The aim of this study was to compare the combination of oral tramadol and midazolam to oral midazolam alone, in children undergoing adenotonsillectomy, as an oral premedication, regarding also sedation and postoperative pain relief. Sixty children selected for elective adenotonsillectomy were enrolled in this randomized, controlled prospective study. Patients were randomly allocated into two groups. Group M (n=30) received 0.5 mg.kg-1 oral midazolam and group MT (n=30) received 0.2 mg.kg-1 oral midazolam with 1 mg.kg-1 oral tramadol as a premedication 30min preoperatively. Standard general anesthesia technique was used.
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This study was undertaken to evaluate the immediate postoperative complications in renal transplant recipients requiring Intensive Care Unit (ICU) admission. All renal transplant recipients with immediate post-transplantation complications (<1 week) admitted to our ICU from 1992 to 2012 were studied. Patients’ characteristics, transplant variables and prognosis were evaluated and data were analyzed to identify factors of outcome. Over the study period 13 men and 3 women, (26.2 % of renal transplant recipients requiring ICU admission) aged 45.4±10 years, were included in the study. APACHE II and SOFA scores on ICU admission were 17.8±4.6 and 8.4±3.6 respectively.
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Schwannomas, known also as neurilemmomas, are considered to be benign in the vast majority of cases. Originating from the schwan cells of the neural sheath of peripheral nerves, they usually develop in the head and neck. Involvement of the brachial plexus is relatively rare, with an incidence of 0.3–0.4/100,000 person per year1. Malignant transformation is extremely uncommon. Patients’ initial symptoms include pain, loss of function, numbness or a progressively growing mass in the supraclavicular region. Neglected cases regarding larger benign tumors may present with monoparesis of an upper limb2. Primary malignant schwannomas of the brachial plexus causing monoplegia are extremely infrequent and to the best of our knowledge very few cases have been published in the international literature.
Continue readingΑγαπητοί συνάδελφοι,
H Εταιρεία Αναισθησιολογίας και Εντατικής Ιατρικής Βορείου Ελλάδος με ιδιαίτερη χαρά καλωσορίζει την νέα ιστοσελίδα του Ελληνικού Περιοδικού Περιεγχειρητικής Ιατρικής (www.e-journal.gr).
Η πορεία του Ελληνικού Περιοδικού Περιεγχειρητικής Ιατρικής στο χώρο του ελληνικού ιατρικού τύπου, από το 2004 έως σήμερα, υπήρξε ανοδική με την δημοσίευση ιατρικών άρθρων από το χώρο της Αναισθησιολογίας, της Εντατικής Ιατρικής, του Πόνου καθώς και της Επείγουσας Ιατρικής από πλήθος ελλήνων και ξένων καταξιωμένων συγγραφέων. Σε αυτή την καινούρια προσπάθεια το ηλεκτρονικό περιοδικό (www.e-journal.gr) έχει την αμέριστη στήριξη και βοήθεια της Εταιρείας Αναισθησιολογίας και Εντατικής Ιατρικής Βορείου Ελλάδος, προσδοκώντας στην περαιτέρω γόνιμη συνεργασία σας, ελπίζοντας το περιοδικό να συνεχίσει την μέχρι σήμερα ανοδική πορεία του στο χώρο του Ελληνικού και διεθνούς ιατρικού τύπου.
Βασίλης Ουραήλογλου
Πρόεδρος Εταιρείας Αναισθησιολογίας και Εντατικής Ιατρικής Βορείου Ελλάδος
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Intrathecal drug administration extends beyond the purposes of anaesthesia, to therapeutic applications. Here, we describe the case of a patient with severe Systemic Lupus Erythematosus having affected multiple organs and had a meningococcal infection. She was treated with intrathecal antibiotic therapy resulting in a successful outcome.
