TY  - JOUR
AU  - Sabljak, Vera
AU  - Živaljević, Vladan
AU  - Miličić, Biljana
AU  - Paunović, Ivan
AU  - Tosković, Anka R.
AU  - Stevanović, Ksenija
AU  - Taušanović, Katarina
AU  - Marković, Dejan Z.
AU  - Stojanović, Marina
AU  - Lakićević, Mirko
AU  - Jovanović, Milan D.
AU  - Diklić, Aleksandar
AU  - Kalezić, Nevena
PY  - 2017
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/2220
AB  - Objective: To investigate the incidence and identify risk factors for the occurrence of intraoperative hypertension (IOH) during surgery for primary hyperparathyroidism (pHPT). Subjects and Methods: The study included 269 patients surgically treated between January 2008 and January 2012 for pHPT. IOH was defined as an increase in systolic blood pressure >= 20% compared to baseline values which lasted for 15min. The investigated influence were demographic characteristics, surgical risk score related to physical status (based on the American Society of Anesthesiologists [ASA] classification), comorbidities, type and duration of surgery, and duration of anesthesia on IOH occurrence. The investigated factors were obtained from the patients' medical history, anesthesia charts, and the daily practice database. Logistic regression analysis was done to determine the predictors of IOH. Results: Of the 269 patients, 153 (56.9%) had IOH. Based on the univariate analysis, age, body mass index, ASA status, duration of anesthesia, and preoperative hypertension were risk factors for the occurrence of IOH. Multivariate analysis showed that independent predictors of IOH were a history of hypertension (OR = 2.080, 95% CI: 1.102-3.925, p = 0.024) and age (OR = 0.569, 95% CI: 0.360-0.901, p = 0.016). Conclusion: In this study, a high percentage (56%) of the patients developed IOH during surgery for pHPT, which indicates that special attention should be paid to these patients, especially to the high-risk groups: older patients and those with a history of hypertension. Further, this study showed that advanced age and hypertension as a coexisting disease prior to parathyroid surgery were independent risk factors for the occurrence of IOH.
PB  - Karger, Basel
T2  - Medical Principles & Practice
T1  - Risk Factors for Intraoperative Hypertension during Surgery for Primary Hyperparathyroidism
VL  - 26
IS  - 4
SP  - 381
EP  - 386
DO  - 10.1159/000475597
ER  - 

@article{
author = "Sabljak, Vera and Živaljević, Vladan and Miličić, Biljana and Paunović, Ivan and Tosković, Anka R. and Stevanović, Ksenija and Taušanović, Katarina and Marković, Dejan Z. and Stojanović, Marina and Lakićević, Mirko and Jovanović, Milan D. and Diklić, Aleksandar and Kalezić, Nevena",
year = "2017",
abstract = "Objective: To investigate the incidence and identify risk factors for the occurrence of intraoperative hypertension (IOH) during surgery for primary hyperparathyroidism (pHPT). Subjects and Methods: The study included 269 patients surgically treated between January 2008 and January 2012 for pHPT. IOH was defined as an increase in systolic blood pressure >= 20% compared to baseline values which lasted for 15min. The investigated influence were demographic characteristics, surgical risk score related to physical status (based on the American Society of Anesthesiologists [ASA] classification), comorbidities, type and duration of surgery, and duration of anesthesia on IOH occurrence. The investigated factors were obtained from the patients' medical history, anesthesia charts, and the daily practice database. Logistic regression analysis was done to determine the predictors of IOH. Results: Of the 269 patients, 153 (56.9%) had IOH. Based on the univariate analysis, age, body mass index, ASA status, duration of anesthesia, and preoperative hypertension were risk factors for the occurrence of IOH. Multivariate analysis showed that independent predictors of IOH were a history of hypertension (OR = 2.080, 95% CI: 1.102-3.925, p = 0.024) and age (OR = 0.569, 95% CI: 0.360-0.901, p = 0.016). Conclusion: In this study, a high percentage (56%) of the patients developed IOH during surgery for pHPT, which indicates that special attention should be paid to these patients, especially to the high-risk groups: older patients and those with a history of hypertension. Further, this study showed that advanced age and hypertension as a coexisting disease prior to parathyroid surgery were independent risk factors for the occurrence of IOH.",
publisher = "Karger, Basel",
journal = "Medical Principles & Practice",
title = "Risk Factors for Intraoperative Hypertension during Surgery for Primary Hyperparathyroidism",
volume = "26",
number = "4",
pages = "381-386",
doi = "10.1159/000475597"
}

