2024

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

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
Myasthenia Gravis (MG) is an autoimmune disorder affecting the neuromuscular junction function and causing muscle weakness that gets worse during the day and after physical activity. The most common medication prescribed for MG treatment is pyridostigmine. Continue reading
Depth of anesthesia is a dynamic balance between effect-site concentration of hypnotic and analgesic drugs, and intensity of surgical stimulation. The bispectral monitor is the best described monitor of the depth of hypnosis component of anesthesia. Continue reading
Hypothyroidism is relatively common comorbidity in elderly patients, due to structural and hormonal changes in the aging thyroid. Diagnosis of hypothyroidism, in this population, is considered challenging, since many symptoms are nonspecific and may be attributed to other common medical conditions. Continue reading
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