Tatjana Simurina

Verified email at unizd.hr

Department of Health Studies, University of Zadar; Faculty of Medicine, University of Osijek
Anesthesiology and ICU, General Hospital Zadar, University of Zadar



Assoc Prof Tatjana Šimurina, MD, PhD is a board certificated in anesthesiology, resuscitation, emergency medicine, and intensive medicine. She has extensive professional experience in perioperative medicine and intensive medicine. She is a member of the ESA Scientific Subcommittee and Executive board member of national anesthesiology societies CSARIM (HDARIM) and CSRAA (HDRAA) and active member of the European Federation for Medical Informatics Working Group (EFMI WG IDeS). She has been a faculty member, invited lecturer and chairman at multiple conferences nationally and abroad. She has been involved with WFSA and ESA as part of the ambulatory anesthesia committee. She was the principal investigator and coordinator for several clinical studies. As a Professor at the Faculty of Medicine, University of Osijek and Department of Health Studies, University of Zadar, she has been teaching on undergraduate, graduate and postgraduate levels.


1988 Doctor of Medicine (MD), School of Medicine, University of Zagreb.
1993 - 1997 – Residency in Anesthesiology, University Hospital Centre Zagreb
1997 Certificate: Specialist in Anesthesiology and Reanimatology, Ministry of Science, Education and Sport of the Republic of Croatia
2011 Ph.D., University of Zagreb; Ph.D. thesis “Predictive model for Postoperative Vomiting in Patients undergoing General Anesthesia for Gynecologic Laparoscopic Surgery” was a part of the scientific project “Predictive Models in Health”, supported by Ministry of Science, Education and Sport.
07/2012 Ministry of Science, Education and Sport of the Republic of Croatia, Board Certification: Subspecialist in Intensive Care Medicine
10/2011 Ministry of Science, Education and Sport of the Republic of Croatia, Board Certification: Specialist in Emergency Medicine


Anesthesiology, Intensive care medicine, PONV, OSA, Postoperative recovery, Regional anesthesia and analgesia


Scholar Citations


Scholar h-index


Scholar i10-index


  • Pojava pneumomedijastinuma u pacijenata oboljelih od COVID-19 bolesti u jedinici intenzivnog liječenja (diplomski rad)
    A Lazinica
    https://urn.nsk.hr/urn:nbn:hr:162:198522 2022

  • Nitrous oxide and length of stay in the postanesthesia care unit
    B Mraovic, NJ Timko, T Simurina
    Canadian Journal of Anesthesia/Journal canadien d'anesthsie, 1-2 2022

  • Geoeconomic variations in epidemiology, ventilation management, and outcomes in invasively ventilated intensive care unit patients without acute respiratory distress syndrome
    L Pisani, AG Algera, AS Neto, L Azevedo, T Pham, F Paulus, ...
    The Lancet Global Health 10 (2), e227-e235 2022

  • Dual Allergy to Penicillin and Cefazolin—Does Anaphylaxis Matter?
    B Mraovic, NJ Timko, T Simurina
    JAMA surgery 156 (12), 1184-1184 2021

  • Zbrinjavanje politraumatiziranih pacijenata u jedinici intenzivne medicine (diplomski rad)
    A Lukin
    https://urn.nsk.hr/urn:nbn:hr:162:700080 2021

  • 181 The application of a combination of interscalene and paravertebral blocks in a patient with a pathological humerus fracture: a case report
    M Župčić, SG Zupcic, T Simurina, V Duzel, S Barisin, D Tonković
    Regional Anesthesia and Pain Medicine 70 (Suppl 1), A95-A95 2021

  • Mehanizam djelovanja i klinički značaj lokalnih anestetika (završni rad)
    L Kekez
    https://urn.nsk.hr/urn:nbn:hr:162:730120 2021

  • Sestrinska skrb za pacijenta s teškim oblikom akutne upale gušterače (završni rad)
    L Smokrović
    https://urn.nsk.hr/urn:nbn:hr:162:194917 2021

