The COVID-19 pandemic was caused by the severe acute respiratory syndrome corona virus-type 2 (SARS-CoV-2) that started in late 2019 in Wuhan, China. COVID-19 has infected 60.074.174 people, including 1.416.292 deaths by November 26th, 20201. Globally, hospitals were forced to stop most surgeries and redirected resources and staff to accommodate the growing burden of COVID-19. Anesthesia and surgical practice worldwide suffer from radical changes in protocols, especially those related to pre-operative screening, testing, and infection control policies2,3. Continue reading
Η περιεγχειρητική χορήγηση υγρών αποτελεί τον ακρογωνιαίο λίθο στη διαχείριση των χειρουργικών ασθενών, αλλά και σημείο έντονων επιστημονικών αντιπαραθέσεων και διχογνωμιών για το είδος και την ποσότητα των χορηγούμενων διαλυμάτων3,4. Οι χειρουργικοί ασθενείς κατά την περιεγχειρητική περίοδο, χρειάζονται υγρά, και μερικές φορές απαιτούνται μεγάλες ποσότητες για τη διατήρηση του ενδαγγειακού όγκου και της αιμοδυναμικής σταθερότητας. Ο περιορισμός στη χορήγηση υγρών αλλά και η υπερχορήγηση μπορεί να δημιουργήσουν προβλήματα ικανά να επηρεάσουν την έκβαση5,6. Continue reading
Turner syndrome is a genetic disorder that was first described by Ullrich in 19301, followed by a report of a 7-women series with the phenotype of turner syndrome, “short-stature and gonadal dysgenesis”, by the American physician Henry Turner in 19382.
The main phaenotypical characteristics of Turner syndrome are the short stature which is prevalent in approximately 9 out of 10 cases, the zygomandibular abnormalities, cardiovascular abnormalities, endocrine, and reproductive dysfunctions3. Continue reading
The novel coronavirus disease 2019 (COVID-19) caused by severe respiratory syndrome coronavirus 2 (SARS-CoV-2) has become a global health emergency since its declaration as a pandemic by the World Health Organization. Advanced maternal age is considered a high-risk pregnancy and therefore may affect the severity of Covid-191. Data regarding the management and outcome of a cesarean section in an extremely increased aged woman with Covid-19 disease are limited to a few case reports. In this case report, we discuss the perioperative management of an in vitro fertilization (IVF) cesarean section in a 48-year-old woman with Covid-19 infection. Continue reading
Subcutaneous emphysema (SE) refers to air in the subcutaneous tissues. Clinical manifestation is generally benign, yet in several cases it can provoke serious complications such as airway compromise, respiratory failure, pacemaker malfunction and tension phenomena.
Treatment is usually aiming at the underlined cause, while the air is gradually absorbed from interstitial tissues. However, in extensive cases, surgical intervention may also needed1. In the present article we present a case report of subcutaneous emphysema in patient with COVID-19 with presence of ginko leaf sign. Continue reading
• 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.
Continue reading
• 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.
Continue reading
Αυτό το κείμενο υπάρχει μόνο στα Αγγλικά Αμερικής.
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 ataxia during orthopedic surgery. It is reported that although there are various approaches to anesthesia techniques for these patients, it is preferable to choose regional… 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
