Postoperative pain is the unpleasant sensory and emotional experience after surgery, its origin being both inflammatory reaction induced by surgical trauma on abdominal wall splanchnic activation of nociceptors viscera, which are highly sensitive to distension, ischemia, inflammation. Nowadays, it well recognized that there a close relationship between gut microbiome perception, affected anesthesia manipulation. Thus, efforts restore disturbed via supplementation with beneficial bacteria,...

Traditional medical publication metrics, such as impact factor, have various well described limitations [1, 2]. Modern, alternative the Altmetric attention score (https://www.altmetric.com), provide scores for each using an automated algorithm representing a weighted count of amount research output from sources. Sources include but are not limited to: news articles; blogs; policy documents; patents; engagements on social media platforms; and number citations. We aimed to use derive new...

Background and objectives: Brachial plexus block is commonly used in shoulder surgery, as it provides satisfactory surgical conditions adequate postoperative pain control. However, there are contradictory reports regarding the addition of tramadol to injected regional anesthetic solution. We performed a prospective randomized study evaluate effectiveness an adjuvant ropivacaine during interscalene brachial assess its impact on opioid consumption early patients that underwent surgery....

Post-operative pain is the unpleasant sensory and emotional experience after surgery, its origin being both inflammatory reaction induced by surgical trauma on abdominal wall, splanchnic pain, activation of nociceptors viscera, which are highly sensi-tive to distension, ischemia inflammation. Nowadays, it well recognized that there a close relationship between gut microbiome perception, af-fected anaesthesia manipulation. Thus, efforts restore disturbed micro-biome supplementation with...

Objectives: We aimed to determine SBP changes during the perioperative period of a scheduled knee surgery under regional anesthesia and extent (in-hospital) white-coat effect. Methods: All patients (aged ≥60 years) underwent clinic measurements both cardiological anesthesiological visits, while home week before admission was obtained. Clinic registered just surgery, reanimation. Ambulatory monitoring also performed (12 h 6–8 after surgery). One month discharge, measured at hypertension unit....

Postoperative cognitive dysfunction (POCD) is a complication that mainly occurs in adult patients and refers to new-onset decline function after anesthesia surgery. The literature lacks evidence regarding opioid-free its impact on mental postoperatively.The effect of POCD following urological surgery has not been previously reported. Accordingly, we present case series 15 undergoing transurethral under general using an protocol with dexmedetomidine, ketamine, lidocaine.Patients underwent...

A thorough literature search was done in PubMed and Google Scholar as well physical books libraries to summarize the on history evolution of medicine orthopedics. The philosophical ideas that emerged ancient Greece served a foundation for development medicine. In 5th century BC, schools Knidos Kos influential centers medical thinking. field orthopedics can be traced back early human civilizations. Ancient Egyptians perpetuated tradition employing splinting techniques. Hippocrates provided...

Dear Editor, Cancer patients often suffer from painful spinal metastatic fractures that require surgical fixation. However, the performance of fusion and kyphoplasty may be complicated due to severe patient's co-morbidities, implicating with anesthetic management. We describe successful management a patient undergoing percutaneous along under low-dose epidural anesthesia in prone position. A full consent for publication was obtained by patient. 69-year-old scheduled L1-L3 pathological...

To the Editor, We present a case of young healthy parturient who was admitted to our hospital for scheduled caesarian delivery. The procedure uneventful. A week later, patient transferred operating theater due bowel perforation. During surgery, she became hemodynamically unstable (blood pressure: 70/40 mmHg, heart rate: 95 pulse/min) requiring treatment with vasopressors and fluids. Postoperatively, intensive care unit (ICU). electrocardiogram revealed ST segment in V2-V6 leads. Troponin...