Sabljak, V., Živaljević, V., Miličić, B., Paunović, I., Tosković, A. R., Stevanović, K., Taušanović, K., Marković, D. Z., Stojanović, M., Lakićević, M., Jovanović, M. D., Diklić, A.,& Kalezić, N.. (2017). Risk Factors for Intraoperative Hypertension during Surgery for Primary Hyperparathyroidism. in Medical Principles & Practice
Karger, Basel., 26(4), 381-386.
https://doi.org/10.1159/000475597

Sabljak V, Živaljević V, Miličić B, Paunović I, Tosković AR, Stevanović K, Taušanović K, Marković DZ, Stojanović M, Lakićević M, Jovanović MD, Diklić A, Kalezić N. Risk Factors for Intraoperative Hypertension during Surgery for Primary Hyperparathyroidism. in Medical Principles & Practice. 2017;26(4):381-386.
doi:10.1159/000475597 .

Sabljak, Vera, Živaljević, Vladan, Miličić, Biljana, Paunović, Ivan, Tosković, Anka R., Stevanović, Ksenija, Taušanović, Katarina, Marković, Dejan Z., Stojanović, Marina, Lakićević, Mirko, Jovanović, Milan D., Diklić, Aleksandar, Kalezić, Nevena, "Risk Factors for Intraoperative Hypertension during Surgery for Primary Hyperparathyroidism" in Medical Principles & Practice, 26, no. 4 (2017):381-386,
https://doi.org/10.1159/000475597 . .

TY  - JOUR
AU  - Vasiljević, Slađana
AU  - Miličić, Biljana
AU  - Sabljak, Vera
AU  - Jozić, Irena
AU  - Stojanović, Marina
AU  - Marković, Dejan
PY  - 2014
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/1941
AB  - Background. Procedural sedation is a technique of administering sedatives or dissociative agents with or without analgesics to induce a state of consciousness that allows the patient to tolerate unpleasant procedures while maintaining cardiorespiratory function. Short-acting sedatives, anesthetics and analgesics along with non-invasive monitoring enable safely performing of this technique in a variety of hospital settings and early discharge two hours after procedure. Case report. We present a technique of procedural sedation and analgesia in the outpatient setting for performing esophagogastroduodenoscopy in patient with terminal renal insufficiency who was on dialysis and liver cirrhosis. Conclusion. Procedural sedation and analgesia for esophagogastroduodenoscopy can be safely performed by a combination of fentanyl and propofol, which enables its use in patients with impaired renal and hepatic function. Careful titration of propofol provides a moderate level of sedation and safe and efficient procedure performing.
AB  - Uvod. Proceduralna sedacija predstavlja tehniku primene sedativa i disocijativnih lekova, sa ili bez analgetika, u cilju promene stanja svesti koje bolesniku omogućava da toleriše neprijatne procedure, a da se pri tome ne narušava kardiorespiratorna funkcija. Za izvođenje ove vrste sedacije koriste se sedativi, analgetici i anestetici sa kratkim delovanjem, što uz neinvazivni monitoring, omogućava njeno bezbedno izvođenje u različitim bolničkim uslovima i rani otpust bolesnika, dva sata nakon procedure. Prikaz slučaja. U radu je prikazana tehnika proceduralne sedacije i analgezije u ambulantnim uslovima za izvođenje ezofagogastroduodenoskopije kod bolesnika sa terminalnom bubrežnom insuficijencijom koji je na programu dijalize i cirozom jetre. Zaključak. Proceduralna sedacija i analgezija za ezofagogastroduodenoskopiju se bezbedno izvodi kombinacijom fentanila i propofola, što omogućava njenu primenu i kod bolesnika sa umanjenom funkcijom jetre i bubrega. Pažljiva titracija propofola obezbeđuje umeren nivo sedacije i bezbedno i efikasno izvođenje procedure.
PB  - Udruženje anesteziologa i intenzivista Srbije, Beograd
T2  - Serbian Journal of Anesthesia & Intensive Therapy
T1  - Procedural sedation and analgesia in outpatient with altered liver and renal function
T1  - Proceduralna sedacija i analgezija u ambulantnim uslovima kod bolesnika sa narušenom funkcijom jetre i bubrega
VL  - 36
IS  - 3-4
SP  - 253
EP  - 259
UR  - https://hdl.handle.net/21.15107/rcub_smile_1941
ER  - 

