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Serbian Journal of Anesthesia and Intensive Therapy
ISSN 2466-488X · Serbian Society of Anesthesiologists and Intensivists · 139 artikel di indeks
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Intrathecal pentazocine and fentanyl as adjuvant to bupivacaine in subarachnoid block for abdominal hysterectomy: A randomized, double blinded, controlled, prospective study (comparison of pentazocine and fentanyl as adjuvants for spinal anesthesia)
Introduction: Pentazocine has been used as only anesthetic for subarachnoid block in various infraumbilical surgeries but the role of pentazocine as an additive to local anesthetic in subarachnoid block has not been adequately evaluated. The study aims to compare the effect of pentazocine with…
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A comparative study to evaluate two different doses of epidural tramadol for postoperative analgesia in patients undergoing upper abdominal surgery (epidural analgesia)
Introduction: In upper abdominal surgery, postoperative pain relief is the most challenging for anesthesiologist. Among multiple strategies, epidural analgesia using local anesthetics, opioids, or their combination, is popular technique for effective postoperative pain management. The aim of our…
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Efficacy and safety of intranasal midazolam, S-ketamine, and dexmedetomidine as premedication for pediatric tonsillectomy: A comparative study (premedication in pediatric tonsillectomy study)
Introduction: More than 50% of children experience significant preoperative anxiety, which adversely affects anesthetic management and postoperative behavior. Premedication in pediatric patients should facilitate parental separation, venous cannulation, and smooth induction, while minimizing…
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Effect of pericapsular nerve group block in patients with hip fracture for spinal anaesthesia positioning: a randomized controlled study: PENG block for spinal anaesthesia positioning
Introduction: Severe pain sometimes makes it difficult to position the patients with hip fractures for spinal anaesthesia, which might impede cooperation and lengthen the process. Recently, the pericapsular nerve group (PENG) block has gained recognition as a potentially effective regional…
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Comprehensive analysis of microbiological surveillance at the clinic for anesthesia and intensive therapy in Nis: A three year follow up: Three-Year Microbiological Report from the Clinic for Anesthesia in Nis
Introduction: Intensive care units (ICUs) represent essential components of modern hospital systems dedicated to the management of critically ill patients. Frequent use of broad-spectrum antibiotics in ICUs and prolonged hospitalization contribute to the emergence and spread of multidrug-resistant…
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A randomized double-blind study to compare the effect of speed of injection (15 seconds versus 60 seconds) of 0.5% heavy bupivacaine on quality of block and haemodynamic parameters in infraumbilical surgery under Spinal anaesthesia: Impact of injection speed on quality of block and haemodynamic parameters under Spinal anaesthesia
Introduction: Injection speed during spinal anaesthesia may influence cerebrospinal fluid dynamics, potentially affecting block characteristics and haemodynamic outcomes. However, literature on these parameters remains inconclusive. This study was planned to evaluate the impact of intrathecal…
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Comparison of caudal clonidine versus caudal Dexmedetomidine with bupivacaine for prolongation of postoperative analgesia in children undergoing infra-umbilical surgeries (Caudal analgesia)
Introduction: Caudal analgesia is considered a safe, simple and common procedure in children. As bupivacaine alone has short duration of action, addition of clonidine and dexmedetomidine has been shown to increase the duration of caudal analgesia. We aimed to evaluate caudal clonidine and caudal…
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A case of gas gangrene with fatal outcome (gas gangrene: A case report)
Introduction: The clinical course of gas gangrene is often rapidly progressive, with a fatal outcome in up to 80% of treated cases. The disease is most commonly a consequence of trauma or surgical interventions. The causative agents are bacteria of the genus Clostridium. Tissue changes are induced…
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Anesthesiological aspects of tourniquet use in orthopedic surgery: Advantages and disadvantages
A pneumatic cuff or tourniquet is a standard part of the operative procedure in orthopaedic surgery. Its role is to provide a bloodless surgical field, facilitate the surgeon's work, improve the visualisation and identification of anatomical structures, and reduce blood loss. Non-pneumatic and…
