TY  - JOUR
AU  - Ivošević, Tjasa
AU  - Miličić, Biljana
AU  - Dimitrijević, Milovan
AU  - Ivanović, Branislava
AU  - Pavlović, Aleksandar
AU  - Stojanović, Marina
AU  - Lakicević, Mirko
AU  - Stevanović, Ksenija
AU  - Kalezić, Nevena
PY  - 2018
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/2307
AB  - Intraoperative bradycardia (IOB) is one of the most common cardiac arrhythmias observed in clinical anaesthetic practice. Controlled hypotension, as a strategy of lowering patient's blood pressure during anesthesia has been practiced for decades in head and neck surgery. The aim of our study was to determine the incidence and the risk factors for intraoperative bradycardia in maxillofacial, ear, nose and throat surgery, as well as to determine whether controlled hypotension affects the occurrence of IOB. The retrospective study included 2304 patients who underwent maxillofacial, ear, nose or throat surgery. We studied the influence of: sex, age, comorbidity, type of surgery, duration of anesthesia and controlled hypotension on the occurrence of IOB. IOB was registered in 473 patients (20.5%). Patients with controlled hypotension had IOB significantly more often than patients without controlled hypotension (33.9 vs 15.1%) (p = 0.000). The significant predictors of IOB were: age (OR = 1.158; 95% CI = 1.068-1.256; p = 0.000), sex (OR = 0.786; 95% CI = 0.623-0.993; p = 0.043), ischemic heart disease (OR = 2.016; 95% CI = 1.182-3.441; p = 0.010); ear surgery (OR = 1.593; 95% CI = 1.232-2.060; p = 0.000), anesthesia duration, (OR = 1.006; 95% CI = 1.004-1.007; p = 0.000) and controlled hypotension (OR = 2.204; 95% CI = 1.761-2.758; p = 0.000). IOB is common in maxillofacial, ear, nose and throat surgery, particularly in male, older age and patients with ishemic heart disease. The ear surgery, longer anesthesia duration and controlled hypotension raise the risk for occurrence of IOB.
PB  - Springer, New York
T2  - European Archives of Oto-Rhino-Laryngology
T1  - Risk factors for intraoperative bradycardia during ear, nose, throat and maxillofacial surgery
VL  - 275
IS  - 2
SP  - 579
EP  - 586
DO  - 10.1007/s00405-017-4837-8
ER  - 

@article{
author = "Ivošević, Tjasa and Miličić, Biljana and Dimitrijević, Milovan and Ivanović, Branislava and Pavlović, Aleksandar and Stojanović, Marina and Lakicević, Mirko and Stevanović, Ksenija and Kalezić, Nevena",
year = "2018",
abstract = "Intraoperative bradycardia (IOB) is one of the most common cardiac arrhythmias observed in clinical anaesthetic practice. Controlled hypotension, as a strategy of lowering patient's blood pressure during anesthesia has been practiced for decades in head and neck surgery. The aim of our study was to determine the incidence and the risk factors for intraoperative bradycardia in maxillofacial, ear, nose and throat surgery, as well as to determine whether controlled hypotension affects the occurrence of IOB. The retrospective study included 2304 patients who underwent maxillofacial, ear, nose or throat surgery. We studied the influence of: sex, age, comorbidity, type of surgery, duration of anesthesia and controlled hypotension on the occurrence of IOB. IOB was registered in 473 patients (20.5%). Patients with controlled hypotension had IOB significantly more often than patients without controlled hypotension (33.9 vs 15.1%) (p = 0.000). The significant predictors of IOB were: age (OR = 1.158; 95% CI = 1.068-1.256; p = 0.000), sex (OR = 0.786; 95% CI = 0.623-0.993; p = 0.043), ischemic heart disease (OR = 2.016; 95% CI = 1.182-3.441; p = 0.010); ear surgery (OR = 1.593; 95% CI = 1.232-2.060; p = 0.000), anesthesia duration, (OR = 1.006; 95% CI = 1.004-1.007; p = 0.000) and controlled hypotension (OR = 2.204; 95% CI = 1.761-2.758; p = 0.000). IOB is common in maxillofacial, ear, nose and throat surgery, particularly in male, older age and patients with ishemic heart disease. The ear surgery, longer anesthesia duration and controlled hypotension raise the risk for occurrence of IOB.",
publisher = "Springer, New York",
journal = "European Archives of Oto-Rhino-Laryngology",
title = "Risk factors for intraoperative bradycardia during ear, nose, throat and maxillofacial surgery",
volume = "275",
number = "2",
pages = "579-586",
doi = "10.1007/s00405-017-4837-8"
}

Ivošević, T., Miličić, B., Dimitrijević, M., Ivanović, B., Pavlović, A., Stojanović, M., Lakicević, M., Stevanović, K.,& Kalezić, N.. (2018). Risk factors for intraoperative bradycardia during ear, nose, throat and maxillofacial surgery. in European Archives of Oto-Rhino-Laryngology
Springer, New York., 275(2), 579-586.
https://doi.org/10.1007/s00405-017-4837-8

Ivošević T, Miličić B, Dimitrijević M, Ivanović B, Pavlović A, Stojanović M, Lakicević M, Stevanović K, Kalezić N. Risk factors for intraoperative bradycardia during ear, nose, throat and maxillofacial surgery. in European Archives of Oto-Rhino-Laryngology. 2018;275(2):579-586.
doi:10.1007/s00405-017-4837-8 .

