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  1. Article: Spinal Introducer Needle Breakage During Spinal Anesthesia for Cesarean Section: A Case Report.

    Sobot Novakovic, Suzana / Rakanovic, Dragan / Milic-Radic, Tanja

    Cureus

    2023  Volume 15, Issue 10, Page(s) e46972

    Abstract: Spinal and epidural anesthesia are the preferred choices for patients undergoing a cesarean section (CS). The increased use of neuraxial anesthesia in obstetrics may lead to certain complications such as needle breakage. While several cases of broken ... ...

    Abstract Spinal and epidural anesthesia are the preferred choices for patients undergoing a cesarean section (CS). The increased use of neuraxial anesthesia in obstetrics may lead to certain complications such as needle breakage. While several cases of broken spinal and epidural needles have been reported, the exact incidence of needle breakage remains uncertain. The use of pencil-point needles with smaller diameters and the increasing BMI among pregnant individuals may have contributed to the increase in the reported incidents of broken needles during obstetric surgery. We present a case of a patient who was found to have a leftover spinal introducer needle in her back after undergoing spinal anesthesia for CS.
    Language English
    Publishing date 2023-10-13
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.46972
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Neonatal Outcomes in Labor After Intravenous Remifentanil Analgesia vs. Epidural Analgesia: A Retrospective Observational Study.

    Sobot Novakovic, Suzana / Cuk, Sanja / Rakanovic, Dragan / Loncar Stojiljkovic, Dragana / Cancarevic Djajic, Branka / Gajic, Miroslav

    Cureus

    2024  Volume 16, Issue 3, Page(s) e56327

    Abstract: Background Some evidence indicates that maternal analgesia during labor may have adverse effects on neonates due to exposure to specific drugs or the potential effects of analgesia on the course of labor. We assessed the clinical outcome of term neonates ...

    Abstract Background Some evidence indicates that maternal analgesia during labor may have adverse effects on neonates due to exposure to specific drugs or the potential effects of analgesia on the course of labor. We assessed the clinical outcome of term neonates born to mothers who received epidural analgesia (E) or systemic analgesia with remifentanil (R) during labor. Methods Data was collected retrospectively over one year. We have evaluated the medical records of 247 full-term neonates; 208 were born to mothers who received E and 39 to mothers who received R. Data on Apgar scores and neonatal complications (perinatal asphyxia, respiratory distress, infection, hyperbilirubinemia, and birth injuries), and average hospital stay were collected. Mann-Whitney U test, chi-square test, and logistic regression analysis were used where appropriate. Results The values of the mean Apgar scores between E and R at 1 and 5 minutes were similar (8.83 vs. 8.97,
    Language English
    Publishing date 2024-03-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.56327
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Treatment of transplant patient for non-transplant surgery

    Švraka Dragan / Đurđević-Švraka Anita / Milanović Slaviša / Rakanović Dragan

    Scripta Medica, Vol 48, Iss 2, Pp 137-

    2017  Volume 140

    Abstract: We present the case of a successfully operated patient with a kidney transplanted due to varicose veins of the right leg. A renal transplantation was performed eight years ago in a regional transplant center and since then, the patient has regularly been ...

    Abstract We present the case of a successfully operated patient with a kidney transplanted due to varicose veins of the right leg. A renal transplantation was performed eight years ago in a regional transplant center and since then, the patient has regularly been under nephrologist controls on immunosuppressive therapy with the proper function of the transplanted organ. The surgical procedure for vascular intervention was performed under spinal anesthesia, without perioperative complications. On the fourth postoperative day, the patient was discharged. The goal of this paper is to describe perioperative assessment and treatment of the patients with a transplanted kidney.
    Keywords organ transplants ; non-transplant surgery ; Medicine ; R
    Language English
    Publishing date 2017-01-01T00:00:00Z
    Publisher Medical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of Medicine
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Impact of biochemical parameters in the assessment of local complications and outcome of acute

    Đurđević-Švraka Anita / Švraka Dragan / Manojović Mirko / Paovica Petra / Rakanović Dragan

    Scripta Medica, Vol 48, Iss 2, Pp 126-

    2017  Volume 130

    Abstract: Introduction: The mortality in severe acute pancreatitis is caused by sepsis and multiple organ failure. The disease is progressing from decade to decade, as shown by numerous international epidemiological reports. The mortality is higher after ... ...

