e-Journal – Τεύχος 2013

Letter from the Editors
Epidemiology, Diagnosis and managment of delirium int he Intensive Care Unit: Anarrative review of the literature
Review of statistical methods reported in oral presentations during seven Greek National Anesthesiology Conferences
Pediatric risk of Mortality (Prism III-24) performance in a Greek Pediatric Intensive Care Unit
Ο συνδυασμός Κεταμίνης με Μορφίνη, Ναλμπουφίνη ή Τραμαδόλη για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από επεμβάσεις ριζικής προστατεκτομής
Improvement of the visualization of larynx and successful intubation with Airtraq® optical laryngoscope. in nine neonates, in fants and children with difficult airway
Dose titration of sublingual fentanyl, in relation to transdermal fentanyl dosing in cancer patients
Σύνδρομο Αναστρέψιμης Οπίσθειας εγκεφαλοπάθειας [Posterior Reversible Encephalopathy Syndrome (PRES)] σε άνδρα ηλικίας τριάντα ετών. Παρουσίαση περιστατικού και ανασκόπηση της βιβλιογραφίας

Επιστολή Διευθυντών Σύνταξης τ.2013

Αγαπητοί συνάδελφοι,

Εκ μέρους της επιτροπής σύνταξης του περιοδικού σας ευχαριστούμε για τη μέχρι σήμερα εμπιστοσύνη και συνεργασία και προσδοκούμε στην περαιτέρω συνεισφορά σας ώστε να συνεχίσει την πορεία του στο χώρο τόσο του ελληνικού όσο και του διεθνούς ιατρικού τύπου.

Το ηλεκτρονικό Ελληνικό Περιοδικό Περιεγχειρητικής Ιατρικής είναι επιστημονικό έντυπο δημοσίευσης ερευνητικού και κλινικού υλικού από όλο το φάσμα της Αναισθησιολογίας, της Επείγουσας και της Εντατικής Ιατρικής, αναγνωρισμένο από το ΥΥΚΑ στα εθνικά περιοδικά (ΦΕΚ 964/20-7-2006) με επίσημο ISSN (1109-6888).

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Category: 2013, Γράμμα από τη Σύνταξη
Keywords: Editorial
Authors (a/b order): Mouloudi E., Papagiannopoulou P.

Ο συνδυασμός Κεταμίνης με Μορφίνη, Ναλμπουφίνη ή Τραμαδόλη για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από επεμβάσεις ριζικής προστατεκτομής

The study compares the efficacy of postoperative analgesia after the intravenous administration of opioids (nalbuphine, tramadol or morphine) in combination with ketamine in patients undergoing radical prostatectomy.Eighty eight patients scheduled for radical prostatectomy were randomly assigned in three groups. In Group A (n=31) Morphine was administered {bolus dose (BD) 0.05mg/Kg and continuous infusion (CI) at a dose [mg/24h =18-(agex0.15)]}, in Group B (n=28) Nalbuphine (BD 0.2mg/kg and CI at a rate 0.05mg/kg/h) and in Group C (n=29) Tramadol (BD 1.5mg/Kg and CI at a rate 0.15mg/Kg/h).

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Category: 2013, Κλινικές Μελέτες
Keywords: intravenous, ketamine, morphine, nalbuphine, pain, postoperaitive analgesia, radical prostatectomy, tramadol
Authors (a/b order): Ioannidis A., Kostoglou Ch., Metaxioti E., Ntritsou V., Papagiannopoulou P., Zachariadou Ch.

Αναισθησία και Επιληψία

Management of epileptic patients in the perioperative period is an anesthetic challenge. New drugs and surgical procedures are being used to treat epilepsy. Various anaesthetics exhibit both proconvulsant and anticonvulsant properties at different doses and under different physiologic conditions. Continue reading →

Category: 2011
Keywords: anesthesia, antiepileptic drugs, epilepsy, pharmacological interactions, surgery
Authors (a/b order): Gousia Ch., Papagiannopoulou P.

