This second issue of the Greek e-journal of Perioperative Medicine
for 2020 is mainly dedicated to COVID-19 pandemic, with world-reported 6.762.211 confirmed cases and 394.992 deaths1
As countries are trying to reemerge from their coronavirus lockdowns and reopen their economies, scientists fear a second wave of COVID-19 infections and deaths.
In this issue, the editorial originates from Intensive Care Unit of the AHEPA University Hospital in Thessaloniki, which is one of the forefronts of the effort to fight the new coronavirus pandemic in Thessaloniki. Their article describes their experiences and feelings in treating patients with COVID-19 infections. Continue reading
Οι καταστάσεις στις οποίες κληθήκαμε να ανταπεξέλθουμε ήταν ιδιαίτερες και πολλοί τις χαρακτήρισαν «εμπόλεμες». Το ιατρικό και νοσηλευτικό προσωπικό μετατράπηκε αυτομάτως σε στρατιώτες, που καθήκον τους ήταν να υπηρετήσουν και να αντιμετωπίσουν αυτόν τον πόλεμο. Ένα πόλεμο άνισο, έναν πόλεμο άγνωστο που δεν μας έδινε την δυνατότητα να έχουμε τα κατάλληλα επιστημονικά εφόδια στην φαρέτρα μας για να τον αντιμετωπίσουμε. Κατά την διάρκεια της πανδημίας οι επαγγελματίες υγείας της πρώτης γραμμής ήρθαν αντιμέτωποι με μια σειρά από σημαντικές προκλήσεις και πολλές πρακτικές δυσκολίες, αλλά κυρίως έπρεπε να κινηθούν σε αχαρτογράφητα μονοπάτια όσο αφορά στη διαχείριση και αντιμετώπιση του ιού. Τα καθήκοντα και οι υποχρεώσεις των επαγγελματιών υγείας κατά την διάρκεια της πανδημίας COVID-19 αντικρούονταν με τα καθημερινά καθήκοντα. Continue reading
COVID-19 has officially been declared as a pandemic. Although the ultimate course and impact of COVID-19 is yet to be seen, the disease has already overwhelmed health care infrastructure. Operation theaters are high-risk areas for transmission of respiratory infections given the involvement of multiple staff, and the need for high transmission-risk aerosol generating activities. The current study aims to establish a guide for establishing optimum protection conditions that should be done before, during and after surgical intervention. A clear plan has to be developed to only provide essential surgical care during the pandemic. All the elective and non-essential procedures need to be deferred. Whenever close contact is mandated with the suspected patients, the staff should wear proper personal protective equipment. There should be proper training in the appropriate use and application of PPE. The most important thing in the chain is hand hygiene and 70% alcohol solutions should be placed strategically. Continue reading
Coronaviruses are a large family of viruses that cause illnesses ranging from the common cold to more severe diseases. SARS-CoV-2 is a new virus that has not been previously identified in humans. Patients with SARS-CoV-2 commonly develop acute respiratory distress syndrome (ARDS), myocardial injury, ventricular arrhythmias, and shock, all of which increase their risk of cardiac arrest. The main objective of this brief review is to raise the discussion on the possible indication of cardiopulmonary resuscitation in a patient with SARS-CoV-2 in prone position as a way to save time, since the entire process of decubitus change is complex and often slow, due to the number of devices used in these patients, such as catheters, infusion pumps and monitors. In addition to a price of high demand for stressed human resources. Continue reading
COVID-19 pandemic has created an unprecedented citation for the healthcare system; such that its effects are now started to become obvious. The main aim of this report is to describe the time trends of utilization of prehospital emergency medical system in a region of northern Greece from first confirmed case of the COVID-19 in the country, at 26/02/2020, till the first order for loosing lockdown at 04/05/2020. Use of data retrospectively collected for PEMS usage, in the regional unit of Thessaloniki, Northern Greece 26/02/2020, till the first order for loosing lockdown at 04/05/2020. The area of interest represents a little more than 10% of the total population of Greece. Daily cases of selected categories (suicides, assaults, animal bites, cardiac arrests, and car accidents) were recorded. Comparison with the daily cases in the previous 2 years (2019,2018), for the same period was performed. Continue reading
Nasogastric tube is commonly used for administration of nutrition or medication in hospital wards and Intensive Care Units. However, its use is not without complications.In the present paper, a case report of nasogastric tube breakage is presented. Continue reading
A new coronavirus (covid 19–coronavirus disease 2019), similar to Middle East respiratory syndrome coronavirus (MERS-CoV) and severe acute respiratory syndrome coronavirus (SARS-CoV), emerged in late December 2019 from Wuhan, China causing respiratory disease.
An outbreak of COVID-19 has spread throughout China and worldwide. Up until today (7/4/2020) 1.349.956 confirmed cases and 74.822 deaths were recorded. As of April 7, 2020, 81.740 patients in China had tested positive for COVID-19 and 3.331 deaths had occurred. World Health Organization (WHO) on March 11, 2020 declared COVID-19 a pandemic, pointing the sustained risk of further global spread.The European countries most affected are Spain - 136.675 confirmed cases and 13.341 deaths - and Italy - first European country affected with 132.547 confirmed cases and 16.523 deaths -up until today (7/4/2020).
U.S.A today leads the world in confirmed, reported coronavirus cases, surpassing China with 367.650 confirmed cases and 10.943 deaths. Continue reading
We have noted an ongoing interest for the anaesthetic practices for caesarean section (CS) throughout Europe, which may differ from one country to the other for several reasons. In a very recent EJA article, a national survey in the Czech Republic and Slovakia has shown that national audits may allow and promote focusing on education and interstate cooperation. Impressively, even if the two countries were united in the past, the rate of general anaesthesia (GA) for CS in the Czech Republic was lowered from 34 to 26% for elective and from 59 to 39% for non-elective CS. This was not the case for the neighboring Slovakia, where the rate for GA was already low. Besides, in a 2017 survey from Austria, the rate of routine use for regional anaesthesia for CS reaches almost 100% and in France has a similar trend. Continue reading