen during your anaesthesia, ask questions, and make an informed decision about your care. This discussion ensures you understand and agree to the planned anaesthetic technique before your procedure.
Your anaesthesiologist needs to know your complete medical history, including: all current medications (prescription, over-the-counter, and herbal supplements), allergies or adverse reactions to medications, previous surgeries and anaesthetic experiences, chronic medical conditions (heart disease, diabetes, asthma, etc.), smoking and alcohol use, and any concerns or fears you may have about anaesthesia. This information helps us provide the safest and most effective anaesthetic care.
A pre-operative examination allows your anaesthesiologist to assess your overall health, identify any conditions that might affect anaesthesia, and develop the safest anaesthetic plan for you. This examination includes reviewing your medical history, performing a physical examination, and ordering any necessary tests. It also provides an opportunity to discuss the anaesthetic options and answer your questions.
Yes, absolutely. Herbal and natural medications can interact with anaesthetic drugs and affect blood clotting, blood pressure, and other vital functions. Some supplements may need to be stopped before surgery. Common supplements like ginkgo biloba, garlic, ginseng, and St. John's wort can have significant effects. Always provide a complete list of everything you take, including vitamins and supplements.
Yes, it's crucial to be honest about smoking and alcohol use. Smoking affects your lungs and cardiovascular system, potentially increasing anaesthetic risks and affecting healing. Regular alcohol consumption can affect how your body responds to anaesthetic medications. This information helps us adjust your anaesthetic plan for optimal safety and effectiveness.
Ideally, yes. Stopping smoking even 24-48 hours before surgery can improve oxygen levels in your blood. Stopping for 2-4 weeks significantly reduces respiratory complications. Longer cessation (6-8 weeks) improves wound healing and overall recovery. Your anaesthesiologist can provide resources to help you quit and will work with you regardless of your smoking status to ensure the safest possible care.
Most surgeries don't require blood transfusions. The need depends on the type of surgery, your blood count before surgery, and any unexpected bleeding. Your surgical team will discuss this possibility if your procedure has a higher risk of blood loss. Modern techniques and medications often minimize blood loss. If you have concerns about transfusions, discuss alternatives with your anaesthesiologist.
Common side effects are usually mild and temporary, including: nausea and vomiting (preventable with medications), sore throat (from breathing tube), drowsiness, mild confusion or memory issues (especially in elderly patients), shivering, and minor discomfort at injection sites. Most side effects resolve within hours to days. Your anaesthesiologist will take steps to minimize these effects.
Serious complications are rare with modern anaesthesia. Minor complications may include temporary nerve injury, dental damage, or allergic reactions. Major complications are extremely rare but can include heart problems, stroke, or severe allergic reactions. Your anaesthesiologist is trained to prevent, recognize, and treat any complications. The risk varies based on your health status and the type of surgery.
True allergies to anaesthetic drugs are rare. If you've had a reaction before, inform your anaesthesiologist immediately. They will review your history, possibly order allergy testing, and select alternative medications. There are many different anaesthetic drugs available, so a safe alternative can almost always be found. Never hesitate to discuss any previous reactions or concerns.
Parents play a crucial role in preparing children for anaesthesia. Be honest but age-appropriate in explanations. Stay calm - children pick up on parental anxiety. Follow fasting instructions carefully. Bring a favorite toy or comfort item. Most hospitals allow parents to stay with children until they fall asleep. Your anaesthesiologist is experienced in pediatric care and will ensure your child's comfort and safety.
Recovery time varies depending on the type of surgery and anaesthesia. After general anaesthesia, you shouldn't drive, operate machinery, or make important decisions for 24 hours. Return to work depends on your surgery and job type. Your surgeon and anaesthesiologist will provide specific guidelines. Most people feel back to normal within a few days, but full recovery from surgery may take weeks.
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