Editorial – Issue 2017a

The first issue of 2017 contains few, but very interesting articles. In their review Shizodimos et all, highlight the details hidden in the available literature about mechanical ventilation in Acute Respiratory Distress Syndrome, which after publication of Berlin definition1, is gaining again more and more interest2.

In the next article, Karveli –Argyriadou challenge the current trend regarding cardiac anesthesia publications by ...

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Σχήμα 1. Καμπύλη P – V αναπνευστικού συστήματος37

ΜΗΧΑΝΙΚΟΣ ΑΕΡΙΣΜΟΣ ΣΤΟ ΣΥΝΔΡΟΜΟ ΟΞΕΙΑΣ ΑΝΑΠΝΕΥΣΤΙΚΗΣ ΔΥΣΧΕΡΕΙΑΣ (ARDS)

Acute respiratory distress syndrome (ARDS) is an acute inflammatory lung injury, associated with increased pulmonary vascular permeability, increased lung weight, and loss of aerated lung tissue. There remains limited information about the epidemiology, recognition, management, and outcomes of patients with the ARDS, but in-hospital mortality is still high for those with moderate and severe ARDS (40.3% and 46.1%, respectively). Mechanical ...

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H ΙΣΤΟΡΙΑ ΚΑΙ Η ΕΞΕΛΙΞΗ ΤΗΣ ΚΑΡΔΙΟΑΝΑΙΣΘΗΣΙΑΣ

Cardiac surgery is a specialty with a relatively short history. The difficulties and particularities of Cardiac Surgery made apparent right from the beginning that there was a need forspecialized anesthesiological support. In 1940, Cardiac Surgeons pioneers recognized the role and contribution of cardiac anesthesiologists. In 1945, Blalock thanking his anesthesiologist co-workers Lamont and Harmel in public and mentioned that thanks ...

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Εικόνα 1. Αιμοδυναμικές καταγραφές αμέσως μετά την τοποθέτηση του καθετήρα της πνευμονικής αρτηρίας. Από πάνω προς τα κάτω: ηλεκτροκαρδιογράφημα, συστηματική αρτηριακή πίεση, πίεση στην δεξιά κοιλία(Α) και πίεση στην πνευμονική αρτηρία (Β).

ΠΝΕΥΜΟΝΙΚΗ ΥΠΕΡΤΑΣΗ ΔΙΕΓΧΕΙΡΗΤΙΚΑ: ΑΙΤΙΟΛΟΓΙΑ ΚΑΙ ΑΝΤΙΜΕΤΩΠΙΣΗ ΒΑΣΙΣΜΕΝΗ ΣΤΙΣ ΕΝΔΕΙΞΕΙΣ ΤΟΥ MONITORING ΤΗΣ ΠΝΕΥΜΟΝΙΚΗΣ ΚΥΚΛΟΦΟΡΙΑΣ

Evaluation of monitoring readings, taking into account each patient’s pathology as well as the impact of every medical intervention can guide us to make optimal clinical decisions in the periopeative setting. We present three cases in which clinical decisions concerning the management of acute perioperative pulmonary hypertension were based both on haemodynamic monitoring readings and on each patient’s specific pathology. ...

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Image 2. Chest X-ray after surgery.

PULMONARY EMBOLISM FOLLOWING ADOLESCENT IDIOPATHIC SCOLIOSIS CORRECTION SURGERY: A CASE REPORT

Scoliosis is a musculoskeletal disorder, in which there is a sideways curvature of the spine. Surgical correction of scoliosis is a long-lasting high-risk procedure, which can lead to serious complications such as pulmonary embolism and substantial haemorrhage. In our case a 20 year-old male with idiopathic scoliosis curve of 82o underwent a reconstructive spinal surgery. Tranexamic acid (TXA) i.v infusionwas ...

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CONVERSION DISORDER: TETRAPLEGIA AFTER SPINAL ANESTHESIA

This case report describes the rare occurrence of tetraplegia, caused by conversion disorder, in a patient who received spinal anesthesia for arthroscopic surgery. A 35-year-old female with a history of migraine headaches received spinal anesthesia for arthroscopic left knee surgery. On sensory block examination, she was noted to have a T10 level of blockade. During surgery and45 min after performing ...

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Εισαγωγή

The first issue of 2017 contains few, but very interesting articles. In their review Shizodimos et all, highlight the details hidden in the available literature about mechanical ventilation in Acute Respiratory Distress Syndrome, which after publication of Berlin definition1, is gaining again more and more interest2.

In the next article, Karveli –Argyriadou challenge the current trend regarding cardiac anesthesia publications by presenting us its track in time. In the era of minimal invasive cardiosurgery, genetic therapy and ultra-fast track cardiac anesthesia protocols, they remind us the course and the moments of its evolution and allow us to “look back in order to realize how much we have progressed”.

Papapostolou et al, focus on the importance of right interpretation of hemodynamic monitoring and present 3 cases of acute intraoperative pulmonary hypertention during cardiac surgery.

The last two articles describe a case on pulmonary embolism after surgery for Adolescent idiopathic scoliosis and a conversion disorder that was presented with tetraplegia post spinal anesthesia.

Along with the aforementioned, the Society of Anesthesiology and Intensive Care of Northern Greece continue the effort of empowering the place of Gr e J Periop Med in the immense arena of medical publications. En route with past changes3, the journal has welcomed several new members in its team (see “Editorial board”section), while improving indexing and evaluation scores (see “Indexing section”) continues. As we move forward, we do not forget the past; an acknowledgement section for the former editorial board members is planned to be also a permanent part of the website of the journal. And we are eager… to meet the future.

For the Editorial Board

Mouloudi E.
Papagiannopoulou P.
Aslanidis T.

 

References

  1. ARDS Definition Task Force., Ranieri VM, Rubenfeld GD, Thompson BT, Ferguson ND, Caldwell E, Fan E, Camporota L, Slutsky AS. Acute respiratory distress syndrome: the Berlin Definition. JAMA 2012; 307(23):2526-33.
  2. Pubmed. ARDS-results by year. Available from: https://www.ncbi.nlm.nih.gov/pubmed/?term=ARDS (accessed 5/5/2017).
  3. Mouloudi E, Papagiannopoulou P. Letter from the editors. Gr e J Periop Med 2016;15(b):1.
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