The Greek e-journal of Perioperative Medicine

6-12

Authors: Tzima M, Katsanoulas K, Bilali P,Panteleou K, Zemou S, Georgopoulou E,Katsika E

Caesarean section delivery isamong the commonest surgical procedures in our hospital. During an ESRA Hellas descriptive survey, conducted between March 1stand August 31st2016, we decided to extend data collection with further enquiries, concerning the type and dosage of local anaesthetics, technical aspects, anaesthetic complications and their management, as well as neonate’s Apgar score. In comparison to the national survey, the percentage of regional over general anaesthesia (69.2%, 30.8% respectively) was by far exceeded in our department (93%, 7% respectively) with single shot spinal anaesthesia being the most popular technique (96%) as compared to the national level (44.3%).Interestingly, the percentage of combined spinal-epidural anaesthesia in our department was extremely lowcompared to Athens and nationwide. The commonest complication after regional anaesthesia was inadequate level of anaesthesia (4%) while no accidental dural puncture was noted. Post-partum hemorrhage occurred in 2%. Neonates’ general condition was very good. In a low human resources environment, due to personnel shortage, as worsened after the recent financial crisis, we strive to maintain a high-standard environment for the parturients of Northern Greece

20-24

Authors: Karakosta P, Aslanidis T, Thoma G, Agaliadou-Dioritou O

Intravesical bacillus Calmette-Guerin (BCG)therapy, recommended for superficial bladder tumors, triggers side effects in fewer than 5% of patients. Yet, when encountered, high level of suspition and early detection is essential for their succesfull management. In the present article, we present a case of severe sepsis and Steven Johnson syndrome in a male patient afterintravesical BCG instillation.