e-Journal – Τεύχος 2021a Περισσότερα >

e-Journal - Τεύχος 2021a

• 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...

LETTER FROM THE EDITORS Περισσότερα >

LETTER FROM THE EDITORS

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...

COVID-19 INDUCED ACUTE HYPOXAEMIC RESPIRATORY FAILURE: RESPIRATORY VENTILATORY STRATEGIES Περισσότερα >

COVID-19 INDUCED ACUTE HYPOXAEMIC RESPIRATORY FAILURE: RESPIRATORY VENTILATORY STRATEGIES

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...

ACUTE UVULAR EDEMA AFTER REGIONAL ANESTHESIA AND SEDATION: A CASE REPORT Περισσότερα >

ACUTE UVULAR EDEMA AFTER REGIONAL ANESTHESIA AND SEDATION: A CASE REPORT

Acute uvular edema is a rare complication that can be presented in the postoperative period, usually after general anesthesia. If severe enough, it can even result in a compromised airway. In this case report, we present a case of postoperative acute uvular edema occurred in an orthopedic patient, after spinal anesthesia and infraclavicular brachial plexus nerve block combined with intravenous sedation.

ACQUIRED HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS IN A CRITICALLY ILL PATIENT WITH INVASIVE PULMONARY ASPERGILLOSIS AND TURICELLA OTITIDIS BACTERAEMIA: A CASE REPORT. Περισσότερα >

ACQUIRED HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS IN A CRITICALLY ILL PATIENT WITH INVASIVE PULMONARY ASPERGILLOSIS AND TURICELLA OTITIDIS BACTERAEMIA: A CASE REPORT.

Hemophagocytic Lymphohistiocytosis (HLH) is a life-threatening syndrome of excessive immune activation that mostly occurs as primary (hereditary) disease in children. Acquired HLH is associated with infections, cancer of rheumatological conditions. Both are rare in adults. Turicella otitidis is a bacterium, that is associated with ear infections and there is only one case report of bacteraemia. The present report describes a case of acquired HLH with invasive pulmonary Aspergillosis and Turicella otitidis bacteraemia in an adult patient; and also reviews the...

ANESTHETIC MANAGEMENT OF MORBIDLY OBESE PARTURIENT FOR CESAREAN SECTION: A CASE REPORT AND LITERATURE REVIEW. Περισσότερα >

ANESTHETIC MANAGEMENT OF MORBIDLY OBESE PARTURIENT FOR CESAREAN SECTION: A CASE REPORT AND LITERATURE REVIEW.

The number of pregnant women with morbid obesity (BMI 40–49.9 kg/m2) has significantly increased worldwide. Management of these patients presents a challenge for obstetric anesthesiologist. We report our management of cesarean delivery in a parturient with a BMI 47.3 kg/m2. We present this case to emphasize usefulness of Tuohy needle as an introducer for performing spinal anesthesia with a long 27G pencil point needle. Literature review is discussed.

SUBJECTIVE WORKLOAD MEASUREMENTS AMONG CRITICAL CARE NURSES IN A GREEK INTENSIVE CARE UNIT OF A SMALL URBAN HOSPITAL-PRELIMANARY RESULTS Περισσότερα >

SUBJECTIVE WORKLOAD MEASUREMENTS AMONG CRITICAL CARE NURSES IN A GREEK INTENSIVE CARE UNIT OF A SMALL URBAN HOSPITAL-PRELIMANARY RESULTS

Patient care in Intensive Care Units is characterized be high demanding tasks, which lead in daily high workload. In the present study, a questionnaire-based evaluation of ICU nurse’s workload was conducted at the adult general 7 - beds ICU of a small urban hospital. NASA Task Load Index (TLX) along with other two tools, used for the first time in healthcare environment: Instantaneous Self-Assessment (ISA) and Crew Status Survey (CSS) were used for that purpose. Information about every nurse’s professional...

ΣΥΓΚΡΙΣΗ ΔΥΟ ΔΙΑΦΟΡΕΤΙΚΩΝ ΤΕΧΝΙΚΩΝ ΑΝΤΙΜΕΤΩΠΙΣΗΣ ΤΩΝ ΔΙΑΤΑΡΑΧΩΝ ΟΞΥΓΟΝΩΣΗΣ ΣΕ ΚΑΡΔΙΟΧΕΙΡΟΥΡΓΙΚΕΣ ΕΠΕΜΒΑΣΕΙΣ ΜΕ ΕΞΩΣΩΜΑΤΙΚΗ ΚΥΚΛΟΦΟΡΙΑ Περισσότερα >

ΣΥΓΚΡΙΣΗ ΔΥΟ ΔΙΑΦΟΡΕΤΙΚΩΝ ΤΕΧΝΙΚΩΝ ΑΝΤΙΜΕΤΩΠΙΣΗΣ ΤΩΝ ΔΙΑΤΑΡΑΧΩΝ ΟΞΥΓΟΝΩΣΗΣ ΣΕ ΚΑΡΔΙΟΧΕΙΡΟΥΡΓΙΚΕΣ ΕΠΕΜΒΑΣΕΙΣ ΜΕ ΕΞΩΣΩΜΑΤΙΚΗ ΚΥΚΛΟΦΟΡΙΑ

Several prevention and treatment strategies have been applied in order to prevent hypoxemia after open heart surgery with comparable good results. The aim of this study is to compare the effectiveness of two different alveolar recruitment maneuvers for the management of oxygenation impairment in cardiac surgical patients. A total number of sixty patients were included in this study. All patients underwent cardiac surgical procedures with extracorporeal circulation and developed oxygenation impairment after withdrawal of extracirculation support and sternal closure. Patients were randomly...

 

Dear colleagues,

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.

Next, the clinical study of Serhan P et al evaluates the comparative clinical effectiveness of two different alveolar recruitment maneuvers for the management of oxygenation impairment, in. patients who underwent cardiac surgery with extracorporeal circulation.

The following article of Aslanidis Th et al presents the preliminary results of a clinical study, concerning the evaluation of ICU nurse’s workload with the use of NASA Task Load Index (TLX) along with other two tools, used for the first time in healthcare environment: Instantaneous Self-Assessment (ISA) and Crew Status Survey (CSS).

The results showed that the use of the 3 aforementioned tools proved to be very useful in early detection of group or individual increased workload and that can allow proper management measures to be applied.

The case report of Tsimpinos E et al describes the anesthetic management of a cesarean delivery, in a morbid obese parturient anesthetic, which can be challenging. They report a case of combined spinal epidural anesthesia performed for cesarean section of a morbid obese pregnant woman and they also present a review the literature.

Next, the article of Karakosta et al demonstrates a case of acquired Hemophagocytic Lymphohistiocytosis (HLH) with invasive pulmonary Aspergillosis and Turicella otitidis bacteraemia in an adult patient. The article concludes with that this rare life-threatening syndrome in adults, should take into account by clinicians when managing patients with multiple infection or underlying immunosuppression.

The final article of Serhan P et al presents a case of a rare postoperative complication, an acute uvular edema that occurred in an orthopedic patient, after spinal anesthesia and infraclavicular brachial plexus nerve block combined with intravenous sedation.

 

CONTINUE TO KEEP YOURSELVES AND YOUR COLLEAGUES SAFE.

 

With regards
Editors in chief

Mouloudi Eleni
Papagiannopoulou Pinelopi

 

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