In this first issue of the Greek e-journal of Perioperative Medicine for 2019various articles are presented. The first article of Katsanoulas K., et al provides a thorough explanation of viscoelastic haemostatic assays (VHA) monitoring, mainly with rotational thromboelastometry (ROTEM®), in contrast to the traditional coagulation management with standard laboratory tests.It may be helpful for young clinicians and those interested to understand this relatively new technique. It provides also evidence based information from current published literature, where it’s utility and value has been proven. Continue reading

In this issue of the Greek e-journal of Perioperative Medicine for 2018 there is a wide coverage of interest in scientific articles.

The review article of Passakiotou M describes the safety and policy concerning the public health consequences of the massive arrival of migrants from various parts of the world, which puts the national health systems under pressure. The article emphasizes in public health interventions and intersectoral and international collaboration in order the arrived migrants and refugees to receive a more systematic health-reception which also will protect the public health of host countries.

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The Editorial board of the Greek e-journal of Perioperative Medicine is very proud to present, in these two supplement issues, the abstracts of the Lectures, Round Tables, Anesthesia Nurse meeting and Young Anesthetist’s tribune (Supplement A) and also the abstracts of the scientific papers (Supplement B) that are going to be presented in 15th Congress of Anesthesiology and Ιntensive Care Medicine which is about to be held in Thessaloniki, from 20th till 23rd of September 2018.

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Dear colleagues,

In this second issue of the Greek e-journal of Perioperative Medicine for 2018 a wide area of interests is covered.

The review article of Gortsou D, et al summarizes the nursing interventions for patients with Myasthenia Gravis (MG) undergoing surgical removal of the thymus gland. They concluded that prompt identification of the symptoms and signs of common MG complications combined with aggressive nurse interventions are the keys to ensure the best possible outcomes.

Dubey A assessed the line of action that forty anesthetic specialists would follow in case of an iatrogenic tooth avulsion during intubation and laryngoscopy. The author observed that few anesthetists knew the correct protocol in handling the avulsed tooth and also proposes measures like immediate reimplantation and stabilization of a permanent avulsed tooth.

The following retrospective study of Ioannidis R, et al compares the level of sensory block in parturients with different body height, after spinal anesthesia with local anesthetic of fixed volume and consistence. Authors concluded that body height of parturients and level of sensory block after spinal anesthesia with a fixed intrathecal solution, for elective caesarean section, seems to be two independent variables.

Next, Lolakos K, et al described the intraoperative use of… Continue reading

Dear colleagues,

In this first issue of the Greek e-journal of Perioperative Medicine for 2018 we are very honored to present -throughout our Editorial- an invitation from the organizing and scientific committee of the ANAESTHESIA 2018 for ANAESTHESIA 201815th Congress of Anesthesiology and Ιntensive Medicine which is to be held in Thessaloniki, on the 20th to the 23rd of September, 2018.

The present issue, also, covers a wide area of interests. The review article of Schizodimos et al summarizes the classification, epidemiology and management of Bloodstream infections (BSIs). They refer to the therapeutic strategy of Bloodstream infections that should be based on international guidelines in combination with local microbiology and local antibiotic resistance data.

Next, Grosomanidis V et al present an experimental study in order to record the effect of increased intra-abdominal pressure on the cardiovascular system of pigs, with or without additional sepsis. Their results showed that the increase in intra-abdominal pressure was well tolerated by the laboratory animals without septic condition, while in septic animals the increase in intra-abdominal pressure had an unfavorable effect on the cardiovascular system.

The following study of Mouloudi E et al. presents data that showed that relative eosinophilia may be… Continue reading

Certainly, nobody during the autumn of 1990, when the 1st Congress of Anesthesiology & Intensive Medicine was first inaugurated, had any idea of the impact and the influence this new institution would gain in the years to come. This very first congress was under the organizational presidency of Dr. Nikos Balamoutsos, respectable teacher and skillful director in the field.

But this was not a surprise; Thessaloniki had already experienced pioneering in Anesthesiology. Dr. Spyros Makris (1926-1978) was the first ever Professor of Anesthesiology in Greece (1974) at the Aristotle University of Thessaloniki. He wrote the very first textbooks of Anesthesiology in Greek and published more than one hundred papers, in Science, Anaesthesia and Analgesia, and other journals. This is the reason why during the opening ceremony, the honorary lecture has his name and is assigned to an academic with a broader scientific flair, normally from the local medical community.

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 Dear colleagues,

The uninterrupted and continuous presence of the Greek e-journal of Perioperative Medicine in the scientific literature, over last 17 years, has been gradually increased and this is attributed to your help. On behalf of the editorial board, we would like to emphasize that our goal is ensure free-access, high quality, published articles in the area of medical press and we would like to thank you again for this continuous support. This is the third (3rd) issue of the year and our goal is to raise the issues from three to four per year. The participation of all of us with high quality publications will enable our journal to continue to be part of international libraries.

The present issue covers a wide area of interests. The review article of Schizodimos et al summarizes the major pathogenetic mechanisms, the clinical manifestations and the monitoring techniques of intracranial hypertension. They refer to 2016 Guidelines for the Management of Severe Traumatic Brain Injury, where a measured ICP above 22 mmHg is considered an indication for intervention. They also describe the major pathogenetic mechanisms of intracranial hypertension (venous occlusion, increased cerebral volume, increased blood volume, mass effect cerebral edema). Additionally, new techniques… Continue reading

The exchange of experiences and ideas among colleagues remains the key of scientific progress. In fact, knowledge is a sum of gathered experiences and education is nothing more than an attempt to pass all those knowledge to the next generation.

In rapid transforming scientific disciplines like medicine, the need for this exchange is essential. The latter can take different forms. Oral conversation may seem like the humble way of communication. Nevertheless, “conversation is a meeting of minds with different memories and habits. When minds meet, they don’t just exchange facts; they transform them, draw different implications from them, engage in new trains of thought. Conversation doesn’t just reshuffle the cards; it creates new cards”1-2.

Written documentation, in form of abstracts/posters/articles, is the formal way of medical communication. The ultimate goal: better clinical medicine and thus, better outcomes. Secondary goals: scientific research boost, professional progress, academic career evolution, financial remuneration, etc.

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The vast advance in medical knowledge forces us to super specializations. Yet, as we get to know better the tree, we might lose the perspective of the forest. Team work and more specifically, diversity teams, keep us in touch with the different aspects of knowledge. And although diversity has potential to disrupt group functioning, in reality, in both in behavioral and psychological science and in business arena, diverse teams are proven smarter1-2.

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The first issue of 2017 contains few, but very interesting articles. In their review Shizodimos et all, highlight the details hidden in the available literature about mechanical ventilation in Acute Respiratory Distress Syndrome, which after publication of Berlin definition1, is gaining again more and more interest2.

In the next article, Karveli –Argyriadou challenge the current trend regarding cardiac anesthesia publications by presenting us its track in time. In the era of minimal invasive cardiosurgery, genetic therapy and ultra-fast track cardiac anesthesia protocols, they remind us the course and the moments of its evolution and allow us to “look back in order to realize how much we have progressed”.

Papapostolou et al, focus on the importance of right interpretation of hemodynamic monitoring and present 3 cases of acute intraoperative pulmonary hypertention during cardiac surgery.

The last two articles describe a case on pulmonary embolism after surgery for Adolescent idiopathic scoliosis and a conversion disorder that was presented with tetraplegia post spinal anesthesia.

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