Objective: High blood pressure levels represent a common reason for postponing scheduled surgery and are usually based on in hospital (BP) measurements. Stress anxiety of regardless the severity surgical operation, represents significant factor that can influence BP levels. This study had purpose to confront office with ambulatory (ABPM) measurement as well cortisol levels, order evaluate stress assess variability during surgery. Design method: We present results prospective observational...

We report the successful anesthetic management of a 24-year-old patient, with an active COVID-19 viral infection, scheduled for elective Cesarean section at 40th week pregnancy. This was first case in Greek region, and we discuss difficulties safety issues regarding positive patient during cesarean delivery. Regional anesthesia full protective equipment health personnel involved, along careful planning adherence to guidelines achieved safe completion operation.

Ultrasound imaging of peripheral nerves is challenging in elderly population. In cases involving the lumbar plexus (LP), we have employed ultrasound and neurostimulation guidance for successful localization block LP. The postero-medial segment psoas muscle (PSM), superior to vertebral body anterior transverse process ("corner pocket") was used as an landmark implementation LP block. By advancing needle through lateral abdominal wall into "corner pocket" were afforded a seamless advancement...

Objective: The presence of hypertension is a common reason for postponing scheduled surgery and based on in hospital blood pressure (BP) measurements (mainly shortly before surgery). majority patients are apprehensive anxious regardless the severity surgical operation, factor that can influence assessment BP therefore hypertensive burden. This study had purpose to confront office levels perioperative clinic with ambulatory (ABPM) measurement as well cortisol levels, order evaluate stress...

Objective: The presence of hypertension is a common reason for postponing scheduled surgery and based on in hospital blood pressure (BP) measurements. majority patients are apprehensive anxious regardless the severity surgical operation, factor that can influence assessment BP therefore hypertensive burden. This study had purpose to confront office heart rate (HR) levels pre-operative clinic with ambulatory (ABPM) measurement order evaluate stress anxiety HR measurement, as well assess...

Objective: High blood pressure levels represent a common reason for postponing scheduled surgery and are usually based on in hospital (BP) measurements. Stress anxiety of represents significant factor that can influence BP levels. To confront office the perioperative clinic with ambulatory (ABPM) measurement as well cortisol levels, order to evaluate stress assess variability during surgery. Design method: This was prospective observational study enrolled 45 subjects underwent knee In all...

Objective: Elevated systolic blood pressure (SBP)during pre-operative evaluation is the main cause to postpone non-cardiac surgery. We hypothesized that white-coat phenomenon might be exaggerated in visits. Design and method: During their perioperative visit, we prospectively enrolled 22 very elderly hypertensive patients (aged 78 ± 4) under chronic treatment with at least two antihypertensive agents. The day of surgery this was not administered except b-blockers according guidelines....

Objectives: High blood pressure levels represent a common reason for postponing scheduled surgery. Stress and anxiety represents significant factor that can influence BP levels. To confront office in the perioperative clinic with ambulatory (ABPM) measurement as well cortisol levels, order to evaluate of stress on Methods: This was prospective observational study enrolled 45 subjects underwent surgery including 22 very elderly hypertensive patients (aged 78 ± 4). In all patients’ BP, ABMP...

Objective: We aimed to determine systolic blood pressure (SBP) changes during the peri-operative period of a scheduled knee surgery under regional anesthesia and extent (in-hospital) white-coat effect. Design method: All patients (aged >=60 years) underwent clinic SBP measurements both cardiological an anesthesiological visit as well just before surgery, reanimation. Ambulatory BP monitoring was performed 12 hours 6–8 after home obtained week admission. A final measurement made on month...

Charcot-Marie-Tooth disease is characterised by hereditary motor and sensory neuropathy. Its anaesthetic management challenging owing to the unpredictable response observed in patients, especially non-depolarising neuromuscular blocking drugs, risk of malignant hyperthermia cardiorespiratory complications. A 66-year-old woman underwent anaesthesia for 2 different surgical procedures, a 2-stage revision total knee replacement over 4-month period. She presented with severe anatomic disorders,...