Abstract:
:The objective of this clinical update, based on recently published literature, was to discuss incidence and characteristics of the most relevant clinical adverse effects associated with local anesthetic and steroid use in regional anesthesia and treatment of acute or chronic pain. A comprehensive review of the English-language medical literature search utilizing PubMed, Ovid Medline® and Google Scholar from 2015 to 2018 was performed. This narrative review provides anesthesia practitioners with updated evidences on complications and contraindications of local anesthetic and steroid use with emphasis on current points of view regarding prevention, early diagnosis and treatment of adverse events.
journal_name
Acta Clin Croatjournal_title
Acta clinica Croaticaauthors
Šimurina T,Mraović B,Župčić M,Graf Župčić S,Vulin Mdoi
10.20471/acc.2019.58.s1.08subject
Has Abstractpub_date
2019-06-01 00:00:00pages
53-61issue
Suppl 1eissn
0353-9466issn
1333-9451pii
acc-58-s1-53journal_volume
58pub_type
杂志文章,评审abstract::Renal artery embolism is a disease that is easily missed due to its infrequent and nonspecific presentations. Although early diagnosis and optimal thrombolytic treatment can sometimes restore renal function, therapeutic guidelines have not yet been established. However, early anticoagulant therapy is beneficial and se...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2014-06-01 00:00:00
abstract::The aim of this study was to evaluate the quantitative sonoelastographic values recorded on shear-wave sonoelastography (SWE) of high-risk breast lesions and ductal carcinoma in situ (DCIS). We retrospectively analyzed histopathologic and SWE data (quantitative maximum, minimum and mean stiffness, lesion-to-fat ratio ...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2019.58.01.02
更新日期:2019-03-01 00:00:00
abstract::The aim of this prospective study was to evaluate therapeutic effects in a cohort of 32 patients with relapsing-remitting multiple sclerosis (RRMS) that were continuously treated with interferon beta-1b during a three-year period and to compare the results obtained with literature data available. Additionally, dropout...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2009-06-01 00:00:00
abstract::A case is presented of a 59-year-old male patient with a 5-year history of sarcoidosis. In the last half a year, deterioration of his intellectual abilities was noticed. Psychological testing detected a mild cognitive disorder. Laboratory diagnostics found a decreased level of testosterone and magnetic resonance imagi...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2011-12-01 00:00:00
abstract::Primary mesenteric liposarcomas are very rare, especially when they are of mixed histologic pattern. Patient prognosis is based upon the most aggressive histologic type of liposarcoma. A case is reported of a 77-year-old man with a history of slowly increasing abdominal volume over 3 years. The diagnosis of giant intr...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2012-03-01 00:00:00
abstract::We investigated concentrations and roles of insulin-like growth factor 1 (IGF-1) and its binding protein (IGF1BP-3), growth hormone (GH), insulin, and markers of insulin resistance and inflammation in acute myocardial infarction (AMI). We aimed to assess any possible association between serum GH/IGF-1 axis following A...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2016.55.03.01
更新日期:2016-09-01 00:00:00
abstract::Multiple sclerosis (MS) is a multicomponent disease characterized by inflammation, neurodegeneration, and cancellation of the central nervous system recovery mechanisms. The cause of MS is still unknown, but it is undeniable that genetic, environmental and immune factors are involved in the etiopathogenesis of this co...
journal_title:Acta clinica Croatica
pub_type: 杂志文章,评审
doi:10.20471/acc.2018.57.02.17
更新日期:2018-06-01 00:00:00
abstract::The early child development, from birth until the age of one year is, amongst other changes, characterized by intense motor learning. During that period, the voluntary learning patterns evolve from reflexive patterns to coordinated voluntary patterns. All of the child's voluntary movements present active forms in whic...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2013-09-01 00:00:00
abstract::Previous findings on peripartum anxiety are inconsistent in respect to the prevalence and course of peripartum anxiety with comorbidity of depression. Our aim was threefold: (1) to examine the course of elevated anxiety during pregnancy, immediately after childbirth, and six weeks postpartum; (2) to establish comorbid...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2017.56.04.05
更新日期:2018-03-01 00:00:00
abstract::Terson's syndrome describes the concurrence of intracranial hemorrhage, vitreous hemorrhage and juxtapapillary subinternal limiting membrane and retinal hemorrhage. In most cases, the retinal and vitreous hemorrhage will clear spontaneously. Vitrectomy was indicated by persistent hemorrhage in two cases. Ultrasound wa...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2012-12-01 00:00:00
abstract::Although the incidence of ventilator-associated pneumonia (VAP) is very high, there are still many uncertainties about clinical course of VAP among tracheotomized patients. The goal of the present study was to determine the impact of tracheotomy on VAP incidence and etiology, as well as outcome of VAP patients with tr...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2017.56.01.15
更新日期:2017-03-01 00:00:00
abstract::Multiply injured patients with severe chest trauma have different combinations of associated extra thoracic injuries making their treatment complex. Severe pain is a prominent symptom in a vast majority of severe chest injuries and causes deterioration of respiratory function. Epidural analgesia provides efficient pai...
