Nalbuphine in Critical Care and Emergency Medicine

Nalbuphine is a synthetic mixed agonist -antagonist opioid that has long been used for perioperative care. Yet, its use in critical and emergency medicine settings was still relatively low till recently. The current article provides an update of literature regarding nalbuphine in those two specific areas. Continue reading →

Category: 2024, 2024d, Review Articles, Current issue
Keywords: Critical Care, emergency medicine, nalbuphine
Authors (a/b order): Aslanidis Th.

Focused Regional Therapeutic Iontophoresis Blockage (FORTI-BLOCK):A New Regional Block Strategy for Difficult-to-Control Myofascial Syndrome: A Case Report and Literature Review

Recent advances in techniques such as iontophoresis represent a promising approach to pain management. Iontophoresis involves the use of low-voltage electrical currents to improve transdermal delivery of medications, including local anesthetics. Continue reading →

Category: 2024, 2024d, Case Reports, Current issue
Keywords: anesthesia, chronic pain, Iontophoresis, Myofascial pain syndrome, Peripheral nerve block
Authors (a/b order): Aslanidis Th., Bruno Silva Pereira, Carlos Darcy Alves Bersot, Jose Eduardo Guimaraes Pereira, Luiza Zenobio da Costa, Mario Castro Alvarez Perez, Nathalia Fortins

Anesthetic management of a patient with X-linked adrenoleukodystrophy and related Addison’s disease and Brugada syndrome

X-linked adrenoleukodystrophy is rarely encountered in the operating room. The clinical presentation is highly variable and creates unique challenges for the anesthesiologist. Case: We hereby present a successful anesthetic management of patient with X-linked adrenoleukodystrophy and related Addison’s disease and Brugada syndrome for an orthopedic surgery and review the available literature about the topic. Continue reading →

Category: 2024, 2024b, Case Reports
Keywords: anesthesia, X-linked adrenoleukodystrophy
Authors (a/b order): Aslanidis Th., Gkiauris E., Lazaridou E.E., Tsamaslidis G.

Intraoperative burst suppression on electroencephalographic density spectral array of bispectral monitoring immediately after tourniquet release

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 →

Category: 2024, 2024a, Case Reports
Keywords: anesthesia, bispectral index, Electroencephalography, Tourniquet
Authors (a/b order): Aslanidis Th., Papachatzopoulou E., Stefanovic D.

Unilateral Erector Spinae Plane Block as Adjuvant for Open Repair of Thoracoabdominal Aortic Aneurysm: Case Report and Literature Review

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 →

Category: 2023, 2023c, Review Articles, Case Reports
Keywords: Arterial Thrombosis, Homocysteine, Nitrous Oxide, Recreative Use
Authors (a/b order): Aslanidis Th., Barros DdMV, Bersot CAD, Carneiro F.J., Walker C.

Exercise-Related Heatstroke in the Intensive Care Unit: A Case Report

During the last decade, Europe became known as a major climatic hotspot¹, due to the world’s highest increase in average temperature; thus, associated with an increase in the frequency and intensity of heat waves and hot summers². Continue reading →

Category: 2023, 2023c, Case Reports
Keywords: Critical Care, Excersise, Heatstroke
Authors (a/b order): Aslanidis Th., Flioni E. N., Pertsas E.

Anesthesia in paraplegic patients. A brief Case Report-Based Literature Review

Despite the vast progress in contemporary medicine, the burden of spinal cord injury has increased over the last decades. Thus, more and more often patients with paraplegia appear for an emergency or elective surgery below the level of the injury. Anesthetic management of those patients can be turn out to be a challenge. Continue reading →

Category: 2023, 2023b, Case Reports
Keywords: anesthesia, Paraplegia
Authors (a/b order): Aslanidis Th., Matsi K., Papachatzopoulou E.

Peritoneal Dialysis in adult Intensive Care Unit: Case report and literature review

Choice of peritoneal dialysis over other renal replacement therapy modalities for adult critically ill patients is still limited; despite the data against it. The present article presents a case of peritoneal dialysis in a patient with intracerebral hemmorhage and reviews the relevant literature. Continue reading →

Category: 2022, 2022b, Special Articles, Case Reports
Keywords: acute renal failure, Intensive Care, Peritoneal dialysis
Authors (a/b order): Aslanidis Th., Martika A., Spaia S.

Clinical impact of Medicinal Cannabis on Patients with Sickle Cell Disease Pain: A scope review

Sickle cell disease (SCD) is an umbrella term that defines a group of inherited diseases (in-cluding sickle cell anaemia (SCA), HbSC and HbSβ-thalassaemia) characterized by mutations in the gene encoding the haemoglobin subunit β¹. One of the most frequent and debilitant complications of the disease is the vaso-occlusive crisis (VOC), which is mediated by multicell adhesion between red blood cells (RBCs), white blood cells, platelets, and endo-thelial cells and causes intense pain in conse-quence of impaired oxygen supply, but also in-farction-reperfusion injury^2,3. Continue reading →

Category: 2022, 2022a, Review Articles
Keywords: medicinal cannabis, pain, sickle cell anemia
Authors (a/b order): Ashmawi H.A., Aslanidis Th., Darcy Alves Bersot C., Guimarães Pereira J.E., Palmeira C., Saffier I.P.

Resuscitation Medicine and death definition

Death is the reason for the existence of resuscitation. The Western definition of death has evolved continuously over the last three centuries. Today, the world recognizes two types of biological death: cardiac or “real” death (I,e. definitive cease of cardiac , respiratory and cerebral function) and encephalic death. The latter (brain death) has been accepted worldwide medically and legally as the biological state of death of the organism. Continue reading →

Category: 2022, 2022a, Case Reports
Keywords: brain death, Death, Resuscitation
Authors (a/b order): Aslanidis Th., Myrou A.