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In developed countries, perioperative deaths due to anaesthetic complications alone are rare (one in 13 000), while perioperative deaths in general are more common (one in 500).5 Developing countries have a two to four time increased risk of anaesthesia related and perioperative mortality compared to developed countries.6 Perioperative deaths and anaesthesia-related deaths in South Africa are classified under the superordinate procedurerelated deaths. The act includes deaths related to procedures not requiring anaesthesia.7 A total of 1 732 deaths were reported as procedure-related in South Africa (SA) in 2015; it is not been stated how many of these occurred intraoperatively.8 Therefore, it is difficult to establish exactly how many anaesthetic-related deaths occur in South Africa. However, if these 1 732 procedurerelated deaths are taken into account, it is prudent to argue that most South African anaesthetists will experience at least one death on the table during their career.

PTSD in South African anaesthetists after experiencing a death on the theatre table