In this issue of the Greek e-journal of Perioperative Medicine for 2018 there is a wide coverage of interest in scientific articles.
The review article of Passakiotou M describes the safety and policy concerning the public health consequences of the massive arrival of migrants from various parts of the world, which puts the national health systems under pressure. The article emphasizes in public health interventions and intersectoral and international collaboration in order the arrived migrants and refugees to receive a more systematic health-reception which also will protect the public health of host countries.Continue reading
Europe is currently experiencing an unprecedented influx of refugees, asylum seekers and other migrants. More than 1.5 million people arrived in the European Union (EU) and European Economic Area (EEA) in 2015, fleeing countries affected by war, conflict or economic crisis. Member States are increasingly faced with the need to address the public health consequences of this massive arrival of migrants from various parts of the world, which puts national health systems under pressure.Continue reading
Current evidence suggests that the combination of fluid administration and vasoconstrictive medications should be the main strategy for prevention and management of hypotension accompanying neuraxial anesthesia procedures during cesarean section. Research is still underway in relation to the most appropriate timing for fluid administration, the most appropriate fluid volume as well as the type of fluid that should be administered.Continue reading
The aim of this study was to determine how low and moderate levels of PEEP affect right ventricular structure and function.
The study involved 14 patients under mechanical ventilation (pressure controlled). To perform the study, we used transesophageal echocardiography (M-mode, two-dimensional,tissue Doppler) and 10 parameters were recorded. Measurements were performed initially with PEEP 0 cmΗ2Ο, then 10 minutes after applying PEEP 5cmΗ2Ο and 10 minutes after applying PEEP 10cmΗ2Ο.Continue reading
This is the first study in Greece that aims prehospital care by Emergency Medical Services staff and the factors that affecting it. In a prospective 5 month survey study , 13 EMTs recorded data (45 variables) about 1450 cases;1010 of which were included for further analysis. Six (6%) of the cases were characterized as super-emergencies, 46% non-emergent and 35% as emergent. Fourty five (45%) of the cases were recorded in the 15.00-23.00 shift. Geographical distribution of the calls is very different from the pre-located ambulance bases and varies with the type (non-urgent/ urgent) of the call. In 152 the characterization of the call was changed after arrival on the spot.Continue reading
Central venous catheters (CVC) are an extremely usefull tool in clinical medicine. Yet, its placement and use is not without complication. In the present paper, a case report of Central venous catheter malposition is presented.Continue reading