Dear colleagues,

The editorial board of the Greek e-journal of Perioperative Medicine presents the second issue for 2026, which covers a variety of topics related to the fields of perioperative and emergency medicine.

The first study by Nikolaidou O et al. provides the first detailed analysis of out-of-hospital cardiac arrest (OHCA; n=302) using data from the EuReCa-THREE registry in the Thessaloniki EMS region.  The study showed that OHCA occurred mainly in older adults and at home, although a substantial proportion involved working-age individuals. ROSC was achieved in approximately one third of EMS-treated patients, with an initial shockable rhythm being the strongest predictor of successful resuscitation. The findings highlight the need for improved community CPR, early defibrillation and OHCA surveillance in Greece.

The second article of Nikolaidou C et al. is a retrospective analysis of surgical emergencies visits, in an urban secondary hospital in Northern Greece, especially the years after the pandemic. The authors noted that that surgical emergency volume fell by 40% during the pandemic before rising again from 2023 to 2025, with trauma identified as the leading cause of admissions.

Next, the article of Fengoudaki M et al. described the case of a 65-year-old lung cancer patient, who suffered a life-threatening airway hemorrhage following the insertion of a left double-lumen tube for a thoracotomy, caused by endobronchial tumor. The severe bleeding resulted in failed ventilation, hypoxemia, and surgery cancellation, though the patient stabilized and successfully underwent a later pneumonectomy. The case emphasizes the necessity of careful pre-operative tumor evaluation and immediate bronchoscopic guidance to prevent fatal airway injuries.

Finally, the case report of Spanou E et al. describes a severe instance of perioperative anaphylaxis, likely triggered by a neuromuscular blocking agent during anesthesia induction. The patient subsequently underwent a successful second anesthetic procedure utilizing a modified, non-reactive strategy.

Finally, we want to thank you again for your support and we would like to invite you to the 18^th Congress of Anesthesiology and Intensive Medicine, which is to be held in Thessaloniki, on the 1^th to 4^th of October 2026.

We hope to see you there.

With regards

Editors in chief

Mouloudi Eleni
Papagiannopoulou Pinelopi