prikaz prve stranice dokumenta Etomidate in neuroanesthesia for aneurysmal clipping in child with confirmed allergies to general anesthetics
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Etomidate in neuroanesthesia for aneurysmal clipping in child with confirmed allergies to general anesthetics
Surgical Neurology International, 9 (2018); 200. https://doi.org/doi:10.4103/sni.sni_159_18
Stambolija, Vasilije; Miklić Bublić, Martina; Lozić, Marin; Paladino, Josip; Šcap, Miroslav

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Stambolija, V., Miklić Bublić, M., Lozić, M., Paladino, J. i Šcap, M. (2018). Etomidate in neuroanesthesia for aneurysmal clipping in child with confirmed allergies to general anesthetics. Surgical Neurology International, 9., 200. doi: doi:10.4103/sni.sni_159_18

Stambolija, Vasilije, et al. "Etomidate in neuroanesthesia for aneurysmal clipping in child with confirmed allergies to general anesthetics." Surgical Neurology International, vol. 9, 2018, str. 200. https://doi.org/doi:10.4103/sni.sni_159_18

Stambolija, Vasilije, Martina Miklić Bublić, Marin Lozić, Josip Paladino i Miroslav Šcap. "Etomidate in neuroanesthesia for aneurysmal clipping in child with confirmed allergies to general anesthetics." Surgical Neurology International 9 (2018): 200. https://doi.org/doi:10.4103/sni.sni_159_18

Stambolija, V., et al. (2018) 'Etomidate in neuroanesthesia for aneurysmal clipping in child with confirmed allergies to general anesthetics', Surgical Neurology International, 9, str. 200. doi: doi:10.4103/sni.sni_159_18

Stambolija V, Miklić Bublić M, Lozić M, Paladino J, Šcap M. Etomidate in neuroanesthesia for aneurysmal clipping in child with confirmed allergies to general anesthetics. Surgical Neurology International [Internet]. 03.10.2018. [pristupljeno 04.05.2024.];9:200. doi: doi:10.4103/sni.sni_159_18

V. Stambolija, M. Miklić Bublić, M. Lozić, J. Paladino i M. Šcap, "Etomidate in neuroanesthesia for aneurysmal clipping in child with confirmed allergies to general anesthetics", Surgical Neurology International, vol. 9, str. 200, Listopad 2018. [Online]. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:105:651131. [Citirano: 04.05.2024.]

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Naslov (engleski)Etomidate in neuroanesthesia for aneurysmal clipping in child with confirmed allergies to general anesthetics
AutorVasilije Stambolija
AutorMartina Miklić Bublić
AutorMarin Lozić
AutorJosip Paladino
AutorMiroslav Šcap
Autorova ustanovaSveučilište u Zagrebu
Medicinski fakultet
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Sažetak (engleski)
BACKGROUND: Etomidate may be given in continuous infusion for maintenance of general anesthesia, although that practice is rarely seen due to beliefs that it has possibility of interfering with cortisol synthesis. However, etomidate is sometimes preferable choice as it has least influence on hemodynamics and rarely causes allergic reactions. ----- CASE DESCRIPTION: We describe a case of 13-year-old boy with aneurysm of left middle cerebral artery, planned for aneurysmal clipping, and previously treated for ruptured aneurysm of right middle cerebral artery. As he was tested and proved allergic to most of the anesthetic drugs, and stable hemodynamic conditions were of most importance during planned neurosurgery, general anesthesia was maintained with etomidate infusion. He was prepared with metilprednisolon, antihistaminic, and ranitidine before the surgery. Cortisol and adrenocorticotropic hormone levels were measured on three consecutive postoperative days. Only cortisol value, in the morning the day after the surgery, was below reference range, with the values back to normal until that evening. He was dismissed from the intensive care unit with Glasgow Coma Score 15. ----- CONCLUSION: Etomidate may be a choice for neuroanesthesia in specific group of people. We have good experience with our algorithm for continuous infusion of etomidate, with serum cortisol values in the reference range, if corticosteroids were not given before the surgery. Administration of metilprednisolon may diminish influence of perioperative stress on cortisol synthesis inhibition.
Jezikengleski
Vrsta publikacijeZnanstveni rad - Izvorni znanstveni rad
Status objaveObjavljen
Vrsta recenzijeRecenziran
Verzija publikacijeObjavljena verzija rada (izdavačev PDF)
Naslov časopisaSurgical Neurology International
Brojčani podacivol. 9, str. 200
p-ISSN2152-7806
DOIhttps://doi.org/doi:10.4103/sni.sni_159_18
URN:NBNurn:nbn:hr:105:651131
Datum objave publikacije2018-10-03
URL dokumentahttp://doi.org/10.4103/sni.sni_159_18
Vrsta resursaTekst
Prava pristupaOtvoreni pristup
Uvjeti korištenjaIkona licence Zaštićeno autorskim pravom.
Datum i vrijeme pohrane2024-03-28 10:15:57