Ivošević, Tjasa, Miličić, Biljana, Dimitrijević, Milovan, Ivanović, Branislava, Pavlović, Aleksandar, Stojanović, Marina, Lakicević, Mirko, Stevanović, Ksenija, Kalezić, Nevena, "Risk factors for intraoperative bradycardia during ear, nose, throat and maxillofacial surgery" in European Archives of Oto-Rhino-Laryngology, 275, no. 2 (2018):579-586,
https://doi.org/10.1007/s00405-017-4837-8 . .

TY  - JOUR
AU  - Tripković, Slađana
AU  - Pavlović, Aleksandar
AU  - Bumbaširević, Vesna
AU  - Sekulić, Ana
AU  - Miličić, Biljana
PY  - 2014
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/1959
AB  - Introduction In relation to pre-hospital treatment of patients with cardiac arrest (CA) in the field where resuscitation is often started by nonprofessionals, resuscitation in hospital is most commonly performed by well-trained personnel. Objective The aim was to define the factors associated with an improved outcome among patients suffering from the in hospital CA (INCA). Methods The prospective study included a total of 100 patients in the Emergency Center over two-year period. The patterns by the Utstein-Style guidelines recorded the following: age, sex, reason for hospital admission, comorbidity, cause and origin of CA, continuous monitoring, time of arrival of the medical emergency team and time of delivery of the first defibrillation shock (DC). Results Most patients (61%) had cardiac etiology. Return of spontaneous circulation (ROSC) was achieved in 58% of patients. ROSC was more frequently achieved in younger patients (57.69 +/- 11.37), (p lt 0.05), non-surgical patients (76.1%), (p lt 0.01) and in patients who were in continuous monitoring (66.7%) (p lt 0.05).The outcome of CPR was significantly better in patients who received advanced life support (ALS) (76.6%) (p lt 0.01).Time until the delivery of the first DC shock was significantly shorter in patients who achieved ROSC (1.67 +/- 1.13 min), (p lt 0.01). A total of 5% of IHCA patients survived to hospital discharge. Conclusion In our study, the outcome of CPR was better in patients who were younger and with non-surgical diseases, which are prognostic factors that we cannot control. Factors associated with better outcome of IHCA patients were: continuous monitoring, shorter time until the delivery of the first DC and ALS. This means that better education of medical staff, better organization and up-to-dated technical equipment are needed.
PB  - Srpsko lekarsko društvo, Beograd
T2  - Srpski arhiv za celokupno lekarstvo
T1  - Outcome among Patients Suffering from In-Hospital Cardiac Arrest
VL  - 142
IS  - 3-4
SP  - 170
EP  - 177
DO  - 10.2298/SARH1404170T
ER  - 

@article{
author = "Tripković, Slađana and Pavlović, Aleksandar and Bumbaširević, Vesna and Sekulić, Ana and Miličić, Biljana",
year = "2014",
abstract = "Introduction In relation to pre-hospital treatment of patients with cardiac arrest (CA) in the field where resuscitation is often started by nonprofessionals, resuscitation in hospital is most commonly performed by well-trained personnel. Objective The aim was to define the factors associated with an improved outcome among patients suffering from the in hospital CA (INCA). Methods The prospective study included a total of 100 patients in the Emergency Center over two-year period. The patterns by the Utstein-Style guidelines recorded the following: age, sex, reason for hospital admission, comorbidity, cause and origin of CA, continuous monitoring, time of arrival of the medical emergency team and time of delivery of the first defibrillation shock (DC). Results Most patients (61%) had cardiac etiology. Return of spontaneous circulation (ROSC) was achieved in 58% of patients. ROSC was more frequently achieved in younger patients (57.69 +/- 11.37), (p lt 0.05), non-surgical patients (76.1%), (p lt 0.01) and in patients who were in continuous monitoring (66.7%) (p lt 0.05).The outcome of CPR was significantly better in patients who received advanced life support (ALS) (76.6%) (p lt 0.01).Time until the delivery of the first DC shock was significantly shorter in patients who achieved ROSC (1.67 +/- 1.13 min), (p lt 0.01). A total of 5% of IHCA patients survived to hospital discharge. Conclusion In our study, the outcome of CPR was better in patients who were younger and with non-surgical diseases, which are prognostic factors that we cannot control. Factors associated with better outcome of IHCA patients were: continuous monitoring, shorter time until the delivery of the first DC and ALS. This means that better education of medical staff, better organization and up-to-dated technical equipment are needed.",
publisher = "Srpsko lekarsko društvo, Beograd",
journal = "Srpski arhiv za celokupno lekarstvo",
title = "Outcome among Patients Suffering from In-Hospital Cardiac Arrest",
volume = "142",
number = "3-4",
pages = "170-177",
doi = "10.2298/SARH1404170T"
}

Tripković, S., Pavlović, A., Bumbaširević, V., Sekulić, A.,& Miličić, B.. (2014). Outcome among Patients Suffering from In-Hospital Cardiac Arrest. in Srpski arhiv za celokupno lekarstvo
Srpsko lekarsko društvo, Beograd., 142(3-4), 170-177.
https://doi.org/10.2298/SARH1404170T

Tripković S, Pavlović A, Bumbaširević V, Sekulić A, Miličić B. Outcome among Patients Suffering from In-Hospital Cardiac Arrest. in Srpski arhiv za celokupno lekarstvo. 2014;142(3-4):170-177.
doi:10.2298/SARH1404170T .

Tripković, Slađana, Pavlović, Aleksandar, Bumbaširević, Vesna, Sekulić, Ana, Miličić, Biljana, "Outcome among Patients Suffering from In-Hospital Cardiac Arrest" in Srpski arhiv za celokupno lekarstvo, 142, no. 3-4 (2014):170-177,
https://doi.org/10.2298/SARH1404170T . .