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Preoperative preparation of patients with hyperparathyroidism as comorbidity

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dc.creator Živaljević Vladan
dc.creator Kalezić Nevena
dc.creator Jovanović Dijana
dc.creator Sabljak Vera
dc.creator Diklić Aleksandar
dc.creator Paunović Ivan
dc.date 2011
dc.date.accessioned 2013-05-30T11:49:00Z
dc.date.available 2013-05-30T11:49:00Z
dc.date.issued 2013-05-30
dc.identifier http://www.doiserbia.nb.rs/img/doi/0354-950X/2011/0354-950X1102109Z.pdf
dc.identifier http://www.doaj.org/doaj?func=openurl&genre=article&issn=0354950X&date=2011&volume=58&issue=2&spage=109
dc.identifier.uri http://koha.mediu.edu.my:8181/jspui/handle/123456789/4832
dc.description Preoperative preparation of patients with hyperparathyroidism planned to be operated and/or already operated because of some other disease have specific characteristics in function of the type of hyperparathyroidism, primary or secondary. In primary hyperparathyroidism, repercussions of pronounced hypercalcemia on organs and systems are of essential importance. The most important aspect of preoperative preparation of these patients is therefore the treatment of hypercalcemia. In patients with secondary hyperparathyroidism as comorbidity, calcium level is of lesser importance since it stays mostly within reference values. Essential for perioperative preparation of these patients is the fact that they have chronic renal insufficiency and usually are on extrarenal depuration, so that uremic toxic disorders important for the perioperative course should be taken into account. Disorders caused by primary or secondary hyperparathyroidism (and terminal chronic renal insufficiency) must be brough to so-called "stable state" in elective surgical interventions. Preoperative preparation in urgent surgical interventions is focused only on vitally endangering consequences of hyperparathyroidism such as hypercalcemic crisis or extreme hyperkalemia.
dc.language eng
dc.publisher Klinički centar Srbije, Institut za bolesti digestivnog sistema
dc.source Acta Chirurgica Iugoslavica
dc.subject primary hyperparathyroidism
dc.subject secondary hyperparathyroidism
dc.subject preoperative preparation
dc.subject surgical treatment
dc.subject anesthesia
dc.title Preoperative preparation of patients with hyperparathyroidism as comorbidity


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