Οξεία νεφρική βλάβη στα πλαίσια σήψης

Acute sepsis-related kidney damage (S-AKI) is a common complication of the critically ill patient, with high mortality rates. Prevention of S-AKI is a daunting task because by the time patients seek medical help, most have already developed acute kidney damage. Thus early detection is an issue of utmost importance. Recent studies show that Continue reading →

Category: 2021, 2021d, Review Articles
Keywords: biomarkers, prevention, renal injury, Sepsis, treatment
Authors (a/b order): Pantelidis A., Resvani P., Tsaousi G.

Intubation after inhalational anesthesia with sevoflurane: in search of the optimal induction technique

Inhalational anaesthesia induction technique goes back to 1846, when the first public administration of inhaled ether was demonstrated in the Ether Dome of Massachusetts General Hospital. Ever since, there has been a dizzying evolution in anaesthetic practice, but the main objectives of anaesthesia have remained unnegotiable. Inhalational sevoflurane induction is still applied in paediatric cases, non-compliant adult patients and in cases of difficult airway¹. Continue reading →

Category: 2021, 2021c, Review Articles
Keywords: inhalational induction, sevoflurane induction, sevoflurane monoinduction
Authors (a/b order): Mitos G., Thoma G., Tsaousi G.

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 [RM] 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 assigned into two Groups A and B according to the applied RM. In Group A three hyperinflations of the lungs were applied at an airway pressure of 40cmH₂O for 10 sec, whereas in Group B Pressure Control Ventilation was applied for 2min with the inspiratory pressure set at 40cmH₂O. After application of any of the two RM, PEEP was increased from 5 to 10 cmH₂O in all patients. Anesthesia induction and maintenance and mechanical ventilation settings were similar in both study Groups. Continue reading →

Category: 2021, 2021a, Clinical Studies
Keywords: alveolar recruitment manoeuvre, atelectasis, cardiac surgery, hypoxemia
Authors (a/b order): Alexiou Ι., Antonitsis P., Fyntanidou B., Grosomanidis V., Kyparissa M., Papanikolaou D., Serchan P., Tsaousi G.

Manoeuvres performed to facilitate fibreoptic orotracheal intubation under general anesthesia. Could be any of them considered as more effective?

Our study compared the effectiveness between two of the proposed as rescue manoeuvres to overcome difficulty, in advancing a tracheal tube, during railroading over the fibreoptic bronchoscope. A ninety degrees anti-clockwise rotation (90ΑCWR) of the tube or cricoid cartilage pressure application (CCPA) was randomly performed in eighty patients undergoing fibreoptic orotracheal intubation under general anaesthesia, in whom first attempt to railroad the tracheal tube had failed.

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