Point-of-care ultrasound has earned a place as a reliable clinical tool. Examination protocols are growing fast, both in number and in complexity and more specialties adopt beside ultrasound. The parties involved in the health care should also catch up with this vast progress and set the frame within bedside ultrasound could reveal its maximum potency. Continue reading
Activity reports of critically care units are an important quality indicator of health services, in critically ill patients. Intensive care unit of “Agios Pavlos” General Ηospital of Thessaloniki, started its function in December of 2002. The present paper is a brief presentation of the activity of the unit till February 2026 (23 years). This retrospective study describes the characteristics and type of 3768 patients that were hospitalised during that time. Continue reading
Spices have been used as both food flavouring and preservative agents for centuries. Among them, nutmeg is a commonly used spice. Misuse or abuse of nutmeg can have several toxic effects, due mainly to myristicin oil. We report a case of intentional nutmeg abuse in young man and review the relevant literature upon the subject. Continue reading
Nalbuphine is a synthetic mixed agonist -antagonist opioid that has long been used for perioperative care. Yet, its use in critical and emergency medicine settings was still relatively low till recently. The current article provides an update of literature regarding nalbuphine in those two specific areas. Continue reading
Recent advances in techniques such as iontophoresis represent a promising approach to pain management. Iontophoresis involves the use of low-voltage electrical currents to improve transdermal delivery of medications, including local anesthetics. Continue reading
X-linked adrenoleukodystrophy is rarely encountered in the operating room. The clinical presentation is highly variable and creates unique challenges for the anesthesiologist. Case:  We hereby present a successful anesthetic management of patient with X-linked adrenoleukodystrophy and related Addison’s disease and Brugada syndrome for an orthopedic surgery and review the available literature about the topic. Continue reading
Depth of anesthesia is a dynamic balance between effect-site concentration of hypnotic and analgesic drugs, and intensity of surgical stimulation. The bispectral monitor is the best described monitor of the depth of hypnosis component of anesthesia. Continue reading
Aortic aneurysms occur mainly due to atherosclerotic disease, and their conventional surgical repair is reserved for patients with anatomy unfavorable to endovascular repair. In this context, one of the challenges for the anesthesiologist is perioperative anesthetic-analgesic control. Continue reading
During the last decade, Europe became known as a major climatic hotspot1, due to the world’s highest increase in average temperature; thus, associated with an increase in the frequency and intensity of heat waves and hot summers2. Continue reading
Despite the vast progress in contemporary medicine, the burden of spinal cord injury has increased over the last decades. Thus, more and more often patients with paraplegia appear for an emergency or elective surgery below the level of the injury. Anesthetic management of those patients can be turn out to be a challenge. Continue reading
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