  • Uloga medicinske sestre u transportu životno ugroženog bolesnika (završni rad)
    L Lovren
    https://urn.nsk.hr/urn:nbn:hr:162:225315 2021

  • Ambulatory eye surgery and antithrombotic therapy - new approaches
    T Šimurina, M Danilović Luketić, GŽ Sandra, B Mraović
    Acta clinica Croatica 60 (doi: 10.20471/acc.2021.60.04.23), 749-757 2021

  • Effects of preoperative anxiety, depression and pain on quality of postoperative recovery after radical prostatectomy
    N Sulen, T Šimurina, M Milošević, M Župčić, T Sorić, B Mraović
    17th World Congress of Anaesthesiologists 133 (Anesth Analg, Supplement 2), 1467 2021

  • Antinociceptive effect of nitrous oxide
    B Mraović, T Noah J, T Šimurina
    European Journal of Anaesthesiology 38 (DOI: 10.1097/EJA.00000000), 1208-9 2021

  • Perioperative hyperglycemia in elective arthroplasties. Should we do better?
    B Mraović, T Šimurina, JI Joseph
    Acta Anaesthesiolgica Scandinavica, 1-2 2020

  • Pedijatrijska palijativna skrb (završni rad)
    G Pavletić
    https://urn.nsk.hr/urn:nbn:hr:162:034121 2020

  • Prepoznavanje znakova životne ugroženosti djeteta (završni rad)
    P Kresović
    Sv. u Zadru 2020

  • The potential role of micro-RNA-211 in the pathogenesis of sleep-related hypermotor epilepsy
    S Graf Župčić, M Župčić, V Đuzel, T Šimurina, L Šakić, I Grubješić, ...
    Medical Hypotheses 143 (https://doi.org/10.1016/j.mehy.2020.1101), 110115 2020

  • Recommendations for neuraxial anaesthesia and peripheral nerve blocks during the coronavirus pandemic 2019 (COVID-19).
    K Šakić-Zdravčević, T Šimurina, M Župčić, L Šakić, S Graf Župčić, V Đuzel
    Liječnički vjesnik 142 (5-6), 123-128 2020

  • Utjecaj primjene različitih tehnika anestezije na imunosni odgovor organizma: pregled literature The effect of different anaesthetic techniques on the immune response: review
    M Župčić, S Graf Župčić, T Šimurina, V Đuzel, I Grubješić, D Tonković, ...
    Liječ Vjesn 142 (https://doi.org/10.26800/LV-142-5-6-30), 170-175 2020

  • Regionalne anesteziološke tehnike liječenja karcinomske boli. Regional anesthesia techniques in cancer pain management
    L Šakić, M Župčić, I Šklebar, T Šimurina, K Šakić Zdravčević
    Liječ Vjesn 142 (https://doi.org/10.26800/LV-142-5-6-28), 155-159 2020

  • Transurethral prostate resection syndrome: skeleton in the closet is still lurking! Sindrom transuretralne resekcije prostate: kostur iz ormara još uvijek vreba!
    T Šimurina, B Mraović, M Župčić, S Graf Župčić, I Grubješić, L Šakić, ...
    Liječ Vjesn 142 (DOI 10.26800/LV-142-5-6-29), 160-69. 2020


  • Mortality after surgery in Europe: a 7 day cohort study
    P RM, M RP, P Bauer, P Pelosi, P Metnitz, C Spies, B Vallet, V JL, A Hoef, ...
    Lancet 380 (doi: 10.1016/S0140-6736 PMID 22998715), 1059-65 2012
    Citations: 1168

  • COVIDSurg Collaborative. Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans [published online ahead of
    C Collaborative
    British Journal of Surgery, doi:10.1002/bjs.11746 2020
    Citations: 1005

  • Incidence of severe critical events in paediatric anaesthesia (APRICOT): a prospective multicentre observational study in 261 hospitals in Europe
    W Habre, N Disma, K Virag, K Becke, TG Hansen, M Jhr, B Leva, ...
    The Lancet Respiratory Medicine 5 (5), 412-425 2017
    Citations: 392

