LETTER FROM THE EDITORS
SURGEON BURNOUT: FACTORS AND IMPACT ON PATIENT CARE.
ACQUIRED HEMOPHILIA A: A RARE CAUSE OF BLEEDING IN THE INTENSIVE CARE UNIT. A CASE REPORT AND REVIEW OF THE LITERATURE.
PYRIDOSTIGMINE INDUCED CARDIAC ARREST AFTER ANESTHESIA INDUCTION IN A PATIENT WITH MYASTHENIA GRAVIS.
INTRAOPERATIVE BURST SUPPRESSION ON ELECTROENCEPHALOGRAPHIC DENSITY SPECTRAL ARRAY OF BISPECTRAL MONITORING IMMEDIATELY AFTER TOURNIQUET RELEASE.
LOW-DOSE SPINAL ANESTHESIA FOR EMERGENCY ORTHOPAEDIC SURGERY IN A GERIATRIC PATIENT WITH NEWLY DIAGNOSED PRIMARY OVERT HYPOTHYROIDISM - A CASE REPORT. Continue reading

Dear colleagues

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

Muhammad Umar Younis, in his review article, aims to determine the prevalence of burnout among surgeons, to identify the risk factors for it and to employ mitigation strategies to reduce the likelihood of burnout. The author notes that the most commonly identified risk factors for surgeons’ burnout are age, marital status, financial standing, the outcome of their interest, the balance between work and personal life, experience in the field, and gender. He concludes that the above responsible factors should be explored by surgeons, hospital management boards, training centers in order to find ways to prevent it and to ensure a healthy workplace environment and high-quality surgical patient care.

The next article of Soulountsi V et al. describes the case of a patient, who was admitted to the Intensive Care Unit (ICU), with oligemic shock, due to severe bleeding from the right carotid artery, after a central venous catheter placement in the right jugular vein. During patient’s stay in the ICU, comprehensive laboratory work-up led to the diagnosis of acquired hemophilia A (AHA), a rare bleeding disorder caused by autoantibodies to… Continue reading

Surgery, as a field itself, is a high stress and high pressure workplace environment. The difficulty that surgeons face, in maintaining their work-life balance along with the increasing litigation instances, has made this profession a less rewarding one. Continue reading
Acquired hemophilia A (AHA) is a rare bleeding disorder caused by autoantibodies to coagulation factor VIII (FVIII) leading to potentially severe bleeding diathesis that carries a high rate of morbidity and mortality. It should be suspected in patients with unexplained prolonged aPTT, normal PT and acute abnormal bleedings without personal or familiar history of congenital bleeding disorders. Continue reading
Myasthenia Gravis (MG) is an autoimmune disorder affecting the neuromuscular junction function and causing muscle weakness that gets worse during the day and after physical activity. The most common medication prescribed for MG treatment is pyridostigmine. Continue reading
Depth of anesthesia is a dynamic balance between effect-site concentration of hypnotic and analgesic drugs, and intensity of surgical stimulation. The bispectral monitor is the best described monitor of the depth of hypnosis component of anesthesia. Continue reading
Hypothyroidism is relatively common comorbidity in elderly patients, due to structural and hormonal changes in the aging thyroid. Diagnosis of hypothyroidism, in this population, is considered challenging, since many symptoms are nonspecific and may be attributed to other common medical conditions. Continue reading
LETTER FROM THE EDITORS
UNILATERAL ERECTOR SPINAE PLANE BLOCK AS ADJUVANT FOR OPEN REPAIR OF THORACOABDOMINAL AORTIC ANEURYSM: CASE REPORT AND LITERATURE REVIEW.
ARTERIAL THROMBOSIS AFTER NITROUS OXIDE RECREATIVE ABUSE: A CASE REPORT.
ANAESTHETIC MANAGEMENT OF A PARTURIENT WITH SEVERE PREECLAMPSIA AND A HISTORY OF LIVER TRANSPLANTATION: A CASE REPORT AND SHORT LITERATURE REVIEW.
KETAMINE/DEXMEDETOMIDINE COMBINATION FOR MONITOR ANESTHESIA CARE IN A CHILD WITH CHRONIC GRAFT-VERSUS-HOST BRONCHIOLITIS OBLITERANS: A CASE REPORT-BASED LITERATURE REVIEW.
EXERCISE-RELATED HEATSTROKE IN THE INTENSIVE CARE UNIT: A CASE REPORT. Continue reading

Dear colleagues,

In the third issue of the Greek e-journal of Perioperative Medicine for 2023, there is a wide coverage of interest in scientific articles. Five interesting cases are reported, concerning perioperative medicine.

First, the article of Walker C et al demonstrated the anesthetic technique of erector spinae plane blockade, as an alternative analgesic technique for aortic aneurysms endovascular repair. The authors noted that this blockade provides the same quality of pain control, with less risk, comparing other anesthetic techniques and that should be considered, as part of the multimodal analgesia strategies, concerning endovascular repair of aortic aneurysms.

Next, Vlahov A et al presented the case of a woman, with a history of regular recreative use of nitrous oxide, who was admitted in the hospital with signs of thrombosis of left femoral artery. They showed that recreational use of nitrous oxide can lead to an increased risk of thromboembolic complications, in previously healthy patients, confirming the relation of regular and heavy recreational use of nitrous oxide with thrombus formation.

The case report of Antonogiannakis A et al, describes the successful anesthetic management of a post liver-transplant parturient, requiring an urgent C-section, due to pre-eclampsia with severe features. The authors emphasized… Continue reading

Aortic aneurysms occur mainly due to atherosclerotic disease, and their conventional surgical repair is reserved for patients with anatomy unfavorable to endovascular repair. In this context, one of the challenges for the anesthesiologist is perioperative anesthetic-analgesic control. Continue reading
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