Faculty of Medicine

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    The treatment of intracerebellar hemorrhages
    (2005)
    Pangovska I
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    Pangovski I
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    Toleska M
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    Spiroska E
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    Item type:Publication,
    The newest epidemiological and clinical aspects of Sclerosis Multiplex in Macedonia.
    (2005)
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    Arsov M
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    Mihajlovska A
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    Pangovski I
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    Pangovska I
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    Item type:Publication,
    EPINEPHRINE AND DEXAMETHASONE AS ADJUVANS IN SUPRACLAVICULAR BLOCK IN PEDIATRIC PATIENTS: A CASE SERIES
    (Department of Anaesthesia and Reanimation, Faculty of Medicine, “Ss. Cyril and Methodius” University Skopje, R.N.Macedonia, 2021-06)
    Mikjunovikj Derebanova Lj
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    Leshi A
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    Toleska M
    Supraclavicular brachial plexus blocks are not common in pediatric patients due to the risk of pneumothorax, but they are considered to be one of the most effective anesthetic procedures for upper extremity surgeries. Ultrasound-guided approaches increase efficacy of blocks and may reduce the risk of complications associated with injection of large volumes of local anesthetic. Adjuvants are often used with local anesthetics for its synergistic effect by prolonging the duration of sensory-motor block and limiting the cumulative dose requirement of local anesthetics. This paper reports three cases of pediatric patients who received ultrasound-guided supraclavicular brachial plexus block for upper limb surgery while applying different adjuvants (epinephrine and dexamethasone).
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    CARDIAC ARREST IN THE EARLY POSTOPERATIVE PERIOD
    (Department of Anaesthesia and Reanimation, Faculty of Medicine, “Ss. Cyril and Methodius” University Skopje, R.N.Macedonia, 2021-03)
    Burmuzoska M
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    Toleska M
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    Leshi A
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    Grncharevski M
    In-hospital cardiac arrest (IHCA) is determined as acute circulatory loss which requires fast resuscitation with chest compressions and/or defibrillation. Despite that it is a common condition, little research is done in this area, and many data are extracted from out-hospital cardiac arrest guidelines and researches. Perioperative cardiac arrest patients are a subclass of surgical patients who need CPR on the day of surgery. In this article, through a case report about successful reanimation, the in-hospital and perioperative cardiac arrest characteristics are discussed. A young female patient presented with cardiac arrest, 30 minutes after arriving in PACU and acute pulmonary embolism was the most suspected cause of the arrest. She was reanimated for around 30 minutes and she recovered without any neurological impairment. Perioperative cardiac arrest must be distinguished from other cardiac arrests and ACLS guidelines should be targeted according to particular situations. These patients require rapid evaluation and quick management, because usually there is a potentially reversible cause. As quickly as the cause is identified, as much the chances of ROSC are bigger
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    The analgesic effect of ultrasound-guided transversus abdominis plane (TAP) block for open appendectomy
    (Macedonian Association of Anatomists and Morphologists, 2015)
    Toleska M
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    Item type:Publication,
    ERECTOR SPINAE PLANE BLOCK AS ADD ON ANESTHETIC TECHNIQUE TO GENERAL ANESTHESIA FOR CHOLECYSTECTOMY
    (Department of Anesthesia and reanimation, Faculty of Medicine, "Ss.Cyril and Methodius", University Skopje Macedonia, 2020-06)
    Dimitrovski A
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    Toleska M
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    Stefanovski D
    Open cholecystectomy is a surgical procedure which is followed by severe peroperative and postoperative pain. The use of Erector Spine Plane Block (ESPB) as a part of multimodal analgesia in a patient classified as ASA 4, significantly reduced the need for opiates during the operation, as well as in the postoperative period. Erector spinae plane block provides excellent analgesia and cardio circulatory stability during and after the operation. This block can be used as part of multimodal analgesia.
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    Preoperative magnesium sulphate usage as a medical challenge in postoperative pain management.
    (Department of Anesthesia and reanimation, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, Macedonia, 2018-12)
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    Mojsova Miovska M
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    Toleska M
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