2019c

• EDITORIAL - DISASTER MEDICINE RESEARCH: TRENDS AND BIBLIOMETRIC ANALYSIS.
• THE ETHICS OF RESUSCITATION THROUGH THE EYES OF THOSE WHO ACTUALLY PERFORM IT.
• REGIONAL ANESTHESIA AS AN INDIVIDUALIZED APPROACH FOR A PATIENT WITH SYRINGOEMYELIA AND SEVERE PULMONARY HYPERTENSION UNDERGOING SURGERY FOR HIP FRACTURE. A CASE REPORT.
• METFORMIN – ASSOCIATED LACTIC ACIDOSIS TREATED WITH CONTINUOUS RENAL REPLACEMENT THERAPY IN A CRITICALLY ILL PATIENT: CASE REPORT AND REVIEW OF THE LITERATURE. Continue reading
Major disasters have always occurred, but their increasing frequency over the last years has raised the importance of disaster medicine. Knowledge visualisation techniques, such as bibliometric maps, along with expert judgement, can help us identify the “blind spots” and eventually better prepare for such catastrophic events. Continue reading
Codes of ethics are considered as indispensable parameters of every aspect of medical care. When performing cardiopulmonary resuscitation (CPR) ethical issues become even more important since cardiac arrest (CA) is directly related to death. The aim of this study was to record personal opinions and everyday clinical practice approaches of healthcare professionals (HCPs) regarding ethical issues related to CPR. HCPs answered a questionnaire consisting of 30 questions related to ethical issues in CPR on a voluntary basis. The study included 195 HCPs (88♂& 107♀). Out of the 195 HCPs, 95 were physicians, 71 nurses and 29 paramedics. 49 HCPs (25.1%) worked in the prehospital setting (EMS or Healthcare Centers) and 147 (74.9%) in hospitals. Continue reading
Anaesthetic management of patients with comorbidities can be challenging and requires rigorous planning. Peripheral nerve blocks (PNBs) do not compromise haemodynamics or pulmonary function. We present the management of a patient with symptomatic syringomyelia, severe pulmonary hypertension, thrombophilia and obstructive sleep apnoea undergoing hip fixation. Combined psoas compartment and sciatic nerve block was conducted and the patient remained stable perioperatively. She had an uneventful recovery and was discharged three days later. Patients with multiple comorbidities are subject to high perioperative risk and should be managed individually. Regional anaesthesia can be a last resort that leads to a better outcome. Continue reading
Though metformin is considered as first choice drug in type II diabetes, clinicians should be alert both for presence of potential contraindications to its use and to possible adverse reactions. Bad therapy compliance along and/or concomitant comorbidities may lead to serious toxicity. We hereby describe a case of extreme lactic acidosis- associated with metformin therapy- in an elder woman, managed with Continuous Renal Replacement Therapy in Intensive Care Unit environment. Short review of the literature about the place of renal replacement therapy in such cases is also discussed. Continue reading
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