Search

Aim: To compare pain and stress response through cortisol and DHEA levels, implementing. Total intra venous anesthesia (TIVA) versus general anesthesia with volatile anesthetics (VOL). Design: This is a prospective randomized correlation study with consecutive measurements. Methods: In an ambulatory surgical center from October of 2019 to August of 2020, patients who underwent breast reconstruction with autologous fat grafting were randomized into 2 groups. Patients in the TIVA group (n = 23) received intravenous anesthesia and those in the VOL group (n = 23) received volatile anesthesia (desflurane). Demographic, anthropometric and clinical data were recorded. Arterial systolic (SP) and diastolic (DP) blood pressure, heart rate and oxygen saturation were recorded. Pain and stress levels were evaluated through salivary cortisol and DHEA levels at 4 different time points: T0) 1 hour before induction, T1) during the induction, T2) during anesthesia maintenance, and T3) in recovery phase. Statistical analysis was performed with SPSS 25.0 at significant level α =.05. Findings: There were no statistically significant differences between the 2 groups regarding demographic features. Interestingly that there was a statistically significant difference in the vital sign monitoring where patients in the TIVA group reported with higher levels of SP(T2) and DP (T2), whilst DHEA (T1) levels was correlated positively with patient's age and cortisol (T1) levels and negatively with DP (T3). Conclusions: This study supports the use of TIVA as a safe and effective option for anesthesia in patients undergoing breast reconstruction with autologous fat grafting. [ABSTRACT FROM AUTHOR]

Pandemic Covid-19 had a major impact on PeriAnesthesia Nurses worldwide. PACU Nurses had to deal with unfamiliar conditions. In Greece, this pandemic has highlighted the importance of PeriAnesthesia Nursing in all areas, such as Intensive Care Units, Emergency Rooms and Clinics. Major intention of the Hellenic PeriAnesthesia Nursing Organization through this conference is to strengthen its members continuing education and the promotion of PeriAnesthesia Nursing, as well as Perioperative Nursing in Emergency Room and Intensive Care Unit. Organizing the 1st Hellenic Conference of PeriAnesthesia Care in 2021 will boost Nurses participation, contribution and development in this very important scientific fields, such as: • Ethical dilemmas in Perianesthesiology Nursing • Pre-hospital Anesthesia • Cardiopulmonary Resuscitation • Vascular access • Management of acute and chronic pain • Minimally Invasive Surgery and postoperative pain management Clinical Scenarios and roundtables with international participation will provide information and knowledge in various topic, as well as sessions with experts in the field of PeriAnesthesia Nursing will give the opportunity to advance and generate interaction between the speakers and the delegates. [ABSTRACT FROM AUTHOR]

Background: Fast-track (FT) postoperative protocol in oncological patients after major abdominal surgery reduces complications and length of postoperative stay compared to the conventional (CON) protocol. However, stress and pain responses have not been compared between the two protocols. Objectives: To compare stress, pain, and related neuropeptidic responses (adrenocorticotropic hormone [ACTH], cortisol, and neuropeptide Y [NPY]) between FT and CON protocols. Method: A clinical trial with repeated measurements was conducted (May 2012 to May 2014) with a sample of 63 hepatectomized or pancreatectomized patients randomized into two groups: FT (n = 29) or CON (n = 34). Demographic and clinical data were collected, and pain (Visual Analog Scale [VAS] and Behavioral Pain Scale [BPS]) and stress responses (3 self-report questions) assessed. NPY, ACTH, and cortisol plasma levels were measured at T1 = day of admission, T2 = day of surgery, and T3 = prior to discharge. Results: ACTHT1 and ACTHT2 levels were positively correlated with self-reported stress levels (ρ = .43 and ρ = .45, respectively, p < .05) in the FT group. NPY levels in the FT group were higher than those in the CON group at all time points (p ≤ .004); this difference remained significant after adjusting for T1 levels through analysis of covariance for age, gender, and body mass index (F = .003, F = .149, F = .015, respectively, p > .05). Conclusions: Neuropeptidic levels were higher in the FT group. Future research should evaluate this association further, as these biomarkers might serve as objective indicators of postoperative pain and stress. [ABSTRACT FROM AUTHOR]

Introduction: From the ancient years, Hippocrates had pointed out the importance of the relation between doctor and patient, as a healing tool. However, during the years, the nurse has had an important role in the treatment of the patient, therefore the relation of doctor - nurse. Aim: Aim of this work was to explore the relation of doctor - nurse in the modern times and to determine the factors, which influence and shape this relation. Methods: Bibliographic search via electronic bases of data has been conducted from 1995 to 2011, such as Medline and Google Scholar, using key- words such as nurse-doctor relationship, interprofessional boundaries, professional relations. Articles were studied, 4 articles in Greek language, 42 articles in English language and 2 books referred to the subject, which illustrate the doctors-nurses relationship and indicate the factors that determine and influence this relation. Results: The results of this review showed that a century ago, the doctor-nurse relationship has not been equal. Nowadays, however, it seems that nurses are equally involved and express their opinion on the clinical care of the patient. Factors that were contributed to the evolution of this relationship were the multifaceted evolution of woman in social and professional level, the upgraded level of knowledge of the nurses and the development of nursing as a science. Conclusions: In conclusion, the doctors-nurses relation with the changing roles and the acquisition tasks of nurses has been redefined and can be considered more equitable and definitely more collaborative than ever before. [ABSTRACT FROM AUTHOR]