    Abstract Introduction: The mortality in severe acute pancreatitis is caused by sepsis and multiple organ failure. The disease is progressing from decade to decade, as shown by numerous international epidemiological reports. The mortality is higher after complications in addition to local and systemic defects, affecting the following organs: cardiovascular system, respiratory system, kidneys, central nervous system and metabolism in general. Aim of the Study: To determine whether a low-cost and commonly used laboratory parameters (hematocrit and CRP), determined upon the admission of patients with acute pancreatitis in the intensive care unit can be predictors of necrosis of pancreatic tissue in a CT scan of the abdomen, and whether the trend of their values is the predictor of disease outcome. Patients and Methods: This study was performed in patients (n = 61) who were treated for acute pancreatitis in the Intensive Care Unit at the University Clinical Center in Banja Luka, RS, General Hospital in Gradiska and Trebinje Hospital, from October, 2008 to October, 2013. Results: The distribution of age exhibited an effect equal to the percentage of patients in the decade of 51.y.-60.y./ 61.y.-70.y., (20%), that is, equal to the number of patients and in the decade of 31.y.-40.y. and over 71.y. The minimum number of patients who got sick was in the decade 21.y.-30.y. 10% of patients got sick in the decade 41.y.-50.y. The percentage of etiology determined cases was 64% and 36% was undetermined. Regarding the representation of the etiological factors, the most represented was biliary etiology (39%), then 36% of the cases were idiopathic, alcoholism as etiological factor was represented in 23% of cases, and the etiology of post-operative acute pancreatitis in 2%. CRP values on the admission to the ICU, higher than 150, and in accordance with the results of chi-square test, was shown to have been the predictor of the pancreatic tissue necrosis ch2 (1) = 13.97 p = .00.Hct value upon the admission to the ICU, higher or equal to .45, ...
    Keywords acute pancreatitis ; hematocrit ; crp ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2017-01-01T00:00:00Z
    Publisher Medical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of Medicine
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Results of the kidney transplant programme at the University Clinical Centre of the Republic of Srpska from 2010 to 2018

    Grujičić Milorad / Žigić Milan / Maksić Milanko / Hajder Slobodan / Golić Darko / Gašić Branislav / Rakanović Dragan / Vasić Novak / Laganin Nataša / Roljić Zoran / Stajčić Ljubomir / Mišković Mirjana / Mićić-Zrnić Dubravka / Topić Goran / Đajić Vlado

    Scripta Medica, Vol 50, Iss 2, Pp 82-

    2019  Volume 88

    Abstract: Background: Kidney transplantation is the best treatment for patients with end-stage renal disease (ESRD). The aim of the study was to show the results of kidney transplantation performed in the University Clinical Centre of the Republic of Srpska in the ...

    Abstract Background: Kidney transplantation is the best treatment for patients with end-stage renal disease (ESRD). The aim of the study was to show the results of kidney transplantation performed in the University Clinical Centre of the Republic of Srpska in the period 2010-2018. Methods: This was a retrospective, 8-year observational cross-sectional study. Studied endpoints were overall patient survival, as well as graft survival rate in kidney transplant recipients. Recipient's age, gender, induction immunosuppressive therapy, the underlying cause of ESRD, the dialysis modality and post-operative complications (surgical, medical, urinary tract infections, electrolyte imbalance, and graft rejection) and their influence on the patient and graft survival rates were monitored. Results: The 30 living-donor kidney transplantations were performed, 29 living-related donor and one living-unrelated donor renal transplantation. A total of 70% of kidney recipients were male, and 30% were female. The average age of patient was 34.43 ± 8.67 years. Induction immunosuppressive regimen was prescribed to 76.7% of transplanted patients. Graft rejection occurred in 5 patients (16.7%). The 1-year, 3-year, 5-year, and 8-year patients survival rates were 100%, 100%, 96.97% and 93.33%, respectively. The 1-, 3-, 5-, and 8-year graft survival rates were 100%, 96.97%, 93.33% and 86.67%, respectively. The current mean value of glomerular filtration rate (GFR) in 25 patients with functional graft was 81.8 ± 30.3 ml/min. There was a statistically significant difference in the graft survival rate in the group with urinary tract infections (UTIs) (66.66%) compared to a group without UTIs (100%). Overall patient survival was significantly lower in the group with graft rejection (60%) compared to the group without graft rejection (92%). Kidney graft survival rate and overall patient survival have not been significantly different in terms of the studied factors (recipient's age, gender, induction immunosuppressive treatment, underlying cause of ESRD, dialysis modality, surgical or medical complications, and electrolyte imbalance). Conclusion: The results of living-donor kidney transplantation performed in the University Clinical Center of the Republic of Srpska are good in comparison with the results obtained at other centres.
    Keywords kidney transplantation ; living donor ; graft survival rate ; patient survival ; Medicine ; R
    Subject code 610 ; 616
    Language English
    Publishing date 2019-01-01T00:00:00Z
    Publisher Medical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of Medicine
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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