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Death is the reason for the existence of resuscitation. The Western definition of death has evolved continuously over the last three centuries. Today, the world recognizes two types of biological death: cardiac or “real” death (I,e. definitive cease of cardiac , respiratory and cerebral function) and encephalic death. The latter (brain death) has been accepted worldwide medically and legally as the biological state of death of the organism. Continue reading
Anesthesia for thoracic surgery presents specific challenges since anesthesiologists have to manage patients with several comorbidities, apply One Lung Ventilation (OLV) to facilitate surgery and at the same time they should try to maintain adequate safe oxygen levels. Hypoxemia is a common consequence of OLV. The aim of the present retrospective study was to investigate the impact of intraoperative hypoxia on the early outcome of patients. Continue reading
Behçet’s Disease is a chronic autoimmune disorder manifesting mainly with mucocutaneous ulcers (mostly in the oral cavity and the genitalia), ophthalmic lesions and systemic vasculitis. Neuro-Behçet is a severe though rare form of the disease. Behçet’s Disease effect on pregnancy is controversial with higher rates of miscarriage, but with symptoms remission during peripartum period. Mouth scarring from ulcers can complicate general anesthesia rendering intubation impossible and neuro-Behçet’s CNS complications can avert general techniques. Here, we present the case of a C-section in a parturient with this uncommon disease and the anesthetic considerations. Literature review is also discussed. Continue reading
Raoultella planticola is a Gram-negative, oxidase-negative, aerobic that belongs to Enterobacteriaceae family and has a lot of similarities with Klebsiella spp. Though initially rare mentioned as an opportunistic infection, more and more reports are published. In the present article we present a case of an R. planticolla upper respiratory infection and we review the relevant literature. Continue reading
• LETTER FROM THE EDITORS.
• ΟΞΕΙΑ ΝΕΦΡΙΚΗ ΒΛΑΒΗ ΣΤΑ ΠΛΑΙΣΙΑ ΣΗΨΗΣ.
• Ο ΑΠΟΚΛΕΙΣΜΟΣ ΣΤΟ ΕΠΙΠΕΔΟ ΤΟΥ ΕΓΚΑΡΣΙΟΥ ΚΟΙΛΙΑΚΟΥ ΜΥΟΣ ΓΙΑ ΤΗΝ ΑΝΤΙΜΕΤΩΠΙΣΗ ΤΟΥ...
• RESPIRATORY MECHANICS IN A PORCINE MODEL OF ABDOMINAL...
• AN INTERESTING CASE OF A SIZEABLE ADRENAL INCIDENTALOMA...
• ANAESTHETIC MANAGEMENT OF MORBIDLY OBESE PATIENT WITH PROXIMAL... Continue reading
Acute sepsis-related kidney damage (S-AKI) is a common complication of the critically ill patient, with high mortality rates. Prevention of S-AKI is a daunting task because by the time patients seek medical help, most have already developed acute kidney damage. Thus early detection is an issue of utmost importance. Recent studies show that Continue reading
The introduction of the laparoscopic and robotic assisted laparoscopic technique in total hysterectomy patients alleviated significantly their postoperative pain and lowered the opioid consumption rate during their recovery. In the present article, we review the use of the Transversus Abdominis Plane block technique and the probability of further lessening the patients’ pain. Hereby we adduce the different variations of the TAP-block and the results of several clinical trials, after a thorough search in the existing literature. Continue reading
Increased Intraabdominal Pressure (IAP) is common in critical care patients and has detrimental effects on organs and systems. Several mechanisms and causes are involved in its pathogenesis. The aim of the present study was to investigate and record IAP effects alone and in combination with sepsis on respiratory mechanics. Continue reading
Adrenal masses in pregnancy are extremely rare. Vascular rupture or venous thrombosis are the main complications and they are also related to increased morbidity and mortality.We present a case of a parturient in the 3rd trimester of pregnancy with a sizeable adrenal mass, which was successfully and uneventfully resected. Continue reading
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