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The use of local anesthesia and nerve blocks for scrotal and penile surgery: Local anaesthesia for scrotal and penile surgery
Local anaesthetics are widely used for penile and genital surgery, with techniques tailored to the specific nerve supply and dermatomal distribution of the genitalia. For penile and genital surgery, local infiltration (ring block), dorsal penile nerve block, and pudendal nerve block are the most…
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Intraoperative challenges of preoperatively prepared patient with pheochromocitoma: Case report (unpredictable pheochromocitoma)
Introduction: Pheochromocytoma is a rare neuroendocrine tumor of the adrenal medulla that secretes catecholamines. Surgical treatment of pheochromocytoma remains a challenge for all clinicians, particularly anesthesiologists. The complexity of managing adrenal medullary tumors lies in the necessity…
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Practical aspects of perioperative fluid therapy in pediatric patients
The specifics of children's age, the requirements during surgical intervention and the postoperative course affect the goals of perioperative fluid therapy. The dilemmas in these circumstances include when to administer intravenous fluid, which solution to choose, how much fluid to administer, and…
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A retrospective clinical audit: Use of abbreviations in written informed consent of anaesthesia for elective oncosurgeries
Consent form, an important legal document, is proof of communication between patient and doctor. The consent is an important process to be followed before procedure. We observed abbreviations in the anaesthesia consent forms which may result in improper understanding and communication when…
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Effect of nasal oxygen supplementation on safe apnea time during induction of general anaesthesia: A randomised controlled trial: Perioxygenation and safe apnea time
Objective: Apneic oxygenation increases safe apnea time and helps to secure the airway seamlessly, enhancing patient safety. Aim of this study was to determine safe apnea time achieved by perioxygenation including supplemental oxygen flow of five l/min through a nasal cannula compared to standard…
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Comparative evaluation of ultrasound-guided adductor canal block using levobupivacaine with or without fentanyl for postoperative analgesia in arthroscopic knee surgery: A randomized controlled trial: Levobupivacaine with fentanyl in ACB
Introduction: Postoperative pain following knee surgery is often severe and may delay rehabilitation. This study evaluated the safety and efficacy of adding fentanyl to levobupivacaine in ultrasound guided adductor canal block (ACB). Methods: One hundred patients scheduled for arthroscopic knee…
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Continuous epidural infusion of large concentration with small volume versus small concentration with large volume of levobupivacaine for postoperative analgesia after laparotomy: Effect of epidural levobupivacaine small versus large volume
Introduction: Epidural analgesia after abdominal surgery is most effective mode of postoperative pain relief. Relative effects of the volume and concentration of local anaesthetic used for epidural analgesia are still under debate. We compared postoperative analgesic efficacy and adverse effects…
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Revolutionizing perioperative medicine: Technological advancements for enhanced recovery
Enhanced Recovery After Surgery (ERAS) is a multimodal, evidence-based approach designed to minimize surgical stress, accelerate recovery, and improve patient outcomes. Recent technological advancements have transformed ERAS protocols by integrating robotic-assisted surgery, artificial intelligence…
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Comparison between intrathecal fentanyl and dexmedetomidine as an adjuvant to hyperbaric 0.5% levobupivacaine in subarachnoid block for cesarean section: A prospective study
The effect of dexmedetomidine and fentanyl as an adjuvant with hyperbaric levobupivacaine in cesarean section has not been evaluated adequately by researchers until now. The present study is designed to compare the effect of 5 mcg of dexmedetomidine and 25 mcg fentanyl when added to intrathecal…
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Epidural labour analgesia: A review (labour epidural)
Labour pain is one of the most severe pains with significant physiological and psychological consequences. Timely labour analgesia has considerable foeto-maternal benefits. There are many pharmacological and non-pharmacological techniques for ensuring labour analgesia. In the group of…