Αναισθησία για καρδιολογικές παρεμβάσεις

The management of cardiologic patients who are presenting for diagnostic and theurapeutic cardiac interventions has become a significant topic of interest and concern among anesthesiologists. This review will update recent reports and also will provide practical advice on delivering anesthesia in cardiac catheterization laboratory. During recent years cardiac procedures are more complex, take longer, and involve high risk patients.

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Category: 2010
Keywords: anesthesia, cardiac cathetherization, cardiac interventions, electrophysiology
Authors (a/b order): Kostoglou Ch., Papagiannopoulou P.

Αναισθησία για μη καρδιοχειρουργικές επεμβάσεις σε ασθενείς με διαδερμική αγγειοπλαστική των στεφανιαίων με ή χωρίς ενδοπροθέσεις (stents)

The management of patients, who had previously undergone percutaneous coronary interventions (PCI) with or without coronary artery stenting and who are presenting for noncardiac surgery has become a major topic of interest and concern for anesthesiologists worldwide. This review will update recent reports, as well as recommendations for the perioperative care of these patients.

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Category: 2009
Keywords: aspirin, bare-metal stents, clopidogrel, drug-eluting stents, dual antiplatelet drug therapy, percutaneous coronary intervention, stent thrombosis
Authors (a/b order): Kostoglou Ch., Papagiannopoulou P.

Η καθιστική θέση υπό γενική αναισθησία προκαλεί μείωση των τιμών της εγκεφαλικής οξυγονομετρίας

The aim of this study was to investigate the effects of a positional change of regional cerebral oxygen saturation values (rSO2) because of the sitting position, before and after the administration of general anaesthesia. Twenty five consecutive patients of ASA class I or II undergoing shoulder surgery under general anaesthesia were chosen to participate in this study.

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Category: 2009
Keywords: γενική αναισθησία, εγκεφαλική οξυγονομετρία, καθιστική θέση
Authors (a/b order): Dritsou V., Gousia H., Hasou E., Kanakoudis F., Papagiannopoulou P., Polizoi K.

Onset of action and intubating conditions after administration of rocuronium or mivacurium in children

The objective of this study was to evaluate onset times and tracheal intubating conditions after administration of rocuronium or mivacurium in children of different ages. In this randomized double-blind study, 40 healthy (ASA I) children aged 1 to 14 years were studied. They were divided, according to age, into two groups: Group A (n=20) included patients 1 to 3 years of age and Group B (n=20) 4 to 14 years of age. After general anesthesia induction patients in both groups were further divided into two subgroups.

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Category: 2008
Keywords: anesthesia, intubating conditions, mivacurium, neuromuscular blockade, onset of action, paediatric, rocuronium
Authors (a/b order): Georgiadou Th., Georgiou M., Kanakoudis F., Papagiannopoulou P., Sfyra E.

Assessment of heart rate variability at different depths of anaesthesia during surgery

General anaesthesia is associated with a reduction in heart rate variability (HRV) compared to awake situation. In this study the hypothesis of reduction in HRV was tested in two different levels of anaesthesia depth. Forty six patients were randomly allocated in two groups, where anaesthesia was maintained with sevoflurane (n=23) or propofol (n=23). Administration of both anaesthetics was regulated in order to achieve a BIS value 25±5, followed by an increase to 55±5, both being stable for 5 min.

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Category: 2007
Keywords: Anaesthetics Inhalation, Anaesthetics intravenous, bispectral index; heart rate, heart rate variability, Monitoring, propofol, sevoflurane
Authors (a/b order): Georgiadou Th., Kanakoudis F., Kostoglou Ch., Papagiannopoulou P., Papaioannou V.

Colloids vs crystalloids as prehydration regimen before spinal anaesthesia in elderly normotensive and hypertensive patients

This study was undertaken to investigate the efficacy of prehydration with crystalloids or colloids for preventing spinal anaesthesia-induced hypotension in elderly normotensive and hypertensive patients. Eighty physical status ASA I-III elderly patients were enrolled in this study, receiving spinal anesthesia.

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