• LETTER FROM THE EDITORS
• CARDIOVASCULAR EFFECTS OF HYPERTONIC SOLUTION NACL 7,5% INFUSION DEPENDED ON ADMINISTRATION DURATION.
• PERIOPERATIVE MANAGEMENT OF EMERGENT CESAREAN SECTION IN A PATIENT WITH PERIPARTUM CARDIOMYOPATHY: A CASE REPORT.
• MOVABLE HUGE SERPENTINE INTRACARDIAC THROMBUS IN RIGHT ATRIUM AND MASSIVE PULMONARY EMBOLISM: A RARE MANIFESTATION OF DEEP VEIN THROMBOSIS.
• ANESTHETIC MANAGEMENT OF A PATIENT WITH X-LINKED ADRENOLEUKODYSTROPHY AND RELATED ADDISON’S DISEASE AND BRUGADA SYNDROME. Continue reading
• CARDIOVASCULAR EFFECTS OF HYPERTONIC SOLUTION NACL 7,5% INFUSION DEPENDED ON ADMINISTRATION DURATION.
• PERIOPERATIVE MANAGEMENT OF EMERGENT CESAREAN SECTION IN A PATIENT WITH PERIPARTUM CARDIOMYOPATHY: A CASE REPORT.
• MOVABLE HUGE SERPENTINE INTRACARDIAC THROMBUS IN RIGHT ATRIUM AND MASSIVE PULMONARY EMBOLISM: A RARE MANIFESTATION OF DEEP VEIN THROMBOSIS.
• ANESTHETIC MANAGEMENT OF A PATIENT WITH X-LINKED ADRENOLEUKODYSTROPHY AND RELATED ADDISON’S DISEASE AND BRUGADA SYNDROME. Continue reading
Dear colleagues
The second issue of the Greek e-journal of Perioperative Medicine for 2024 presents various articles concerning perioperative medicine,
The first article is the clinical study of Fyntanidou B et al. which investigates the possible impact of total infusion time of NaCl 7.5% on its efficacy in normovolemic patients. The authors concluded that hypertonic NaCl 7.5% efficacy decreases to zero when total infusion time exceeds 10min.
The first case report of Zografidou P et al. presents the perioperative management of a patient with peripartum cardiomyopathy (PPCM), with left ventricular ejection fraction less than 15%, at 27 weeks of gestation, who underwent for emergency caesarean section. The authors noted that PPCM is related with high morbidity and mortality that can be fatal for mother and fetus and also can cause a chronic decline of mother’s quality of life. Early diagnosis, continuous monitoring, and prolonged treatment therapy (medication selection must be done carefully and with respect for the needs of breastfeeding or pregnant women) may be advantageous for PPCM.
The second case report of Zografidou P et al. describes a patient who was already treated with low-molecular-weight heparin for a gamma knife removal of a thalamic lesion and presented with a… Continue reading
Hypertonic solutions have been widely used for several years for the treatment of hypovolemia, in the context of small volume resuscitation. The aim of the present study was to investigate the possible impact of total infusion time of NaCl 7.5% on its efficacy in normovolemic patients. Continue reading
Peripartum cardiomyopathy is referred to as unanticipated heart failure with no determinable cause between the last trimester of pregnancy and six months post-delivery. The perioperative management of pregnant women with heart failure is challenging. Continue reading
Pulmonary embolism is linked with a remarkable rate of mortality, particularly when it is associated with hemodynamic instability, right atrial thrombus and related right ventricular dysfunction. Intraoperative use of transesophageal echocardiography can lead to the diagnosis of massive thrombi, entrapped in patent foramen ovale. Continue reading
X-linked adrenoleukodystrophy is rarely encountered in the operating room. The clinical presentation is highly variable and creates unique challenges for the anesthesiologist. Case: We hereby present a successful anesthetic management of patient with X-linked adrenoleukodystrophy and related Addison’s disease and Brugada syndrome for an orthopedic surgery and review the available literature about the topic. Continue reading
• LETTER FROM THE EDITORS
• SURGEON BURNOUT: FACTORS AND IMPACT ON PATIENT CARE.
