In the third issue of the Greek e-journal of Perioperative Medicine for 2023, there is a wide coverage of interest in scientific articles. Five interesting cases are reported, concerning perioperative medicine.
First, the article of Walker C et al demonstrated the anesthetic technique of erector spinae plane blockade, as an alternative analgesic technique for aortic aneurysms endovascular repair. The authors noted that this blockade provides the same quality of pain control, with less risk, comparing other anesthetic techniques and that should be considered, as part of the multimodal analgesia strategies, concerning endovascular repair of aortic aneurysms.
Next, Vlahov A et al presented the case of a woman, with a history of regular recreative use of nitrous oxide, who was admitted in the hospital with signs of thrombosis of left femoral artery. They showed that recreational use of nitrous oxide can lead to an increased risk of thromboembolic complications, in previously healthy patients, confirming the relation of regular and heavy recreational use of nitrous oxide with thrombus formation.
The case report of Antonogiannakis A et al, describes the successful anesthetic management of a post liver-transplant parturient, requiring an urgent C-section, due to pre-eclampsia with severe features. The authors emphasized… Continue reading
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
Nitrous oxide, also known as “laughing gas”, has been used for more than 150 years in medical practice, autonomously or in combination with other inhalation anesthetics, for pain relief, in various surgical interventions. In modern medicine, its use has declined, due to its side effects and also because of the advent of newer, shorter-acting agents and newer inhaled anesthetics. Continue reading
Orthotopic liver transplantation (OLT) has become a relatively safe procedure over the last decades, with reported 5-year survival rate of over 80%. Increasing numbers of patients will be transplated at a younger age and they will seek obstetric anaesthesia services, as their fertility is restored after succesful transplantation. In 1978, the first succesful pregnancy was reported. Continue reading
Graft-versus-host obstructive bronchiolitis, in pediatric patients, is a relatively common respiratory complication of chronic graft-versus-host disease, after allogeneic bone marrow transplant. It is irreversible, chronic and potentially life-threatening condition. Continue reading
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