Dear colleagues,
The uninterrupted and continuous presence of the Greek e-journal of Perioperative Medicine in the scientific literature 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. The participation of all of us with high quality publications will enable our journal to continue to be part of international libraries.
The second issue of the Greek e-journal of Perioperative Medicine for 2025 presents articles concerning perioperative medicine.
The review article of Aidoni Z. et al describes modern fluid management strategies in the treatment of shock. The authors emphasize on individualized and goal-directed therapy versus liberal fluid administration. They note also that hemodynamic monitoring, markers of fluid responsiveness are key components of current practice, aiming to restore tissue perfusion and oxygen delivery while minimizing complications.
The next article of Al Kagiet S. et al focuses on identifying and categorizing the key criteria, that must be met before decannulate an ICU patient, which is considered crucial for developing effective and safe decannulation protocols. The authors emphasize on the fact that implementing a specific decannulation protocol is of major importance as failed decannulation attempts are associated with increased mortality. Also, a multidisciplinary team, consisting of ICU physicians, otolaryngologist, physiotherapist, speech therapist and specialized nurses, is considered essential in order to provide guidance and follow up of the patient throughout the whole procedure of decannulating the tracheostomy tube safely.
The study of Fyntanidou V. et al concerns seventeen critically injured trauma patients, which were intubated without medication, before IV access, due to their near-death condition. All were successfully managed by EMS, and 7 survived. The authors note that rapid prehospital intervention may improve outcomes when immediate airway management is needed.
The final article of Theocharidou Ch. Ch et al reports the case of a 71-year-old patient, who was misdiagnosed with asthma and found to have a tracheal tumor. The case underscores the need to consider airway tumors in patients unresponsive to standard asthma treatment.
With regards
Editors in chief
Mouloudi Eleni
Papagiannopoulou Pinelopi
