2020b

• LETTER FROM THE EDITORS
• EDITORIAL - ΑΝΤΙΜΕΤΩΠΟΙ ΜΕ ΤΟΝ COVID-19.
• A MODEL FOR PERIOPERATIVE CARE IN A SUSPECTED COVID-19 PATIENT. BREAKING THE CHAIN OF TRANSMISSION.
• CARDIOPULMONARY RESUSCITATION IN PRONE POSITION IN CRITICALLY ILL PATIENTS WITH SARS-COV-2 INFECTION.
• PRE-HOSPITAL MEDICAL EMERGENCIES SERVICES ACTIVITY DURING COVID-19 LOCKDOWN IN AN URBAN SETTING, IN GREECE: FOCUSED CASES.
• FRACTURE OF NASOGASTRIC TUBE: A CASE REPORT. Continue reading
This second issue of the Greek e-journal of Perioperative Medicine for 2020 is mainly dedicated to COVID-19 pandemic, with world-reported 6.762.211 confirmed cases and 394.992 deaths1. As countries are trying to reemerge from their coronavirus lockdowns and reopen their economies, scientists fear a second wave of COVID-19 infections and deaths. In this issue, the editorial originates from Intensive Care Unit of the AHEPA University Hospital in Thessaloniki, which is one of the forefronts of the effort to fight the new coronavirus pandemic in Thessaloniki. Their article describes their experiences and feelings in treating patients with COVID-19 infections. Continue reading
Οι καταστάσεις στις οποίες κληθήκαμε να ανταπεξέλθουμε ήταν ιδιαίτερες και πολλοί τις χαρακτήρισαν «εμπόλεμες». Το ιατρικό και νοσηλευτικό προσωπικό μετατράπηκε αυτομάτως σε στρατιώτες, που καθήκον τους ήταν να υπηρετήσουν και να αντιμετωπίσουν αυτόν τον πόλεμο. Ένα πόλεμο άνισο, έναν πόλεμο άγνωστο που δεν μας έδινε την δυνατότητα να έχουμε τα κατάλληλα επιστημονικά εφόδια στην φαρέτρα μας για να τον αντιμετωπίσουμε. Κατά την διάρκεια της πανδημίας οι επαγγελματίες υγείας της πρώτης γραμμής ήρθαν αντιμέτωποι με μια σειρά από σημαντικές προκλήσεις και πολλές πρακτικές δυσκολίες, αλλά κυρίως έπρεπε να κινηθούν σε αχαρτογράφητα μονοπάτια  όσο αφορά στη διαχείριση και αντιμετώπιση του ιού. Τα καθήκοντα και οι υποχρεώσεις των επαγγελματιών υγείας κατά την διάρκεια της πανδημίας COVID-19 αντικρούονταν με τα καθημερινά καθήκοντα. Continue reading
COVID-19 has officially been declared as a pandemic. Although the ultimate course and impact of COVID-19 is yet to be seen, the disease has already overwhelmed health care infrastructure. Operation theaters are high-risk areas for transmission of respiratory infections given the involvement of multiple staff, and the need for high transmission-risk aerosol generating activities. The current study aims to establish a guide for establishing optimum protection conditions that should be done before, during and after surgical intervention. A clear plan has to be developed to only provide essential surgical care during the pandemic. All the elective and non-essential procedures need to be deferred. Whenever close contact is mandated with the suspected patients, the staff should wear proper personal protective equipment. There should be proper training in the appropriate use and application of PPE. The most important thing in the chain is hand hygiene and 70% alcohol solutions should be placed strategically. Continue reading
Coronaviruses are a large family of viruses that cause illnesses ranging from the common cold to more severe diseases. SARS-CoV-2 is a new virus that has not been previously identified in humans. Patients with SARS-CoV-2 commonly develop acute respiratory distress syndrome (ARDS), myocardial injury, ventricular arrhythmias, and shock, all of which increase their risk of cardiac arrest. The main objective of this brief review is to raise the discussion on the possible indication of cardiopulmonary resuscitation in a patient with SARS-CoV-2 in prone position as a way to save time, since the entire process of decubitus change is complex and often slow, due to the number of devices used in these patients, such as catheters, infusion pumps and monitors. In addition to a price of high demand for stressed human resources. Continue reading
COVID-19 pandemic has created an unprecedented citation for the healthcare system; such that its effects are now started to become obvious. The main aim of this report is to describe the time trends of utilization of prehospital emergency medical system in a region of northern Greece from first confirmed case of the COVID-19 in the country, at 26/02/2020, till the first order for loosing lockdown at 04/05/2020. Use of data retrospectively collected for PEMS usage, in the regional unit of Thessaloniki, Northern Greece 26/02/2020, till the first order for loosing lockdown at 04/05/2020. The area of interest represents a little more than 10% of the total population of Greece. Daily cases of selected categories (suicides, assaults, animal bites, cardiac arrests, and car accidents) were recorded. Comparison with the daily cases in the previous 2 years (2019,2018), for the same period was performed. Continue reading
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