A5026203672- Anesthesia and Pain Management
- Cardiac, Anesthesia and Surgical Outcomes
- Pain Management and Opioid Use
- Anesthesia and Sedative Agents
- Intensive Care Unit Cognitive Disorders
- Bladder and Urothelial Cancer Treatments
- Airway Management and Intubation Techniques
- Nausea and vomiting management
- Spine and Intervertebral Disc Pathology
- Respiratory Support and Mechanisms
- Pediatric Pain Management Techniques
- Music Therapy and Health
- Retinal Diseases and Treatments
- Ocular Diseases and Behçet’s Syndrome
- Intraocular Surgery and Lenses
- Traumatic Ocular and Foreign Body Injuries
- Anesthesia and Neurotoxicity Research
- COVID-19 Clinical Research Studies
- Systemic Lupus Erythematosus Research
- Urological Disorders and Treatments
- Organ Donation and Transplantation
- Tracheal and airway disorders
- Abdominal Surgery and Complications
- Renal cell carcinoma treatment
- Retinal Imaging and Analysis
Military Medical Academy
2015-2024
University of Defence
2016-2024
Military Medical Academy
2007-2023
Intensive Care Foundation
2017
Sportska Akademija Beograd
2016
St James's University Hospital
2005-2011
University Hospital Medical Center Bezanijska kosa
2002-2009
Washington University in St. Louis
2007-2008
University of Patras
2008
University Hospital Center Dr Dragiša Mišović
2007
BACKGROUND Transcranial direct current stimulation (tDCS) is used for various chronic pain conditions, but experience with tDCS acute postoperative limited. This study investigated the effect of vs. sham on morphine consumption and intensity after thoracotomy. METHODS a single center, prospective, randomized, double blind, controlled trial in lung cancer patients undergoing thoracotomy under general anesthesia. All received patient (PCA) intravenous intercostal nerve blocks at end surgery....
Objectives: The objective of this study was to present the construction a neobladder with modified pouch technique using 25–35 cm terminal ileum. Methods: Thirty‐eight patients whose constructed from ileum (short [SP] group) were prospectively evaluated vs 41 50–70 (long group). Pouch volume, post‐void residual (PVR) need for catheterization, continence and voiding frequency at 3 12 months after surgery. Results: SP group had significantly smaller capacity (440 840 mL, P < 0.001) month...
Multiple renal arteries (MRAs) represent a surgical challenge by the difficulty in performing anastomoses, bleeding and stenosis. MRAs should be preserved special attention paid to accessory polar arteries. All (RAs) must reconstructed prepared for safe anastomosis. The paper decribed different techniques of vessel reconstruction during kidney transplantation including important steps within recovery organs, preparation implantation.In 16-year period (1996-2012) Military Medical Academy,...
The quality of postoperative pain management is often poor. A "bundle," a small set evidence-based interventions, associated with improved outcomes in different settings. We assessed whether staff caring for surgical patients could implement "Perioperative Pain Management Bundle" and this would be multidimensional pain-related patient-reported (PROs)."PAIN OUT," perioperative registry, offers tools auditing PROs obtaining information about during the first 24 hours after surgery. Staff from...
Iron deficiency (IDA) and chronic disease (ACD) anemia are complications of inflammatory bowel diseases (IBDs). Therapeutic modalities in remission active IBD depend on the type anemia. This study evaluated link between hepcidin-25, proinflammatory cytokines, platelet activation markers as biomarkers inflammation remission. prospective observational included 62 patients with (49 ulcerative colitis 13 Crohn’s) Patients were divided into Group I (no or minimal endoscopic signs activity IDA),...
Metamizole is a nonsteroidal anti-inflammatory drug, with analgesic, antipyretic, spasmolytic, and weak properties. The analgesic effect of metamizole seems to be based on the inhibition cyclooxygenase enzyme activity stimulation cannabinoid receptors. Its use still controversial, mainly due agranulocytosis, metamizole-induced serious adverse reaction. While in many countries it withdrawn from market, some available as medication prescribed for strictly defined indications, while others like...
The burden of untreated postoperative pain is high.This study assessed feasibility using quality improvement (QI) tools to improve management perioperative in hospitals multiple developing countries.The International Pain Registry and Developing Countries working groups, from the Association for Study (IASP), sponsored project PAIN OUT, a QI research network, coordinated it, provided tools. IASP published call about on its website. Principal investigators (PIs) were responsible implementing...
This study was designed to compare the efficacy of subarachnoid morphine alone or in combination with bupivacaine and fentanyl for combined spinal-epidural analgesia colorectal surgery. is a prospective, randomised, double-blind clinical trial. Sixty patients undergoing low anterior resection were assigned one three groups: morphine, fentanyl, only. Epidural catheter placement injection done via Epistar® needle at L2-3. The epidural used scheduled intraoperative intermittent postoperative...
Introduction. Metastatic renal cell carcinoma (RCC) frequently spreads not only to neighboring lymph nodes, but also distant organs, including the lungs, liver, bones and brain. Case report. We presented three cases of RCC with colon metastasis. In first, 63-year-old patient, after left nephrectomy followed lyphadenectomy in paraaortic node, hemicolectomy was done due metastasis rectosigmoid colon. second, 35-year-old radical two years later partial right nephrectomy, lung metastasectomy,...
Background: Metamizole is a medication with analgesic, antipyretic, spasmolytic, and weak anti-inflammatory effects. The aim of our study was to evaluate six-year trend in the utilization expenditure metamizole comparison other group licensed non-opioid analgesics Serbia Croatia, order rationalize its use prescribing these countries. Methods: data versus all Croatia analyzed according WHO methodology expressed as defined daily doses per 1000 inhabitants day (DDD/1000 inhabitants/per day)...
Background: The primary aim of this study was to compare the efficacy combined spinal-epidural (CSE) analgesia vs. intermittent bolus epidural (EA) for pain relief after major abdominal surgery. secondary assess effects fentanyl addition subarachnoid morphine and bupivacaine. Methods: This a prospective, randomised, double-blind trial; 160 patients scheduled surgery enrolled. All had thoracic catheter administration intra-operative postoperative analgesia. Patients were assigned one four...
Bacground/Aim. The ileal neobladder should be a lowpressure reservoir with acceptable volume and relatively small resorptive surface. A larger inner surface of the pouch is associated high resorption urine metabolites through intestinal mucosa systemic metabolic disturbances, while too results in higher frequency voiding incontinency. aim this study was to investigate it possible create from shorter segment compared standard surgical techniques, reduce complications. Methods. This...
Background: Few studies analyzed the pattern of opioid analgesic utilization in hospital settings. The aim this study was to determine consumption parenteral morphine patients hospitalized Serbian referral teaching and correlate it with at national international level. Methods: In retrospective study, required data were extracted from medical records surgical who received five-year period, 2011 2015. We used Anatomical Therapeutic Chemical Classification/Defined Daily Doses (ATC/DDD) system...
This prospective randomized study aims to evaluate the feasibility and cost-effectiveness of combining transcranial direct current stimulation (tDCS) with patient controlled intravenous morphine analgesia (PCA-IV) as part multimodal after thoracotomy. Patients assigned active treatment group (a-tDCS, n = 27) received tDCS over left primary motor cortex for five days, whereas patients control (sham-tDCS, 28) sham stimulations. All postoperative PCA-IV morphine. For analysis we used data about...