2018b

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Dear colleagues,

In this second issue of the Greek e-journal of Perioperative Medicine for 2018 a wide area of interests is covered.

The review article of Gortsou D, et al summarizes the nursing interventions for patients with Myasthenia Gravis (MG) undergoing surgical removal of the thymus gland. They concluded that prompt identification of the symptoms and signs of common MG complications combined with aggressive nurse interventions are the keys to ensure the best possible outcomes.

Dubey A assessed the line of action that forty anesthetic specialists would follow in case of an iatrogenic tooth avulsion during intubation and laryngoscopy. The author observed that few anesthetists knew the correct protocol in handling the avulsed tooth and also proposes measures like immediate reimplantation and stabilization of a permanent avulsed tooth.

The following retrospective study of Ioannidis R, et al compares the level of sensory block in parturients with different body height, after spinal anesthesia with local anesthetic of fixed volume and consistence. Authors concluded that body height of… Continue reading

One half of cortical thymoma patients develop myasthenia gravis (MG), an autoimmune disease affecting the voluntary muscles, while 15% of MG patients have thymomas. Thymectomy has been a mainstay in the treatment of myasthenia gravis and the management of such surgical patients is extremely demanding both at the physician’s and at the nurse’s level. In this paper we review some of the nursing interventions for patients with MG undergoing surgical removal of the thymus gland.

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Anesthesiologist always works around the oral and peri oral soft and hard tissue. Oral/nasal intubation might injure hard tissue or “knock out” the tooth. The present study was conducted among anesthetic specialist to assess the measures that they would take to manage an avulsed tooth that might occur during intubation & laryngoscopy. The present study involved 40 anesthetists working in private hospitals. They were asked to answer a questionnaire designed to evaluate the line of action that an anesthetist would follow in case of an iatrogenic tooth avulsion...

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The aim of this study was to compare the level of sensory block in parturients with different body height, after spinal anesthesia with local anesthetic of fixed volume and consistence. This retrospective study was conducted on 107 women, which underwent caesarean section under spinal anesthesia. It was hypothesized that maternal height was not associated with level of sensory block. Parturients were divided into two groups, based on their body height. Group A (n=65) included those with height ≤165 cm and group B (n=42) those with height of ≥166 cm. Subarachnoid space was reached with a 25G needle through the L3-L4 spinal space. Then, ropivacaine 20mg and 10mcg fentanyl (in solution of 2.8 ml) was given...

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Η βελτίωση των χειρουργικών τεχνικών αλλά κυρίως των χημειοθεραπευτικών σχημάτων αύξησε κατά πολύ την επιβίωση των ασθενών με κακοήθη νόσο των πνευμόνων. Οι ασθενείς που έχουν υποβληθεί σε θωρακοχειρουργική επέμβαση για κακοήθη νόσο πνευμόνων, έχουν αυξημένη πιθανότητα να υποβληθούν σε μια νέα διαγνωστική ή θεραπευτικήεπέμβαση, λόγω υποτροπής της αρχικής νόσου, ή εμφάνισης ενός δεύτερου πρωτοπαθούς όγκου του πνεύμονα.

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Adamantinomas are rare primary low grade malignant bone tumors’ (<1% of all bone cancers), which are usually located in tibial diaphysis. We present a case of lung metastasis in a 45 year old female who underwent left knee amputation because of tibial adamantinoma.

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