Challenges in anaesthetic management of ankylosing spondylitis for elective gynaecological oncologic procedures: A Case Report

Ankylosing spondylitis (AS) is a chronic inflammatory arthritis characterized by progressive ossification of the spinal column with resultant stiffness. Patients, with AS, have a suppressed immune function due to proinflammatory cytokines and chemokines which are responsible for the inflammation of the joint. Continue reading →

Category: 2023, 2023b, Case Reports
Keywords: anesthesia, ankylosing spondylitis, gynaecological procedures
Authors (a/b order): Pavlidis M., Stamatakis E., Valsamidis D., Varvarousi G.

Postdural puncture headache: an update on treatment in obstetric patients

Neuraxial analgesia and anaesthesia in an obstetric patient is associated with the risk of accidental dural puncture and subsequent development of a post dural puncture headache (PDPH). The management of accidental dural puncture requires consists of prevention of PDPH, patient’s information, early diagnosis, treatment, and monitoring until remission of PDPH. Continue reading →

Category: 2023, 2023a, Review Articles
Keywords: epidural blood patch, obstetric anesthesia, Post dural puncture headache
Authors (a/b order): Klimi P., Lappas T., Saiti A., Stamatakis E., Tzaneti A., Valsamidis D., Varvarousi G.

Μαιευτική Αιμορραγία και Διαταραχές Αιμόστασης: Περιεγχειρητική Διαχείριση Αιμοθεραπείας

Obstetric haemorrhage is the leading cause of mortality in parturients. In massive haemorrhage, fibrinogen is the first coagulation factor to decrease and a value < 2 gr/lt is a prognostic indicator of severe haemorrhage. A small decrease in fibrinogen leads to an increased effect on coagulability and continued haemorrhage. Coagulation disorders may be due to either consumption of coagulation factors or dilution. The type, severity and time of onset of the coagulation disorder depend on both the size and the cause of the haemorrhage. Early recognition of the cause of haemorrhage, low fibrinogen and its immediate correction are essential in the perioperative management of haemorrhage. Continue reading →

Category: 2022b, Review Articles
Keywords: fibrinogen, Obstetric haemorrhage, viscoelastic coagulation measurements
Authors (a/b order): Iliopoulou Ch., Klimi P., Papa M., Saiti A., Scandalou V., Stamatakis E., Valsamidis D., Varvarousi G.

A case of extremely increased maternal age cesarean section infected by Covid 19

The novel coronavirus disease 2019 (COVID-19) caused by severe respiratory syndrome coronavirus 2 (SARS-CoV-2) has become a global health emergency since its declaration as a pandemic by the World Health Organization. Advanced maternal age is considered a high-risk pregnancy and therefore may affect the severity of Covid-19¹. Data regarding the management and outcome of a cesarean section in an extremely increased aged woman with Covid-19 disease are limited to a few case reports. In this case report, we discuss the perioperative management of an in vitro fertilization (IVF) cesarean section in a 48-year-old woman with Covid-19 infection. Continue reading →

Category: 2021, 2021c, Case Reports
Keywords: caesarean, covid-19, increased maternal age
Authors (a/b order): Haidopoulos D., Lappas T., Loukeri A., Valsamidis D., Varvarousi G.