Medicinski arhiv
-
While determining a diagnosis and during a disease follow-up, laboratory, or non-specific inflammatory parameters in particular, platelets reference values, nitrogen matters, and liver enzymes play a significant role because their values may indicate multiple organ failures. ⋯ The results have showed that even in the course ofa bacteraemia, there is a significant increase in the non-specific inflammatory parameters indicating the gravity ofbacteraemia as well, with a constant risk of developing sepsis and septic shock. The importance of running and following-up the laboratory parameters herewith is emphasised for the purpose of detecting sepsis in a timely manner and administering an adequate therapy.
-
Randomized Controlled Trial
Glucosa-Insulin-Potassium (GIK) solution used with diabetic patients provides better recovery after coronary bypass operations.
Tight blood glucose control has become a therapeutical goal for anesthetic management for patients scheduled for cardiac surgery, especially if they are diabetic patients. ⋯ Intraoperative GIK solution given to diabetic patients with CABG operation provides more stable CI, shorter time of MV, more stable values of potassium which provides normal rhythm and less AF onset, less insulin to maintain target glycemia. All the above mentioned provides more stable intraoperative hemodynamic and better recovery of diabetic
-
Randomized Controlled Trial
Propofol results in higher incidence of bronchoconstriction in allergic patients.
Some reports showed allergic reaction to propofol. However, propofol has bronchodilating effect. The purpose of this study was to elucidate whether propofol is safely used for patients with allergy or bronchial asthma. ⋯ Propofol might induce bronchoconstriction with a higher incidence in allergic patients than in non-allergic patients, and than sevoflurane.
-
PhD degree in nursing is a relatively recent phenomenon and there is not enough experience in making the initial studies for the start of such studies. While nursing in the countries of Western Europe, USA, Asia, Canada and New Zealand develop as in the professional as well as in academic direction, our region has failed to catch up with these changes. The past 20 years is characterized by turbulent changes in the development of medical science and in line with these changes developed the idea of PhD studies. ⋯ Doctors in the field of nursing contribute to the development of education, quality assurance, development of scientific research and the advancement of nursing as a profession. Shortage of highly trained nurses and long-term stagnation in scientific research in nursing forced, especially developed countries, to develop doctoral studies in this field and then introduce reforms in nursing, which as the outcome given the improvement in the development of health systems, ways of education and science research in nursing. This article discusses the initial perquisites of the quality system for the development of efficient and high-quality doctoral studies at the health oriented faculties in Bosnia and Herzegovina and the region.
-
Randomized Controlled Trial
Alterations of short-term heart rate variability in periinduction period of general anaesthesia with two intravenous anaesthetics.
Alterations of the parameters of heart rate variability, phenomenon associated with autonomic nervous system balance, have been shown as a possibly very important factor for monitoring of cardiocirculatory system in the perioperative period. Periinduction period of general anaesthesia is very important with significant changes of haemodynamics what could be reflected in the changes of the parameter of heart rate variability. ⋯ The results have shown that in the groups of patients who underwent induction of general anaesthesia with propofol or thiopentone, there have been reductions of the total spectral power and the power of the spectrum of low frequency components and high frequency components with variations in the relationship between the components in the different periods of periinduction time.