The clinical syndrome resulting from degranulation of mast cells and basophils in anaphylaxis is very similar to the PRS in LT. Clinical features play the most important role in establishing a timely diagnosis and early treatment of anaphylaxis. Swift administration of epinephrine reduces the chances of a fatal outcome. Better information on both donor and recipient can improve the efficiency of therapy and prophylaxis for anaphylaxis.

Background / Aim. Patient satisfaction, when it comes to anesthesia, is more difficult to assess than in any other medical specialty. The aim of this study was to construct a tool for assessing patients' satisfaction with anesthesia, and then examine the effects of post-operative care provided by anesthesiologists on patients? satisfaction. Methods: The study included patients undergoing general anesthesia, who were considered ASA 1 and ASA 2 class. Patients were divided into three groups: Group 1 included 74 patients who had postoperative visit performed by an attending anesthesiologist; Group 2 included 70 patients who had postoperative visit performed by a nurse anesthetist after surgery; and Group 3 included 74 patients who did not have postoperative visit during post-operative care by an anesthesiologist nor a nurse anesthetist. The tools used in the research were Anesthesia patient satisfaction questionnaire specially designed for this study and Post Anesthetic Recovery Scoring System (PAS). ANOVA and Pearson?s correlation coefficient were used for estimating the statistical significance of the obtained results between the groups. Results: Association between an objective assessment of the post-operative status of patients on day zero and satisfaction with the anesthesiologist's patient management shows statistical significance (p<0.05). Patients who had a post-operative visit by an anesthesiologists tolerated better preoperative and postoperative physical symptoms. Patients visited by an anesthesiologist were most satisfied with post-operative care (p<0.05). Conclusion: Use of a highly reliable questionnaire for evaluation of patient?s satisfaction with anesthesia could improve the post-operative condition of patients and enable faster recovery during post-operative period.

Background / Aim: Acute kidney injury (AKI) is a frequent and serious complication after aortic surgery which increases the length of hospital stay, costs, morbidity and mortality. Objectives: To investigate the incidence of AKI and the most important preoperative and intraoperative predictive factors for AKI 72 hours after the elective infrarenal aortic surgery. Methods: This prospective observational study was performed at the Clinic of Anesthesia, Intensive Care and Pain Therapy, Clinical Centre of Vojvodina, from October 2017 till April 2019. It included 140 adult patients who underwent an elective infrarenal aortic surgery. The occurrence of AKI was noted according to AKIN criteria. A multivariate logistic regression model was used for potential predictive factors. Results: The incidence of AKI after the elective infrarenal aortic surgery at the Clinic of Anesthesia, Intensive Care and Pain Therapy, Clinical Centre of Vojvodina, was 28.56%. The cut-off value of cystatin C serum concentration of 1.14 mg/l has the highest sensitivity (82.5%) and specificity (76%) in the differentiation of patients who will develop AKI. The final model contains the following variables: the presence of chronic kidney disease, the preoperative serum concentration of cystatin C >1.14 mg/l, the application of colloid solutions in volume>500 ml during the operation and the total intravascular fluid replacement volume >59 ml/kg in the intraoperative period. Conclusion: The incidence of AKI at the Clinic of Anesthesia, Intensive Care and Pain Therapy, Clinical Centre of Vojvodina, is somewhat higher compared to world literature data. Presurgical value of cystatin C above 1.14 mg/l is a good predictor of AKI after the elective infrarenal aortic surgery.