SHoljakova, Marija
Preferred name
SHoljakova, Marija
Official Name
SHoljakova, Marija
Main Affiliation
Email
msoljakova@medf.ukim.edu.mk
18 results
Now showing 1 - 10 of 18
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Item type:Publication, The effects of two thermal insulation methods on the postoperative lactate levels, shivering and patient’s thermal comfort.(Department of Anesthesia and Reanimation, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, Macedonia, 2019-05); ; ; ; Tolevska M - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Early resuscitation - what is changed in the treatment of Traumatic Brain Injury (TBI)(MedCrave Group Kft., 2020-03-09); ; ;Demjanski, VaskoKishman, AleksandarBackground: The classical therapeutic approaches to thetraumatic brain injury (TBI) are based on astandardized care and prevention of secondary brain injuries and insults.Brain is the most sensitive tissue to hypoxemia what consequently burdens maintenance of adequate circulation. The development of hypoxia hypoxemia during traumatic brain injury (TBI) with severe shock and anaemia is the main cause for the development of secondary brain injury, which is responsible for the high fatality of the TBI. Objectives and method: The aim of this review is to discuss the available literature and guidelines for this field and to find out the possible benefits of early resuscitation. Results: Initial resuscitation starts with infusions of isotonic crystalloid solutions (e.g. sodium chloride). The main goal of the treatment is to achieve normal blood pressure and adequate oxygen supply to the tissue. Aggressive resuscitation with excessive fluid load in TBI patients may aggravate the brain oedema. The data, about early use of blood and its products in TBI patients with severe haemorrhage are poor with controversial opinions. Conclusion: The resent published guidelines do not support any specific fluid or specific transfusion practices in this setting. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Постдурална пункциона главоболка: патогенеза, превенција и третман(Македонско друштво на ортопедите и трауматолозите (МАДОТ), 2009); ; ; ;Стефановски ИвицаДонев Д - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Pediatric Enigma in ICU – Late Treatment of Severe Sepsis: A Case Report(ID Design 2012/DOOEL Skopje, 2012-07-31) ;Gordana Taleska ;Zorka Nikolova ;Maja Mojsova-Mijovska ;Risto SimeonovTrajanka Trajkovska - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Outcome in neurotrauma patients according to predictive survival scores(League Against Epilepsy of the Republic of Macedonia/Лига против епилепсија на Република Македонија, 2012); ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Третман на хронична малигна болка со трансдермален фентанил(Македонско друштво на ортопедите и трауматолозите (МАДОТ), 2009); ; ;Николова-Тодорова Зорка; Стефановски, Ивица - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Myasthenia gravis and general anesthesia(Department of Anesthesia and reanimation, Faculty of Medicine, Ss.Cyril and Methodius University, Skopje, Macedonia, 2017-04); ;Mojsova M; ; Myasthenia gravis patients undergoing general anesthesia are real challenge. Several contemporary issues of the disease, as well as the therapy and additional contributing factors interfere with the anesthetics on several levels. Up to day, literature has not proved which type of anesthesia or anesthetics are superior in such patients. The aim of this article is to elaborate and review some of the possible aspects of this disease and their interference with anesthesia that have direct influence on these patients outcome. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Epidural analgesia for intractable cancer pain - An old story used until now(ID Design 2012/DOOEL Skopje, 2020-07-16); ; ; ; Intractable cancer pain is a chronic severe pain, affecting patient’s quality of life and presents aheavy health, social and family problem in many countries. Different methods for pain relief are proposed by the WHO. Epidural analgesia with opioids is one of the proposed methods. Aim of the study was to determine the effects of morphine, fentanyl and butorphanol used for epidural analgesia in intractable pain and to comment our experiences over a five-year-period, with regard to its actuality nowadays. Material and methods: Retrospective longitudinal observational study was carried at the University Clinic for Anesthesiology, Reanimation and Intensive Care in Skopje, Macedonia, between 2005-2010 and evaluated in 2017-2018. A total of 116 patients suffering from intractable pain were enrolled in the study. Exclusion criteria were: infective and metastatic processes in the spine, allergy to opioids, psychological problems and language barrier. After the pretreatment evaluation of the pain, patients were randomly assigned to receive three different opioids through epidural catheter placed from Th8-10 or L2-3. Results: There were no differences in pretreatment pain scores between the three groups (p>0.05). A significant onset of analgesia after 15 minutes was found for butorphanol, 20 minutes for fentanyl and 30 minutes for morphine group (p<0.05). The duration of the pain relief of butorphanol vs. fentanyl vs. morphine was 6h vs. 8h vs. 24 hours respectively. Morphine had the longest duration of pain relief (p<0.05). Because of an increase in the pain threshold, the need of an increase of opioid doses was necessary. The most often patient’s reports of side effects were: itching, constipation, urine retention and bradypnea and there were no reports of nausea and vomiting. Conclusions: It was concluded that epidural analgesia with opioids is an effective and safe method for suppression of intractable pain. In spite of the other alternatives in treatment of cancer pain, epidural analgesia with opioids still has an eminent place and its use is a challenge for professionals</jats:p> - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Aнестезиолошки протокол при трансплантација на бубрег кај дете. Приказ на случај(Македонско лекарско друштво = Macedonian medical association, 2010); ;Донев Љупчо; ;Николова Тодорова Зорка - Some of the metrics are blocked by yourconsent settings
Item type:Publication, History and development of anaesthesiology (with resuscitation and intensive medicine) in the Republic of Macedonia(Macedonian Academy of Sciences and Arts, 2014) ;Vladimir Andonov; ;Jordan Nojkov ;Zorka Nikolova-TodorovaAim: To present a chronological overview of the most important events and actors that have marked the history of anaesthesiology and intensive treatment in R. Macedonia since its beginnings in the 1950s. Method: Retrospective study based on archive materials, published literature and jubilee publications, as well as the memories of individuals who have worked in the field of anaesthesiology in the past period. Results: Between the two World Wars the first anaesthesia procedures were handled by surgeons. After World War II, the development of anaesthesia in R. Macedonia could be divided into two periods: before 1965 and after 1965. Before 1965 anaesthesia was mainly given by technicians trained on courses, and after this year anaesthesiology was taken over by anaesthesiologists who had specialized at the Faculty of Medicine in Skopje. In 1985 the number of anaesthesiologists was 100, and today it exceeds 250. The most important figures in the history of Macedonian anaesthesiology are: Dr. Risto Ivanovski, who worked from 1954-78, and Prof. Dr. Vladimir Andonov, who worked as an anaesthesiologist from 1965-99. Both of them are doyens who contributed a lot to the development of the anaesthesiology service and education of anaesthesiologists in R. Macedonia. Intensive treatment had started in 1955, but in real terms it has been performed since 1966, when artificial ventilators were introduced. The modern Intensive Care Department was opened at the Surgical Clinic in 1995 and it was followed in other hospitals in the state. The Department of Anaesthesiology has existed since 1975, and it has made a huge contribution to the education of professionals who apply modern principles in emergency medicine and intensive care. Conclusion: From modest beginnings in the 1950s, anaesthesiology today in R. Macedonia has developed well organized activity that successfully follow the trends of modern medicine in the field of anesthesiology, resuscitation, intensive care and pain treatment.