journal_title:Acta clinica Croatica
pub_type: 杂志文章,评审
doi:10.20471/acc.2019.58.s1.18
更新日期:2019-06-01 00:00:00
abstract::The incidence of heterotopic/ectopic pregnancy in recent times has increased partly due to the increase in assisted reproductive technologies, whereas such medical cases and cervical pregnancy in particular are extremely rare with spontaneous conception. We report on three patients referred to our department in one we...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2015-09-01 00:00:00
abstract::The aim of the study was to assess the situation with implantation of cardiac pacemakers and to critically evaluate the possibility of this method of treatment. The study was conducted from 2001 to 2007. Data on a total of 211 operations were included in the study. There were 121 (57.3%) male patients, mean age 69.7 y...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2008-12-01 00:00:00
abstract::Multiple sclerosis is a chronic, immune-mediated disease of the central nervous system that typically strikes young adults. It is often associated with a wide range of functional deficits and progressive disability. Common symptoms of multiple sclerosis include vision problems, spasticity, weakness, ataxia, bladder an...
journal_title:Acta clinica Croatica
pub_type: 杂志文章,评审
doi:
更新日期:2013-03-01 00:00:00
abstract::The aim of this study was to evaluate the implementation of the 9th edition of the American College of Chest Physicians (ACCP9) guidelines for prevention of venous thromboembolism in nonsurgical patients in clinical practice in one university and one general Croatian hospital. A retrospective study was conducted at Za...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2017.56.04.12
更新日期:2017-12-01 00:00:00
abstract::The management of postoperative pain after carpal tunnel syndrome surgical treatment at a tertiary hospital was analyzed and compared with the guidelines for perioperative pain management. This retrospective study included 579 patients operated on for carpal tunnel syndrome at the Split University Hospital Center in S...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2017.56.03.11
更新日期:2017-09-01 00:00:00
abstract::Epilepsy is the most common neurological complication in pregnancy. Women with epilepsy have a higher risk of complications in pregnancy. In Croatia, women with epilepsy are treated by neurologists at tertiary centers according to the place of residence. We prospectively followed-up pregnancies in women with epilepsy ...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2016.55.04.02
更新日期:2016-12-01 00:00:00
abstract::The aim of the study was to identify differences in baseline characteristics and outcomes of men and women with acute ischemic stroke. Ischemic stroke was confirmed by CT scan or autopsy in patients admitted to the 2nd Department of Neurology, Institute of Psychiatry and Neurology in Warsaw, Poland from 1995 to 2007. ...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2011-03-01 00:00:00
abstract::The aim of our study was to describe and interpret national trends in thyroid cancer in Croatian men and women during the 1988-2010 period, to better understand the incidence and mortality trends in comparison with other populations, and to determine the proportion of certain histologic subtypes of thyroid cancer and ...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2015-03-01 00:00:00
abstract::The aim of the study was to determine the incidence of strabismus in preterm infants born between 2002 and 2005 in Split-Dalmatia County, and to compare it with term infants. Data were collected from Department of Public Health, Split-Dalmatia County and Strabology Outpatient Department, University Department of Ophth...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2008-03-01 00:00:00
abstract::The purpose of the study was to point to occupational exposure of dental medicine doctors in Croatia and to the effect of static performance on developing venous disease. The study included 120 subjects, 60 of them doctors of dental medicine and 60 from other professions. The study was focused on finding a way to upgr...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2014-03-01 00:00:00
abstract::We hypothesized that the integration of forensic psychiatrists and the forensic system into the general stream of mental health should lead to better reintegration of forensic patients into the society. The aims of the study were to explore the link between violence, murder, psychiatric disorders and other variables, ...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2011-12-01 00:00:00
abstract::A 57-year-old multiparous housewife was hospitalized at University Clinical Center with painless, ulcerated, huge tumor of the vulva, which had progressively increased in size during the last five years. It was a firm, ulcerated mass involving the left vulva and measuring 35 cm in diameter. The vaginal orifice was dev...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2015-06-01 00:00:00
abstract::The aim of this study was to assess the efficacy of high-sensitivity C-reactive protein (hsCRP), cardiac troponin T (cTnT) and creatine kinase (CK) as long-term predictors of reduced systolic function in patients with acute ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary int...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2019.58.01.12
更新日期:2019-03-01 00:00:00
abstract::Histologic and radiologic studies describe intramyocardial fat tissue as a normal finding or as part of cardiac pathology. The role of fat cells within the myocardium is not fully understood. The aim of this study was to assess fat tissue distribution in the myocardium of right atrium (RA) and right ventricle (RV) and...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2018.57.01.15
更新日期:2018-03-01 00:00:00
abstract::Angiogenesis is essential for the development, growth and progression of tumors. Although vascular endothelial growth factor (VEGF) is a well-known proangiogenic factor, its impact on lymphoma has not yet been fully clarified. The aim of this study was to evaluate VEGF-A -expression and microvessel density (MVD) in ag...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2017.56.04.02
更新日期:2017-12-01 00:00:00
abstract::- Mycological analysis is considered the gold standard in the diagnosis of very common fungal diseases of nails. The purpose of the article is to present the prevalence of onychomycosis obtained by using direct microscopic examination (DME) and cultivation on Sabouraud media without cycloheximide. The quantitative ret...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2018.57.04.15
更新日期:2018-12-01 00:00:00
abstract::The aim of this retrospective study was to determine the strabismus angle variability and rationality of surgical treatment of strabismus in prematurely born children with neurological impairment during 12-year follow up. Eleven premature infants born in 2003 were included in the study and treated with equal conservat...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2019.58.03.11
更新日期:2019-09-01 00:00:00
abstract::Peripheral facial weakness is a facial nerve damage that results in muscle weakness on one side of the face. It may be idiopathic (Bell's palsy) or may have a detectable cause. Almost 80% of peripheral facial weakness cases are primary and the rest of them are secondary. The most frequent causes of secondary periphera...
journal_title:Acta clinica Croatica
pub_type: 杂志文章,评审
doi:
更新日期:2013-06-01 00:00:00