Dear colleagues

The second issue of the Greek e-journal of Perioperative Medicine for 2024 presents various articles concerning perioperative medicine,

The first article is the clinical study of Fyntanidou B et al. which investigates the possible impact of total infusion time of NaCl 7.5% on its efficacy in normovolemic patients. The authors concluded that hypertonic NaCl 7.5% efficacy decreases to zero when total infusion time exceeds 10min.

The first case report of Zografidou P et al. presents the perioperative management of a patient with peripartum cardiomyopathy (PPCM), with left ventricular ejection fraction less than 15%, at 27 weeks of gestation, who underwent for emergency caesarean section. The authors noted that PPCM is related with high morbidity and mortality that can be fatal for mother and fetus and also can cause a chronic decline of mother’s quality of life. Early diagnosis, continuous monitoring, and prolonged treatment therapy (medication selection must be done carefully and with respect for the needs of breastfeeding or pregnant women) may be advantageous for PPCM.

The second case report of Zografidou P et al. describes a patient who was already treated with low-molecular-weight heparin for a gamma knife removal of a thalamic lesion and presented with a massive pulmonary embolism and multiple thrombi in the right atrium. The authors conclude that despite being on therapeutic doses of anticoagulation, patients can still develop recurrent pulmonary embolism, which is appropriately termed “anticoagulation failure.”

The article of Aslanidis Th et al. presents the perioperative management of patient with X-linked adrenoleukodystrophy and related Addison’s disease and Brugada syndrome, who underwent orthopedic surgery. The authors also reviewed the available literature concerning X-linked adrenoleukodystrophy which is rarely encountered in the operating room.

Finally, we want to thank you again for your support and we would like to invite you to the 17^th Congress of Anesthesiology and Intensive Medicine, which is to be held in Thessaloniki, on the 10^th to 13^th of October 2024. We hope to see you there.

With regards

Editors in chief

Mouloudi Eleni
Papagiannopoulou Pinelopi