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- Letter from the Editors
- Postoperative Analgesia in Geriatric Patients
- The role of intra abdominal hypertension and maternal venous compartment in the pathophysiology of preeclampsia
- Acute and long term cardiovascular effects of basilic vein transposition in chronic renal failure patients
- Central line colonization,central line infection, Central line-associated and Catheter-related bloodstream infections in Greek pediatric intensive care patients: a prospective one year study
- Laparoscopic cholocystectomy under continuous spinal anesthesia in an elderly patient with respiratory disease: a case report
- An unusual presentation of a giant pleural tumo
Αγαπητοί συνάδελφοι,
Εκ μέρους της επιτροπής σύνταξης του Ελληνικού Περιοδικού Περιεγχειρητικής Ιατρικής σας ευχαριστούμε πολύ για τη μέχρι σήμερα εμπιστοσύνη και συνεργασία.
Προκειμένου να συνεχίσουμε και να διευρύνουμε την πορεία του περιοδικού στο χώρο τόσο του ελληνικού όσο και του διεθνούς ιατρικού τύπου, επιδιώκουμε τον εκσυγχρονισμό του περιοδικού.
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The purpose of this study (prospective one year study of all patients requiring a central line) is to present central line colonization, central line infection, central line-associated and catheter-related bloodstream infection rates, risk factors, and the outcomes in a multidisciplinary Greek pediatric intensive care unit.
81 patients required 136 episodes of catheterization with duration of 9 (5.25-14.75) days. Device utilization ratio was 0.8. Eleven patients developed 17 episodes of central line-associated blood-stream infection (CLABSI) in 1629 catheter days, given a CLABSI rate of 10.43:1000. 3 catheter tip cultures revealed the same microorganism as the bloodstream infection (BSI), specified a catheter-related (CRBSI) rate of 1.84:1000. Catheter tip infection occurred at a rate of 3.69:1000, whereas catheter colonization at 8.59:1000. Gram-positive microorganisms predominated in CLABSIs (52.94%), whilst Gram-negative pathogens predominated in colonization (64.28%), infection (66.66%), and CRBSI (66.66%), Acinetobacter baumanii being the principal pathogen. CLABSI patients had longer duration (days) of catheterization (17 vs 9, P=0.014), mechanical ventilation (17 vs 8, P=0.014), and unit stay (17 vs 10, P=0.037), without an impact on mortality. CLABSIs occurred more often in patients with Hickman catheters (P=0.003), co morbidities (P=0.000), multiple catheterizations (P=0.003), complications (P=0.008) and corticosteroid use (P=0.044). Hickman catheters [odds ratio (OR) 8.381; 95% confidence intervals (CI): 1.1-66.1, P=0.044]and co morbidities [OR: 5.904; 95% CI: 1.2-28.9, P=0.029)] were independent predictors of CLABSIs.
CLABSI rate in our study is higher than the international standards. Preventive measures, such as improvements in central line insertion and maintenance bundles of care, are necessary, to lower this baseline rate in future comparisons.
Continue readingThe aim of this case report is to demonstrate the efficacy and safety of Continuous Spinal Anesthesia (CSA) in an elderly patient with severe Chronic Obstructive Pulmonary Disease (COPD), who was scheduled for elective laparoscopic cholecystectomy.CSA can be used to provide a sufficient block in order to allow laparoscopic cholecystectomy to be performed even in patients with severely abnormal respiratory function. Safety, efficacy and a decreased need for postoperative analgesia render this approach a valid option for patients with symptomatic gallstone disease, who are poor candidates for general anesthesia due to cardiorespiratory or airway problems as well as for patients with other contraindications for general anesthesia.
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Syncope is a common complaint in clinical medical care. Except of neurological disorder, most of the patients havea brief benign clinical course with spontaneous recovery. Etiology may range from benign disorders to severe life-threatening diseases.Syncope as the leading symptom in patients suffering from intrathoracic neoplasm is uncommon. A rare case of a giant pleural solitary fibrous tumor causing recurrent episodes of syncope is presented. Diagnostic considerations and therapeutic strategy are discussed.
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