• ACQUIRED HEMOPHILIA A: A RARE CAUSE OF BLEEDING IN THE INTENSIVE CARE UNIT. A CASE REPORT AND REVIEW OF THE LITERATURE.
• PYRIDOSTIGMINE INDUCED CARDIAC ARREST AFTER ANESTHESIA INDUCTION IN A PATIENT WITH MYASTHENIA GRAVIS.
• INTRAOPERATIVE BURST SUPPRESSION ON ELECTROENCEPHALOGRAPHIC DENSITY SPECTRAL ARRAY OF BISPECTRAL MONITORING IMMEDIATELY AFTER TOURNIQUET RELEASE.
• LOW-DOSE SPINAL ANESTHESIA FOR EMERGENCY ORTHOPAEDIC SURGERY IN A GERIATRIC PATIENT WITH NEWLY DIAGNOSED PRIMARY OVERT HYPOTHYROIDISM - A CASE REPORT. Continue reading
• SURGEON BURNOUT: FACTORS AND IMPACT ON PATIENT CARE.
• ACQUIRED HEMOPHILIA A: A RARE CAUSE OF BLEEDING IN THE INTENSIVE CARE UNIT. A CASE REPORT AND REVIEW OF THE LITERATURE.
• PYRIDOSTIGMINE INDUCED CARDIAC ARREST AFTER ANESTHESIA INDUCTION IN A PATIENT WITH MYASTHENIA GRAVIS.
• INTRAOPERATIVE BURST SUPPRESSION ON ELECTROENCEPHALOGRAPHIC DENSITY SPECTRAL ARRAY OF BISPECTRAL MONITORING IMMEDIATELY AFTER TOURNIQUET RELEASE.
• LOW-DOSE SPINAL ANESTHESIA FOR EMERGENCY ORTHOPAEDIC SURGERY IN A GERIATRIC PATIENT WITH NEWLY DIAGNOSED PRIMARY OVERT HYPOTHYROIDISM - A CASE REPORT. Continue reading
Dear colleagues
The first issue of the Greek e-journal of Perioperative Medicine for 2024 presents various articles concerning perioperative medicine.
Muhammad Umar Younis, in his review article, aims to determine the prevalence of burnout among surgeons, to identify the risk factors for it and to employ mitigation strategies to reduce the likelihood of burnout. The author notes that the most commonly identified risk factors for surgeons’ burnout are age, marital status, financial standing, the outcome of their interest, the balance between work and personal life, experience in the field, and gender. He concludes that the above responsible factors should be explored by surgeons, hospital management boards, training centers in order to find ways to prevent it and to ensure a healthy workplace environment and high-quality surgical patient care.
The next article of Soulountsi V et al. describes the case of a patient, who was admitted to the Intensive Care Unit (ICU), with oligemic shock, due to severe bleeding from the right carotid artery, after a central venous catheter placement in the right jugular vein. During patient’s stay in the ICU, comprehensive laboratory work-up led to the diagnosis of acquired hemophilia A (AHA), a rare bleeding disorder caused by autoantibodies to… Continue reading
Surgery, as a field itself, is a high stress and high pressure workplace environment. The difficulty that surgeons face, in maintaining their work-life balance along with the increasing litigation instances, has made this profession a less rewarding one. Continue reading
Acquired hemophilia A (AHA) is a rare bleeding disorder caused by autoantibodies to coagulation factor VIII (FVIII) leading to potentially severe bleeding diathesis that carries a high rate of morbidity and mortality. It should be suspected in patients with unexplained prolonged aPTT, normal PT and acute abnormal bleedings without personal or familiar history of congenital bleeding disorders. Continue reading
