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Dear colleagues,

The second issue of the Greek e-journal of Perioperative Medicine for 2022 presents various articles including Reviews Articles and Case Reports concerning perioperative medicine.

The review article of Varvarousi G et al. reviews the perioperative management of haemotherapy in obstetric patients with haemorrhage and coagulopathy abnormalities. Authors concluded that hypofibrinogenemia is the most common coagulation disorder in these patients. They also noted that point-of-care viscoelastic testing contributes to early identification and targeted treatment in obstetric bleeding and that timely administration of tranexamic acid is considered important in order to reduce blood loss for the treatment of postpartum haemorrhage.

The next review article of Zafeiriadis et al. describes the ethical and philosophical aspects of intraoperative pain management. The authors emphasize that these aspects are of great importance because the presence of complications, due to inadequate pain control during general anesthesia, comes mainly from the anesthetists’ unawareness about the patient’s exact nociceptive depth. They also noted that the need for efficient intraoperative monitoring of the patient’s nociception level is of extreme value, when considered through the bioethical and philosophical approach, in order the anesthetists to fulfil their preliminary duty, this of pain… Continue reading →