List of Articles by Author

NOTES:

*This author has been accepted with these names:

Gašparović, Stojanka
Gašparović, S

*Articles are cited according to Uniform Requirements by International Committee of Medical Journal Editors - ICMJE and NLM Style Guide for Authors, Editors and Publishers

Žagar D, Gašparović S. Systemic Side-Effects of Local Anaestheics in Dental Medicine. Acta Stomatol Croat. 2004;38(4):286-7.

[details]

Full Text

Title in English:	Systemic Side-Effects of Local Anaestheics in Dental Medicine
Title in Croatian:	Sustavne nuspojave lokalnih anestetika u stomatologiji
Type of Article:	congress abstract
MeSH:	ANESTHESIA, DENTAL + adverse effects
Abstract:	Systematic side effects are the consequences of non-selective pharmacodynamic interactions of local anaesthetic with tissues and organs outside the oral cavity.The aim of the study was to give a short review of systematic side effects, their pathophysiology, clinical appearance and therapy, which the dentist should apply in the dental surgery until the arrival of urgent medical help.We classified systematic side-effects into: psychogenic reactions, toxic reactions, reactions to vasoconstrictors and reactions of hypersensitivity.The most frequent clinical presentation of psychogenic reaction is syncope, a consequence of vasovagal reactions or hyperventilation. The condition requires the cessation of the dental operation and placing the patient in Trendelenburg's position.Toxic reactions occur when the concentration of anaesthetic in the blood exceeds the minimal toxic concentration. They can occur in the case of overdosing and intravascular application of the anaesthetic. Toxicity can be interpreted in the central nervous and cardiovascular system. Involvement of the cardiovascular system can be seen in AV block of different degrees or asystolia, which requires resuscitation.Toxic reactions in CNS are interpreted as excitation or depression. The most serious presentations of excitation are clonic-tonic cramps, which are halted by intravenous application of diazepam. Respiratory depression requires mechanical ventilation of the patient.Reaction to vasoconstrictors is the result of the stimulation of adrenergic receptors in the cardiovascular system, and symptoms are transient raised frequency of cardiac and blood pressure, and also arrhythmia. In the case of mild symptoms the patient should be sedated and kept under observation, and in the case of significantly raised blood pressure medication therapy applied.Reactions of hypersensitivity may be local or systematic. Local reactions involve changes on the skin and mucous membrane such as erythema and urticaria, and they require intramuscular application of an antihistaminic. Systematic hypersensitivity includes laryngo broncho spasm with a fall in blood pressure. The therapy choice is intravenous application of adrenaline, antihistaminic and corticosteroids and ventilation of the patient with 100% oxygen.Algorithm of clinical procedure is proposed for easier differential diagnosis and therapy.

Gašparović S, Milić M, Goranović T, Butorac-Rakvin L. Anaesthesia in Dental Medicine. Acta Stomatol Croat. 2004;38(4):284-5.

[details]

Full Text

Title in English:	Anaesthesia in Dental Medicine
Title in Croatian:	Anestezija u stomatologiji
Type of Article:	congress abstract
MeSH:	ANESTHESIA, DENTAL
Abstract:	Introduction. The majority of dental procedures are carried out under local anaesthesia (90%). Reasons for this are the simple preparation of the patient, out-patient treatment and rare complications. However, there are patients and conditions for which such procedures are impossible to perform under local anaesthesia.Aim. The aim of this study was to determine the indications and complications of general anaesthesia in dental patients.Materials and methods. We analysed 864 patients during a period from 2001 to 2004 in the University Hospital Dubrava, in whom dental operations were performed. In preoperative preparation patients require laboratory findings, ECG, case history and paediatric or internist examination. They are premedicated with atropine and midazola intramuscularly, and the type of anaesthesia determined according to the type of operation, age and general condition of the patient.Results. During the period from 2001 to 2004 864 patients were analysed in the University Hospital Dubrava, in whom an operation was performed. Indications for general anaesthesia were children, mentally retarded persons and those with inflamed soft tissues of the oral cavity. Teeth extractions were performed under inhalation anaesthesia on a mask (692), and patients with multiple dental repairs were intubated (172). During anaesthesia blood pressure, ECG, peripheral saturation with oxygen and CO2 concentration was measured. The patients were monitored for 6 hours after the operation, after which they were released from hospital if there were no complications.Complications were rare: laryngo and bronchospasm in 3 patients, arrhythmia in 5, nausea and vomiting in 6, and postoperational excitation occurred in 3 patients.Conclusion. Children and mentally retarded persons were the most frequent indications for general anaesthesia in dental medicine. Complications occurred in 17 patients (1.8%) which is an acceptable risk for this type of operation.

Uglešić V, Jokić D, Knežević P, Gašparović S. Orthognathic Surgery - Functional or Aesthetic Surgery. Acta Stomatol Croat. 2004;38(4):265.

[details]

Full Text

Knežević P, Uglešić V, Jokić D, Gašparović S. Ostaoplasty with Autologous Cancellous Hip Bone. Acta Stomatol Croat. 2003;37(3):345.

[details]

Full Text

Gašparović S, Milić M, Čabov T. Anaesthesia in Oral Surgery. Acta Stomatol Croat. 2003;37(3):324.

[details]

Full Text

Bagatin M, Jokić D, Orihovac Ž, Gašparović S. Distraction osteogenesis in the treatment of mandibular hypoplasia associated with Treacher Collins Syndrome. Acta Stomatol Croat. 1999;33(2):215-23.

[details]