The Greek e-journal of Perioperative Medicine

1-2

Authors: Papagiannopoulou P, Mouloudi E

Letter from the editors

12-17

Authors: Vlahov A, Minovski H, Kirov B, Stefanov Ch

Nitrous oxide, also known as “laughing gas”, has been used for more than 150 years in medical practice, autonomously or in combination with other inhalation anesthetics, for pain relief, in various surgical interventions. In modern medicine, its use has declined, due to its side effects and also because of the advent of newer, shorter-acting agents and newer inhaled anesthetics. During the last few years, an increased recreative use of nitrous oxide was noted, mainly among the young people, because it is cheap and easily available. Until very recently, there wasn’t much information about the toxicity of inhaled nitrous oxide, but now there are available data in the literature describing its serious consequences, which can permanently compromise the quality of life. We present the case of a 37- year-old woman, who was admitted into the Vascular Surgery Clinic with signs of thrombosis of the left femoral artery, with a history of regular recreative use of nitrous oxide in the recent months.

28-39

Authors: Papadopoulou A, Papagiannopoulou P, Mademli A, Demiri Ch, Doitsidis Ch, Galonaki I, Valioulis I, Paschalidou Ch, Vaxevanidou A

Graft-versus-host obstructive bronchiolitis, in pediatric patients, is a relatively common respiratory complication of chronic graft-versus-host disease, after allogeneic bone marrow transplant. It is irreversible, chronic and potentially life-threatening condition. Anesthetic management of these patients can be challenging. In this article we present a case report of monitor anesthesia care, in a 6-year-old pediatric patient with chronic graft-versus-host bronchiolitis obliterans and perform a short literature review on the subject.