In this issue of the Greek e-journal of Perioperative Medicine the first article of Massa E., et al answers vital questions concerning urgent readmissions to the ICU. It emphasizes that although a lot of efforts are being made to reduce them, these adverse events still exist. It provides also evidence, from current published literature, that readmitted patients to the ICU have a much poorer prognosis and higher mortality rates compared with other hospitalized patients.
The next review article of Tsirogianni E. describes the term “Environmentally Sustainable Anesthesia” as safe perioperative management of equipment and medicines by the anesthesiologists, without harming the environment and the term “Green Anesthesia”, which also relates to the priority to environmental sustainability. It describes the environmental impacts from anesthesiology practice emphasizing that there has to be a balance between protecting the patient and protecting the environment, following the basic principles of sustainability.
The clinical study of Dalakakis I., et al investigates and compares the hemodynamic profile of five different induction anesthetic agents (propofol, thiopental, etomidate, midazolam and diazepam) in patients undergoing major vascular surgery. Despite contradictory literature data, this study did not reveal any statistically significant difference between the five different anesthetic agents used for induction with regard to their hemodynamic effects. Based on the results of this study, it seems that in normovolemic patients, induction of anesthesia can be safe and without any significant hemodynamic effects regardless of the anesthetic agent used.
The final article of Karakosta P., et al presents a case concerning fatal bacteremia caused by Pantoeaagglomerans in a critically ill patient.
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Editors in chief