@article{
author = "Vasiljević, Slađana and Miličić, Biljana and Sabljak, Vera and Jozić, Irena and Stojanović, Marina and Marković, Dejan",
year = "2014",
abstract = "Background. Procedural sedation is a technique of administering sedatives or dissociative agents with or without analgesics to induce a state of consciousness that allows the patient to tolerate unpleasant procedures while maintaining cardiorespiratory function. Short-acting sedatives, anesthetics and analgesics along with non-invasive monitoring enable safely performing of this technique in a variety of hospital settings and early discharge two hours after procedure. Case report. We present a technique of procedural sedation and analgesia in the outpatient setting for performing esophagogastroduodenoscopy in patient with terminal renal insufficiency who was on dialysis and liver cirrhosis. Conclusion. Procedural sedation and analgesia for esophagogastroduodenoscopy can be safely performed by a combination of fentanyl and propofol, which enables its use in patients with impaired renal and hepatic function. Careful titration of propofol provides a moderate level of sedation and safe and efficient procedure performing., Uvod. Proceduralna sedacija predstavlja tehniku primene sedativa i disocijativnih lekova, sa ili bez analgetika, u cilju promene stanja svesti koje bolesniku omogućava da toleriše neprijatne procedure, a da se pri tome ne narušava kardiorespiratorna funkcija. Za izvođenje ove vrste sedacije koriste se sedativi, analgetici i anestetici sa kratkim delovanjem, što uz neinvazivni monitoring, omogućava njeno bezbedno izvođenje u različitim bolničkim uslovima i rani otpust bolesnika, dva sata nakon procedure. Prikaz slučaja. U radu je prikazana tehnika proceduralne sedacije i analgezije u ambulantnim uslovima za izvođenje ezofagogastroduodenoskopije kod bolesnika sa terminalnom bubrežnom insuficijencijom koji je na programu dijalize i cirozom jetre. Zaključak. Proceduralna sedacija i analgezija za ezofagogastroduodenoskopiju se bezbedno izvodi kombinacijom fentanila i propofola, što omogućava njenu primenu i kod bolesnika sa umanjenom funkcijom jetre i bubrega. Pažljiva titracija propofola obezbeđuje umeren nivo sedacije i bezbedno i efikasno izvođenje procedure.",
publisher = "Udruženje anesteziologa i intenzivista Srbije, Beograd",
journal = "Serbian Journal of Anesthesia & Intensive Therapy",
title = "Procedural sedation and analgesia in outpatient with altered liver and renal function, Proceduralna sedacija i analgezija u ambulantnim uslovima kod bolesnika sa narušenom funkcijom jetre i bubrega",
volume = "36",
number = "3-4",
pages = "253-259",
url = "https://hdl.handle.net/21.15107/rcub_smile_1941"
}

Vasiljević, S., Miličić, B., Sabljak, V., Jozić, I., Stojanović, M.,& Marković, D.. (2014). Procedural sedation and analgesia in outpatient with altered liver and renal function. in Serbian Journal of Anesthesia & Intensive Therapy
Udruženje anesteziologa i intenzivista Srbije, Beograd., 36(3-4), 253-259.
https://hdl.handle.net/21.15107/rcub_smile_1941

Vasiljević S, Miličić B, Sabljak V, Jozić I, Stojanović M, Marković D. Procedural sedation and analgesia in outpatient with altered liver and renal function. in Serbian Journal of Anesthesia & Intensive Therapy. 2014;36(3-4):253-259.
https://hdl.handle.net/21.15107/rcub_smile_1941 .

