B. Biocina

Followers

Following

Co-authors

Public Views

Oleg Yu Vorobyev

Siberian Federal University

Giridhara R Babu

Indian Institute of Public Health

Adnan Awad

The University Of Jordan

E.i.abdul Sathar

University of Kerala

Michael G Marmot

University College London

Cisca Wijmenga

University of Groningen

Wayne Levy

University of Washington

Ashraf M Anwar

AlAzhar University cairo

Hugh Calkins

Johns Hopkins University

Keith West

Johns Hopkins Bloomberg School of Public Health

Interests

Uploads

Papers by B. Biocina

The importance of glucose-insulin-potassium with cardiopulmonary bypass prior to cardioplegic arrest in open-heart surgery

Lijec̆nic̆ki vjesnik

The benefit of a high dose glucose-insulin-potassium (33% glucose, 80 mmol KCl, 120 units of insu... more The benefit of a high dose glucose-insulin-potassium (33% glucose, 80 mmol KCl, 120 units of insulin - 1 mL/kg) (GIK) with cardiopulmonary bypass support (CPB) prior to cardioplegic arrest in open-heart surgery has been evaluated in this article. Twenty non-diabetic patients (PTS) were selected upon their preoperatively impaired left ventricular ejection fraction (LVEF < 45%) and were divided into two groups. Group 1 was given GIK and 20 minutes of CPB prior to cardioplegic arrest; Group 2 was the control group with no GIK and no CPB support. Hemodynamics was measured prior to surgery, 30 minutes after weaning from CPB, and 12 and 24 hours postoperatively. There were less rhythm disturbances and need for intraoperative defibrillation in Group 1 (2:10 pts VS 8:10 pts in the Group 2). There were significantly higher values of cardiac index (CI) in Group 1 30 minutes after weaning from CPB (2.5 +/- 0.28 VS 2.11 +/- 0.25: p < 0.01), while there was no significant difference in lat...

[Hemodynamic effects of amrinone, dobutamine and dopamine in the cardiac low output syndrome following open-heart surgery]

Lijec̆nic̆ki vjesnik

Low heart stroke volume syndrome is clinically manifested with hypoperfusion of all body systems.... more Low heart stroke volume syndrome is clinically manifested with hypoperfusion of all body systems. Inotropic or mechanical support is applied. Acute heart failure is one of the most important complications after open heart surgery. Catecholamines have been up to non considered as a therapy of choice for the acute heart failure. Effectiveness of catecholamines could be limited with some side effects. Phosphodiesterase inhibitors promise a new therapeutic approach. PDE III primary act through phosphodiesterase inhibition which leads to a rise of aAPM levels. Thus they show positive inotropic and lusitropic effects, which could be monitored by occlusive pulmonary capillary pressure values. Amrinone is obviously superior to inotropic catecholamines.

[Pain syndromes of the spine in the working population]

Arhiv za higijenu rada i toksikologiju, 1985

Aortico-left ventricular tunnel

Liječnički vjesnik

The boy was first admitted to the Department of Pediatric Cardiology at the age of 4 1/2 because ... more The boy was first admitted to the Department of Pediatric Cardiology at the age of 4 1/2 because of cardiac murmur diagnosed on the third day of life. A diastolic murmur of a grade 4/6, left ventricular hypertrophy as well as left aortal and ventricular dilatation were discovered. The findings showed a tendency of increase with time, but the patient had no symptoms. X-ray in the long axis view revealed a defect within the upper part of the interventricular septum immediately below the aorta, and dilated right coronary sinus. An invasive diagnostic method was undertaken, as well. The operative procedure was done with a total cardio-pulmonary bypass and hypothermia (29 degrees C). A tunnel from the anterior aortal wall through the outflow tract of the right ventricle to the left side of the heart was established intraoperatively. The defect was solved by a "sandwich" technique (two patch technique). Postoperative period was uneventful. A Doppler echocardiogram demonstrated t...

Inotropic agents in the treatment of postoperative low cardiac output syndrome

Acta medica Croatica : casopis Hravatske akademije medicinskih znanosti, 1995

Two basic groups of inotropic drugs that are in the treatment of postcardiotomy low cardiac outpu... more

[Aortico-left ventricular tunnel]

Lijecnicki vjesnik, 1993

[Surgical treatment of congenital obstruction of the left ventricular outflow tract]

Lijecnicki vjesnik, 1993

This report presents the classification and all types of left ventricular outflow tract obstructi... more This report presents the classification and all types of left ventricular outflow tract obstructions. The possibilities of operative therapies are surveyed as well. Results of surgical treatment in 34 patients with obstruction to left ventricular outflow are shown. The majority of patients underwent operation under extracorporeal circulation (84.4%), while the rest were operated by means of the inflow occlusion technique (14.7%). The obtained results were compared with those from the literature. The importance of echocardiographic evaluation of location of the left ventricular outflow tract obstruction and the appropriate choice of a surgical technique according to the patient's age are emphasized.

[Acute renal failure in heart transplantation]

Lijecnicki vjesnik, 1993

In this study the incidence and the development of acute renal failure (ARF) in heart transplant ... more In this study the incidence and the development of acute renal failure (ARF) in heart transplant recipients is presented. Among the thirteen heart transplant recipients eight of them developed oliguric or nonoliguric ARF. Besides the known factors such as actual condition of the patient, kidney function, peri and post-operative compromised circulation, our results demonstrate the significance of postoperative cyclosporin concentration in combination with the use of other drugs. The results also show the importance of the way cyclosporin has been administrated. The parenteral route of appliance is connected with the greater risk of higher drug concentration in the plasma than the peroral one. In connection with this is the higher incidence of adverse reactions to cyclosporin given parenterally. In addition to ranitidine and captopril, which have been mentioned earlier, the findings of our study indicate that greater attention has to be paid to the treatment with ketoconazol given in ...

Management of Heparin-Induced Thrombocytopenia with Fondaparinux in a Patient with Left Ventricular Assist Device

Heparin-induced thrombocytopenia is an immune-mediated serious adverse effect of heparin therapy.... more Heparin-induced thrombocytopenia is an immune-mediated serious adverse effect of heparin therapy. It is a relatively frequent complication among patients with mechanical circulatory support. Herein, we present a patient with severe heart failure and sepsis who developed heparin-induced thrombocytopenia shortly after implantation of left ventricular assist device as a bridge to transplantation and who was successfully treated with fondaparinux.

B. Biocina

Related Authors

Uploads

Papers by B. Biocina

Log In