2021

• LETTER FROM THE EDITORS.
• PHLEBOLOGY IN ANCIENT GREECE AND BYZANTIUM.
• SWALLOWING DISORDERS AFTER INTUBATION AND HOSPITALIZATION IN ICU.
• A CASE-BASED LITERATURE SYNTHESIS OF EXTREME HYPERFERRITINEMIA IN CRITICALLY ILL PATIENTS WITH COVID-19.
• ANESTHESIOLOGY CONSIDERATIONS DURING AN ORTHOPEDIC SURGERY IN A CHILD WITH FRIEDREICH’S ATAXIA: A CASE REPORT.
• STATUS EPILEPTICUS AND TOPIRAMATE INDUCED METABOLIC ACIDOSIS IN A PATIENT WITH MULTIPLE SCLEROSIS UNDER NATALIZUMAB THERAPY.
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Dear colleagues,

The second issue of the Greek e-journal of Perioperative Medicine for 2021 presents various articles including a Medical History Article, a Review Article, and Case Reports concerning perioperative medicine.

The medical history article of Aledzhanov N. Yu reviews the knowledge of anatomy and treatment of venous pathology in ancient Greece and Byzantium. It also describes the methods and techniques used and their influence on the birth of phlebology.

The review article of Ioannidis R et al. reviews post-extubation dysphagia (PED), which is a common complication in ICU patients and is associated with severe adverse patient outcomes. It is noted that screening ICU protocols can lead to an early identification and proper therapeutic interventions.

The following case report of Aslanidis Th et al. presents a case of extreme hyperferrinemia in a male criticall ill patient with COVID-19 along with a short synthesis of the available literature.

The next article of Sarakatsanou Ch et al. describes the anesthetic considerations and management of a child with Friedreich’s… Continue reading

The goal of this study is to examine and describe the methods and techniques, as well as the knowledge of the anatomy and treatment of venous pathology, and their influence on the birth of phlebology in ancient Greece and Byzantium.The study was conducted reviewing sources in Russian and foreign literary in Greek and in English language, which, in turn, allowed a detailed study of discoveries and treatment in the field of venous system anatomy. Conservative methods are also described, as well as the first vein surgeries, precursors of modern surgical interventions that were unique for that time and are still relevant today. Brief biographies and discoveries of scientists of those eras are also mentioned. Continue reading
Post-extubation dysphagia (PED) is a common complication in ICU patients and it worsens their prognosis and quality of their life after their discharge from the ICU. This pathologic condition is independently associated with adverse patient outcomes and high-risk patients should be early recognized, because this situation can lead to aspiration pneumonia. The underlying pathophysiology of dysphagia is multifactorial. A team consisted of doctors, nurses, dietologists, speech therapists and physical therapists should deal with the situation. Flexible endoscopic evaluation of swallowing and videofluoroscopy are necessary tests for the assessment. Screening ICU protocols lead in early identification and proper therapeutic interventions. Continue reading
COVID-19 has brought up the interest about hyperferritinemic syndromes.  Though often seen in COVID-19, especially within the frame of COVID-CSS, hyperferritinemia needs a systematic diagnostic approach, as co-infections or other causes may also increase ferritin. In this article, we present a case report of extreme hyperferrinemia in an male criticall ill patient with COVID-19 and we perform a short synthesis of the available literature. Continue reading
Friedreich’s ataxia is an autosomal recessive inherited neurodegenerative ataxic condition that is often accompanied with multiple comorbidities like scoliosis, cardiac myopathies, diabetes mellitus, abnormal reflexes, dysarthria and it is a challenging task for the anesthesia providers in regards to the pharmacologic, physiologic, and pathologic effects that would occur with this disorder. We present a case report of a 10-year-old male child who was scheduled for a Galeazzi fracture surgery. Continue reading
Therapy armamentarium for multpile sclerosis include a variety of drugs. Natalizumab, a humanized antibody, is widely used in relapsing-remissing multiple sclerosis. Anticonvulsants, like topiramate, are also widely used for symptomatic relief. We hereby describe a case of Status epilepticus and topiramate induced metabolic acidosis in a female patient with multiple sclerosis under natalizumab therapy. Continue reading
• LETTER FROM THE EDITORS • COVID-19 INDUCED ACUTE HYPOXAEMIC RESPIRATORY FAILURE: RESPIRATORY VENTILATORY STRATEGIES. • COMPARISON OF TWO DIFFERENT TREATMENT STRATEGIES OF OXYGENATION IMPAIRMENT DURING CARDIAC SURGICAL PROCEDURES WITH EXTRACORPOREAL CIRCULATION. • SUBJECTIVE WORKLOAD MEASUREMENTS AMONG CRITICAL CARE NURSES IN A GREEK INTENSIVE CARE UNIT OF A SMALL URBAN HOSPITAL: PRELIMANARY RESULTS. • ANESTHETIC MANAGEMENT OF MORBIDLY OBESE PARTURIENT FOR CESAREAN SECTION: A CASE REPORT AND LITERATURE REVIEW. • ACQUIRED HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS IN A CRITICALLY ILL PATIENT WITH INVASIVE PULMONARY ASPERGILLOSIS AND TURICELLA OTITIDIS BACTERAEMIA: A CASE REPORT. • ACUTE UVULAR EDEMA AFTER REGIONAL ANESTHESIA AND SEDATION: A CASE REPORT. Continue reading
The first issue of the Greek e-journal of Perioperative Medicine for 2021 includes various articles concerning perioperative medicine. The first article of this issue is a review of Bersot et al, which attempts to gather the evolving evidence on different ventilation strategies concerning severe "atypical" ARDS of COVID-19 patients. The authors conclude that the main features of respiratory mechanics, the response to treatment (such as oxygenation response to lung recruitment maneuvers or prone position) and prognosis are similar in COVID-19 and non- COVID-19 ARDS patients. The oxygenation response to LRM and a high PEEP appear to be very heterogeneous in COVID-19 ARDS; this would argue in favor of a personalized ventilation strategy... Continue reading
Respiratory failure due to Coronavirus 2019 (COVID-19) disease has triggered a debate about when and how to apply mechanical ventilation in these patients, as it has been proposed that severe "atypical" ARDS of COVID-19 cause an ARDS pandemic. As global database grows, it is evident that about 6% of patients will need admission to the ICU. About 75% of these will require invasive ventilation, and approximately 10% will need ventilation beyond 14 days. Different ventilation strategies are followed yet there is no strong evidence in favor of anyone. The present article attempts to gather the daily evolving evidence on the subject. Continue reading
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