Vasiljević, Slađana, Miličić, Biljana, Sabljak, Vera, Jozić, Irena, Stojanović, Marina, Marković, Dejan, "Procedural sedation and analgesia in outpatient with altered liver and renal function" in Serbian Journal of Anesthesia & Intensive Therapy, 36, no. 3-4 (2014):253-259,
https://hdl.handle.net/21.15107/rcub_smile_1941 .

TY  - JOUR
AU  - Kalezić, Nevena
AU  - Stojanović, Marina
AU  - Miličić, Biljana
AU  - Antonijević, Vesna
AU  - Sabljak, Vera
AU  - Marković, Dejan
AU  - Živaljević, Vladan
PY  - 2013
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/1851
AB  - We studied the influence of demographic characteristics, comorbidity, and type and duration of surgery and anesthesia on the occurrence of intraoperative hypertension (IOHTA). Logistic regression analyses were used in order to determine the predictors of occurrence of IOHTA. More than 60% of our patients had IOHTA. Multivariate analysis showed that independent predictors for IOHTA were older age, BMI > 25 kg/m(2), and hypertension as a coexisting disease. Hypertension is common during thyroid surgery, and a significant number of patients remained hypertensive during the postoperative period.
PB  - Taylor & Francis Inc, Philadelphia
T2  - Clinical & Experimental Hypertension
T1  - The Incidence of Intraoperative Hypertension and Risk Factors for its Development during Thyroid Surgery
VL  - 35
IS  - 7
SP  - 523
EP  - 527
DO  - 10.3109/10641963.2012.758735
ER  - 

@article{
author = "Kalezić, Nevena and Stojanović, Marina and Miličić, Biljana and Antonijević, Vesna and Sabljak, Vera and Marković, Dejan and Živaljević, Vladan",
year = "2013",
abstract = "We studied the influence of demographic characteristics, comorbidity, and type and duration of surgery and anesthesia on the occurrence of intraoperative hypertension (IOHTA). Logistic regression analyses were used in order to determine the predictors of occurrence of IOHTA. More than 60% of our patients had IOHTA. Multivariate analysis showed that independent predictors for IOHTA were older age, BMI > 25 kg/m(2), and hypertension as a coexisting disease. Hypertension is common during thyroid surgery, and a significant number of patients remained hypertensive during the postoperative period.",
publisher = "Taylor & Francis Inc, Philadelphia",
journal = "Clinical & Experimental Hypertension",
title = "The Incidence of Intraoperative Hypertension and Risk Factors for its Development during Thyroid Surgery",
volume = "35",
number = "7",
pages = "523-527",
doi = "10.3109/10641963.2012.758735"
}

Kalezić, N., Stojanović, M., Miličić, B., Antonijević, V., Sabljak, V., Marković, D.,& Živaljević, V.. (2013). The Incidence of Intraoperative Hypertension and Risk Factors for its Development during Thyroid Surgery. in Clinical & Experimental Hypertension
Taylor & Francis Inc, Philadelphia., 35(7), 523-527.
https://doi.org/10.3109/10641963.2012.758735

Kalezić N, Stojanović M, Miličić B, Antonijević V, Sabljak V, Marković D, Živaljević V. The Incidence of Intraoperative Hypertension and Risk Factors for its Development during Thyroid Surgery. in Clinical & Experimental Hypertension. 2013;35(7):523-527.
doi:10.3109/10641963.2012.758735 .

Kalezić, Nevena, Stojanović, Marina, Miličić, Biljana, Antonijević, Vesna, Sabljak, Vera, Marković, Dejan, Živaljević, Vladan, "The Incidence of Intraoperative Hypertension and Risk Factors for its Development during Thyroid Surgery" in Clinical & Experimental Hypertension, 35, no. 7 (2013):523-527,
https://doi.org/10.3109/10641963.2012.758735 . .