Faculty of Medicine

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Author: search.filters.author.Toleska MLanguage: search.filters.language.English

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    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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    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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    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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