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The concept of sustainability in anesthesia, referred as "Environmentally Sustainable Anesthesia", can be characterized by the safe perioperative management of equipment and medicines by the anesthesiologist, without harming the environment. Τhe term "Green Anesthesia" also relates to the priority to environmental sustainability even if the economic factor comes second, but in essence, sustainable and green anesthesia refer to common actions and practices. The problem of environmental impacts from anesthesiology practice arises when managing chemical agents to ensure the proper conditions for safe anesthesia administration, by pharmaceutical means and special techniques. The main problem is the Inhaled agents (Ν2Ο and volatile anesthetics), as part of them is released into the atmosphere by forming Wasted Anesthetic Gases (WAGs). It begins in the operating room and ends into the atmosphere. Atmosphere is essential for life on earth.

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Early tracheal extubation has been safely performed after large operative procedures, questioning the need for routine postoperative ventilation. Because immediate postoperative tracheal extubation of liver transplanted patients has not been previously reported in Greece, we announce the first case report.

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Aiming the investigation of potential differences in accuracy of the algorithms of pediatric anesthesia in everyday practice, 338 children where studied, from newborns to 14 years old, who underwent scheduled or emergency operations in a 3 months period. They were divided according to their age into 4 groups (38 newborns and infants, 43 children from 1 to 3 years old, 90 children from 3 to 6 years old, 167 children >6 years old).

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Perioperative hypercoagulation in cancer patients is frequently a concern for the anesthesiologist. Ιt is not clarified yet whether the choice of anesthetic technique offers significant advantages for the prevention of postoperative complications. For this purpose, a prospective, randomized clinical trial was conducted. Forty-two female patients with ovarian cancer, undergoing abdominal hysterectomy, were randomized in three groups.

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