Editorial – Issue 2017c

The exchange of experiences and ideas among colleagues remains the key of scientific progress. In fact, knowledge is a sum of gathered experiences and education is nothing more than an attempt to pass all those knowledge to the next generation.

In rapid transforming scientific disciplines like medicine, the need for this exchange is essential. The latter can take different forms. Oral ...


Eνδοκράνια Υπέρταση. Παθοφυσιολογία – Κλινική εικόνα - Παρακολούθηση

Increased intracranial pressure (ICP) is a serious final common pathway of a variety of neurologic injuries. Elevated ICP has consistently been associated with a poor outcome. It is a medical emergency requiring immediate intervention to prevent permanent damage to the brain. The Monro-Kellie doctrine states that the intracranial space is a fixed volume inside the skull. It describes the principle ...


The clinical applications of body weight and endotracheal tube size prediction formulas in pediatric patients

There are various formulas and algorithms for the prediction of body weight and appropriate ETT size, in pediatric patients. Body Weight estimation is of paramount importance in pediatrics, especially in emergencies. Predicting the appropriate size of the endotracheal tube saves time, money and reduces complications. The goal of this study was to evaluate the validity of two commonly used formulas ...


Χρήση υπηρεσιών του Εθνικού Κέντρου Άμεσης Βοήθειας από δομές φιλοξενίας προσφύγων -στοιχεία 6 μηνών- από τη Βόρεια Ελλάδα.

The health system’s response characteristics to any refugee crises have special characteristics. Optimal and flexible use of health services is essential in order to meet the needs that arise. Greece has been at the center of such crisis in the last 3 years. The purpose of this study is to record the emergency refugees' transports carried out by the National ...


Anesthetic management of a patient with Myasthenia Gravis for abdominal surgery

This case report focuses on the anesthetic management of a patient with Myasthenia Gravis who underwent left-sided colectomy, due to the presence of a tumor on the left colic (splenic) flexure. Myasthenia gravis is a chronic autoimmune neuromuscular disease which is characterized by differ-ent degrees of weakness of skeletal muscles. The anesthetic management and treatment of every patient with myasthenia ...


Εικόνα Γ. Γιγαντιαία κύματα Α έπονται των κυμάτων P (σημειώνονται με βέλη) τα οποία ακολουθούν τα κύματα QRS.

Σύνδρομο Βηματοδότη σε Προσωρινή Επικαρδιακή Βηματοδότηση μετά από Αορτοστεφανιαία Παράκαμψη: Παρουσίαση περιστατικού και ανασκόπηση της βιβλιογραφίας

The deficiency of the natural heart pacemaker, the conduction disturbances and the appearance of arrhythmias are common complications after cardiac surgery. Placement of epicardiac electrodes (ventricular, atrial, or both) during cardiac surgery remains common practice, even though few patients will actually need some kind of temporary epicardiac pacing for various periods of time. Temporary epicardiac pacing may be ventricular, atrial ...


 Dear colleagues,

The uninterrupted and continuous presence of the Greek e-journal of Perioperative Medicine in the scientific literature, over last 17 years, has been gradually increased and this is attributed to your help. On behalf of the editorial board, we would like to emphasize that our goal is ensure free-access, high quality, published articles in the area of medical press and we would like to thank you again for this continuous support. This is the third (3rd) issue of the year and our goal is to raise the issues from three to four per year. The participation of all of us with high quality publications will enable our journal to continue to be part of international libraries.

The present issue covers a wide area of interests. The review article of Schizodimos et al summarizes the major pathogenetic mechanisms, the clinical manifestations and the monitoring techniques of intracranial hypertension. They refer to 2016 Guidelines for the Management of Severe Traumatic Brain Injury, where a measured ICP above 22 mmHg is considered an indication for intervention. They also describe the major pathogenetic mechanisms of intracranial hypertension (venous occlusion, increased cerebral volume, increased blood volume, mass effect cerebral edema). Additionally, new techniques are described which are suggested as alternatives to intraventricular catheters of ICP monitoring. In the next article, Papagiannopoulou et al. cover a completely different theme, as they focus on pediatric anesthesia. Their work alerts clinicians about the possible estimation error of body estimation and endotracheal size prediction formulas used in pediatrics.

The following study of Nikolaidou et al. presents selected data for the use of emergency care service by the refugees’ camps around Thessaloniki (Northern Greece), during a 6 months period. The study shows increased transport during the first 3 months of the study, followed by a steady decrease. A high incident of pediatric and trauma cases was noted with equally high rates of crime-related injuries and pregnancy-related problems. The authors emphasize that more studies are needed to evaluate the use of the health system due to the complexity of the problem and the dynamic nature of the camps’ population composition.

The next article of Sifaki et al focuses on the anesthetic management of a patient with Myasthenia Gravis who underwent abdominal surgery. Anesthesia and myasthenia gravis is challenging combination due to the great risk of perioperative complications. The authors showed that the combination of general and epidural anesthesia was effective reducing neuromuscular blocking agents and opioids consumption. They also demonstrated that the use of Sugammadex, a rocuronium-induced neuromuscular blockade, in combination with neuromuscular monitoring, can be applied to reverse neuromuscular blockade in patients with myasthenia gravis.

Our final article Lolakos K et al describes a Pacemaker Syndrome in a patient who underwent Coronary Artery Bypass Grafting. This syndrome occurred after the placement of the electrodes of temporary epicardiac ventricular pacing with significant decrease in systemic arterial pressure and appearance of cannon A waves on central venous pressure (CVP), tracing every time the pacemaker was triggered. A literature review is also elaborated by the authors concerning the Pacemaker Syndrome. We hope you enjoy this issue of the Greek e-journal of Perioperative Medicine.

Finally we want to wish happy New Year to all of you.


Editors-in chief

Mouloudi Eleni
Papagiannopoulou Pinelopi

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