Shirgoska, Biljana
Preferred name
Shirgoska, Biljana
Official Name
Shirgoska, Biljana
Translated Name
Ширгоска Билјана
Alternative Name
Билјана Ширгоска
Б. Ширгоска
Ширгоска Б.
Biljana Shirgoska
B. Shirgoska
Biljana Sirgoska
B. Sirgoska
Email
bshirgoska@yahoo.com
23 results
Now showing 1 - 10 of 23
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Item type:Publication, Level of nitric oxide in hypertensive patients scheduled on general anaesthesia(Macedonian Academy of Sciences and Arts, 2005-08); ;Trajkovska, T ;Soljakova, M ;Simjanovska, LIsijanovska, RIn this prospective study we have analysed the level of nitric oxide in hypertensive patients scheduled for general anaesthesia. In the study were included thirty-four patients with chronicle inflammatory disease of the middle ear who have undergone surgical treatment at the Clinic for Ear, Nose and Throat Surgery. The aim of our study was to determine the plasma level of nitric oxide (NO) and its effects on the circulatory system in hypertensive patients during the general anaesthesia maintained with inhalation of oxygen and nitrous oxide (O2/N2O) mixture. Patients were divided in two groups. During the maintenance of general anaesthesia the patients from the first group were ventilated with O2/N2O, while patients from the second group were ventilated with oxygen and air (O2/air) mixture. The other principles during the general anaesthesia were equal for both groups. For determination of the NO plasma levels we have used the enzymatic method according to Conrad et al., 1993. Our results showed that there is a statistically significant difference of NO plasma level between the two groups. The level of NO was higher in the first group (ventilated with O2/N2O) compared to the second group (ventilated with O/air). The mean arterial pressure and systemic vascular resistance were significantly decreased in the first group, as well. Our results suggest that nitrous oxide (N2O) most probably plays the role of NO donor in hypertensive patients during the maintenance of the general anaesthesia with N2O/O2 mixture. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The three revolutions in airway management = letter to the editor(Department of Anaesthesia and Reanimation Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, R N. Macedonia, 2023) - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The influence of remifentanil and remifentanil-plus-sevoflurane-controlled hypotension on mean arterial pressure and heart rate in children(2012); ; 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. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Comparative analysis of effect of metoprolol and remifentanyl on mean arterial pressure in general anaesthesia(Medical faculty, Ss Cyril and Methodius University in Skopje, 2017) ;Kraleva, Silvana - Some of the metrics are blocked by yourconsent settings
Item type:Publication, - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Fungal rhinosinusitis(2012); Fungi are a major part of the ecosystem. In fact, over 250 fungal species have been reported to produce human infections. More than ever, fungal diseases have emerged as major challenges for physicians and clinical microbiologists. The aim of this study was to summarize the diagnostic procedures and endoscopic surgical treatment of patients with fungal rhinosinusitis. Eleven patients, i.e. 10% of all cases with chronic inflammation of paranasal sinuses, were diagnosed with fungal rhinosinusitis. Ten of them were patients with a noninvasive form, fungus ball, while only one patient was classified in the group of chronic invasive fungal rhinosinusitis which was accompanied with diabetes mellitus. All patients underwent nasal endoscopic examination, skin allergy test and had preoperative computed tomography (CT) scans of the sinuses in axial and coronal plane. Functional endoscopic sinus surgery was performed in 10 patients with fungus ball, while a combined approach, endoscopic and external, was done in the immunocompromised patient with the chronic invasive form of fungal rhinosinusitis. Most cases (9/11) had unilateral infection. In 9 cases infection was restricted to a single sinus, and here the maxillary sinus was most commonly affected (8/9) with infections in other patients being restricted to the sphenoid sinus (1/9). Two patients had infections affecting two or more sinuses. In patients with an invasive form of the fungal disease there was involvement of the periorbital and orbital tissues. In patients with fungus ball the mycelia masses were completely removed from the sinus cavities. Long-term outcome was positive in all the operated patients and no recurrence was detected. The most frequent fungal agent that caused rhinosinusitis was Aspergillus. Mucor was identified in the patient with the invasive form. Endoscopic examination of the nasal cavity and CT scanning of paranasal sinuses followed by endoscopic sinus surgery were represented as valuable diagnostic and therapeutic procedures for fungal rhinosinusitis. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Улогата на интраназалните кортикостероиди во лекување на алергискиот ринитис(Здружение на офталмолози на Македонија = Macedonian Association of Ophthalmologists, 2015); - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Comparative effect of isoflurane and sevoflurane on plasma level of NO(Ovid Technologies (Wolters Kluwer Health), 2006-06) - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Kорелација помеѓу средниот артериски притисок (МАР) и мозочната сатурација (rSO2) кај пациенти подложени на хипотензивна општа анестезија при септо- и ринопластика(Scientific Foundation SPIROSKI, 2019-04-06) ;Kraleva, Silvana; ;Trajkova, RadmilaKlisevska Ilcevska, Ivana<jats:p>Хипотензивната Ð°Ð½ÐµÑ Ñ‚ÐµÐ·Ð¸Ñ˜Ð° е таква Ð°Ð½ÐµÑ Ñ‚ÐµÐ·Ð¸Ð¾Ð»Ð¾ÑˆÐºÐ° техника при која Ñ Ñ€ÐµÐ´Ð½Ð¸Ð¾Ñ‚ Ð°Ñ€Ñ‚ÐµÑ€Ð¸Ñ ÐºÐ¸ при- Ñ‚Ð¸Ñ Ð¾Ðº на пациентот Ñ Ðµ намалува за повеќе од 20% од неговата предоперативна Ð²Ñ€ÐµÐ´Ð½Ð¾Ñ Ñ‚. Мотив: да Ñ Ðµ Ñ Ð¿Ñ€ÐµÑ‡Ð¸ појава на Ñ…Ð¸Ð¿Ð¾Ð¾ÐºÑ Ð¸Ñ˜Ð° на мозокот при употреба на хипотензивна Ð°Ð½ÐµÑ Ñ‚ÐµÐ·Ð¸Ð¾Ð»Ð¾ÑˆÐºÐ° техника кај пациенти подложни на Ñ ÐµÐ¿Ñ‚Ð¾/Ñ€Ð¸Ð½Ð¾Ð¿Ð»Ð°Ñ Ñ‚Ð¸ÐºÐ°. Цели на трудот: да Ñ Ðµ утвр Хипотензивната анестезија е таква анестезиолошка техника при која средниот артериски притисок на пациентот се намалува за повеќе од 20% од неговата предоперативна вредност. Мотив: да се спречи појава на хипооксија на мозокот при употреба на хипотензивна анестезиолошка техника кај пациенти подложни на септо/ринопластика. Цели на трудот: да се утврди просечната вредност на мозочната сатурација кај будни пациенти, да се одреди корелацијата на средниот артериски притисок и мозочната сатурација при умерена хипотензија, и да се анализираат постоперативните несакани ефекти. Материјали и методи: во студијата беа вклучени 20 пациенти, АСА 1, водени со умерена хипотензивна анестезија предизвикана со ремифентанил и севофлуран. Во пет временски интервали (Т1-Т5) се следеа параметрите: MAP, HR, rSO2 и се одреди нивната корелација. Резултати: умерена хипотензија се постигна во Т4 (МАР=69,05±7,09). За просечна базална вредност на мозочната сатурација се утврдија: 73,30 ± 5,44% за левата и 75,30±5,18% за десната мозочна хемисфера. Кривата на мозочната сатурација покажуваше нагорен тренд и пик кој се совпаѓаше со воведот во анестезија, а во понатамошниот тек тенденција кон опаѓање. Се најде слаба до умерена позитивна корелација помеѓу MAP и rSO2 во текот на хипотензивната анестезија, а во целиот тек на мерењето rSO2 беше повисоко од базалната вредност. Заклучок: умерената хипотензија и стабилниот среден артериски притисок придонесуваат за стабилна мозочна сатурација.</jats:p> - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Correlation between mean arterial pressure (MAP) and brain saturation (RSO2) in patients undergoing moderate hypotensive anesthesia for septo- and rhinoplastic surgery(Институт за јавно здравје на Република Македонија = Institute of public health of Republic of Macedonia, 2019) ;Kraleva, Silvana; ;Trajkova, RadmilaKlisheska Ilcevska, IvanaHypotensive anesthesia is such anesthetic technique where during general anesthesia the patient‘s mean arterial pressure is decreased by more than 20% of its preoperative value. Motivation: To prevent the occurrence of brain hypoxia during hypotensive anesthesia in patients undergoing septo- and rhinoplastic surgery. Aims: To determine the average values of brain saturation in awaken patients; to find the correlation between the mean arterial pressure and brain saturation during moderate hypotension, and to analyze the adverse reactions postoperatively. Materials and methods: Twenty (ASA 1) patients, anaesthetised in moderate hypotensive general anesthesia with Remifentanyl and Sevoflurane were enrolled in the study. They were observed at five times interval (T1-5): MAP, HR and rSO2, and a correlation between the parameters was determined. Results: A moderate hypotension was achieved in T4 (MAP = 69.05 ± 7.09). The average baseline values of brain saturation from 73.30 ± 5.44% to the left, 75.30 ± 5.18% to the right brain hemisphere were obtained. The curve of brain saturation had an upward trend, a peak that coincided with an introduction to anesthesia, in a further course with a downward trend. We found a mild to moderate positive correlation between MAP and rSO2 during hypotensive anesthesia, but throughout the entire period there was a higher rSO2 than the basal initial value. Conclusion: Moderate hypotension and stable mean arterial pressure (MAP) contribute to stable brain saturation (rSO2).
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