Publications by authors named "I Palibrk"

Purpose: Management of giant inguinoscrotal hernia (GIH) is still a challenging procedure associated with a higher risk of intraabdominal hypertension and abdominal compartment syndrome as a life-threatening condition. The aim of the study was to present our management strategy for GIH.

Methods: This is a retrospective review of a case series including 24 consecutive patients with 25 GIH who underwent reconstructive surgery from January 2006 to June 2023, at the University Clinic for Digestive Surgery and Hernia Center Zuvela.

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Article Synopsis
  • - The COVID-19 pandemic highlighted the deficiencies in intensive care medicine in low-resource settings (LRS), prompting a need for expert recommendations on establishing medical critical care.
  • - An international conference in December 2023, organized by the National Association of Intensivists from Bosnia and Herzegovina, involved 48 clinicians from 20 countries who used a modified Delphi methodology to reach consensus on key statements regarding organizational structure, staffing, and education for critical care units in LRS.
  • - The conference concluded with 13 out of 16 statements achieving consensus, emphasizing the importance of specialized training, multispecialty units, healthcare authority recognition, and the role of technology in improving critical care in LRS.
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Cardiac surgery (CS) with extracorporeal circulation (ECC), induces intense oxidative stress (OS) and systemic inflammatory response (SIR), which may seriously affect postoperative lung function. We aimed to test if high parenteral (200 mg/kg/24 h) daily doses of Vitamin C (VitC), given within 48 h after the beginning of the operation, may reduce the incidence and severity of postoperative pulmonary complications (PPCs) in CS patients. This single-center, prospective, randomized, single-blinded, interventional trial included 150 patients, assigned to control Group A ( = 75) and interventional Group B ( = 75).

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Introduction: The Perioperative Pain Management Bundle was introduced in 10 Serbian PAIN OUT network hospitals to improve the quality of postoperative pain management. The Bundle consists of 4 elements: informing patients about postoperative pain treatment options; administering a full daily dose of 1-2 non-opioid analgesics; administering regional blocks and/or surgical wound infiltration; and assessing pain after surgery. In this study, we aimed to assess the cost-effectiveness of the Bundle during the initial 24 h after surgery.

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