Prilozi / Makedonska akademija na naukite i umetnostite, Oddelenie za biološki i medicinski nauki = Contributions / Macedonian Academy of Sciences and Arts, Section of Biological and Medical Sciences
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Randomized Controlled Trial Comparative Study
Continuous femoral nerve block versus fascia iliaca compartment block as postoperative analgesia in patients with hip fracture.
Systemic postoperative analgesia is inefficient in most patients with hip fracture, which is the reason for pain, especially during leg movement. Peripheral and plexus nerve blocks are an efficient option for postoperative pain relief. The aim of this study was to compare the effect and duration of continuous FNB versus a single FIC block as a postoperative analgesia in patients with hip fracture. ⋯ Pain relief in the postoperative period was superior in the FNB group versus the FIC group at rest and in movement in patients with hip fracture.
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The aim of the study was to determine the predicting tests for difficult airway and difficult intubation in apparently normal patients. ⋯ We used only two criteria for describing both the visibility of the oropharyngeal structures and the quality of the laryngeal view. The effective and reliable prediction requires a combination of several parameters (BMI, head and neck movement, dentition status, upper lip bite test, interincisor gap and thyromental distance).
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(Full text is available at http://www.manu.edu.mk/prilozi). The Macedonian Society of Nephrology, Dialysis, Transplantation and Artificial Organs (MSNDTVO) held its Fourth Congress with international participation from 21 to 24 June 2012, in Ohrid, Republic of Macedonia. The European Renal Association - European Dialysis and Transplantation Association (ERA-EDTA) was a patron of this congress with support in the form of a one-day course for Continuing Medical Education (CME) and with a number of topics presented from members of the group for development of recommendations (European Renal Best Practice - ERBP group). ⋯ The Congress was rated by all delegates and lecturers to be on a high scientific level and well organized. Of particular importance is also the fact that, after many years, all presidents of the national nephrology associations and nephrologists from the Balkans and beyond were gathered together, which enabled an exchange of experience and achievements, but also the possibility of considering an actual dimension of the achieved level of implementation of particular guidelines in the respective countries, as a special incentive for further development where it is really needed. The Fourth Congress of MSNDTAO was successful in scientific terms, but also showed the good-will for regional cooperation and friendship for the generations of nephrologists from the wider Balkan region, showing that despite political turbulences, nephrologists remain doctors without borders and prejudices.
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The aim of this study is to show the importance of ultrasound method in the diagnosis of Achilles tendon rupture, the choice of method of treatment and monitoring of treatment using the same method. ⋯ Ultrasound examination is a very important method in the diagnosis and the choice of the method of treatment, as well as in the evaluation of results in patients with Achilles tendon rupture, either in operative or conservative treatment.
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The aim of the study is to determine the influence of remifentanil and remifentanil-plus-sevoflurane-induced anaesthesia on mean arterial pressure and heart-rate during controlled hypotension in children and to evaluate the quality of the operative field. ⋯ Demographic analyses showed that 13 of the patients were female, 17 of them were male, with an age-range of 4.75±3.2 years in the R group of patients and 3.5±4.1 in the R+S group of patients. Duration of hypotension was 135±4 minutes (R) and 120±3 minutes (R+S). Duration of anaesthesia was 160±10 minutes (R) and 140±9 minutes (R+S). The duration of surgery was 150±5 minutes (R) and 130±4 minutes (R+S). The time to reach hypotensive level was shorter in R+S group (5±1 minutes) than R group (7±6 minutes). There was no statistically significant difference in MAP values measured at T1, T2, T3 and T4 time intervals between the two groups of patients (R and R+S group). We achieved hypotensive anaesthesia levels of MAP in both group of patients. The influence of anesthesia on HR was analysed at the same time intervals. In T2 time interval (30 minutes after the induction of anaesthesia), HR values in R group patients were statistically significantly higher than referent hypotensive values in the R+S group of patients (70-80 bpm). We could see the same result of HR values at T3 and T4 time intervals (90 and 120 minutes after the induction) in R group patients compared with HR values in the R+S group. We achieved a hypotensive level of HR (70-80 bpm) only at R+S group of patients, which means that remifentanil in combination with sevoflurane is an excellent combination for maintaining hypotension during general anaesthesia. The lowest hypotensive level of HR was measured 120 minutes after the induction of anaesthesia in the R+S group of patients (69 bpm). Remifentanil and remifentanil in combination with sevoflurane are effective in inducing consistent and sustained controlled hypotension in children undergoing middle ear microsurgery.