  • Epidemiological characteristics, practice of ventilation, and clinical outcome in patients at risk of acute respiratory distress syndrome in intensive care units from 16
    N AS, B CS, et al. Simonis FD, PRoVENT, PN investigators, C 303)
    Lancet Respir Med. 4 (doi: 10.1016/S2213-2600(1), 882-893 2016
    Citations: 118

  • The dose–response of nitrous oxide in postoperative nausea in patients undergoing gynecologic laparoscopic surgery: a preliminary study
    B Mraovic, T Šimurina, Z Sonicki, N Skitarelic, TJ Gan
    Anesthesia & Analgesia 107 (3), 818-823 2008
    Citations: 57

  • Giant pilomatrixoma (benign calcifying epithelioma of Malherbe) of the neck and face
    M Kovacic, M Rudic, I Nekic, N Lisica-Sikic, Z Kranjcec, T Simurina
    Dermatologic surgery 33 (3), 340-343 2007
    Citations: 36

  • Prognostic value of venoarterial carbon dioxide gradient in patients with severe sepsis and septic shock
    R Troskot, T Šimurina, M Žižak, K Majstorović, I Marinac, I Mrakovčić-Šutić
    Croatian medical journal 51 (6), 501-508 2010
    Citations: 24

  • Nonelective Surgery at Night and In-Hospital Mortality: Prospective Observational Data From the European Surgical Outcomes Study
    RA van Zaane B, van Klei WA, Buhre WF, Bauer P, Boerma EC, Hoeft A, Metnitz ...
    Eur J Anaesthesiol 32 (2015doi: 10.1097/EJA.0000000000000256.), 477-85 2015
    Citations: 23

  • Influence of the menstrual cycle on the incidence of nausea and vomiting after laparoscopic gynecological surgery: a pilot study
    T Šimurina, B Mraovic, N Skitarelić, T Andabaka, Z Sonicki
    Journal of Clinical Anesthesia 24 (3), 185-192 2012
    Citations: 22

  • Effects of high intraoperative inspired oxygen on postoperative nausea and vomiting in gynecologic laparoscopic surgery
    T Šimurina, B Mraović, S Mikulandra, Z Sonicki, N Sulen, B Dukić, TJ Gan
    Journal of clinical anesthesia 22 (7), 492-498 2010
    Citations: 22

  • Local Anesthetics and Steroids: Contraindications and Complications - Clinical Update /Lokalni anestetici i steroidi: kontraindikacije i komplikacije-trenutni klinički pregled
    T Šimurina, B Mraović, M Župčić, S Graf Župčić, M Vulin
    Acta clinica Croatica 58 (Supplement 1), 53-61 2019
    Citations: 15

  • Sevoflurane preserves regional cerebral oxygen saturation better than propofol: Randomized controlled trial
    T Ružman, T Šimurina, D Gulam, N Ružman, M Miškulin
    Journal of Clinical Anesthesia 36 (DOI: http://dx.doi.org/10.1016/j.jclinan 2017
    Citations: 14

  • Clinical and Biochemical Influence of Prostatic Stones.
    DJ Soric Tomislav , Selimovic Mirnes, Bakovic Lada, Simurina Tatjana ...
    Urol Int 2017
    Citations: 13

  • Nitrous oxide added at the end of isoflurane anesthesia hastens early recovery without increasing the risk for postoperative nausea and vomiting – a randomized clinical trial.
    B Mraović, T Šimurina, TJ Gan
    Canadian Journal of Anesthesia 65 (doi: 10.1007/s12630-017-1013-y), 162-169 2018
    Citations: 12

  • The effect of propofol and fentanyl as compared with sevoflurane on postoperative vomiting in children after adenotonsillectomy
    T Šimurina, S Mikulandra, B Mraović, Z Sonicki, M Kovačić, B Dželalija, ...
    Collegium antropologicum 30 (2), 343-347 2006
    Citations: 11

  • A combination of levobupivacaine and lidocaine for paravertebral block in breast cancer patients undergoing quadrantectomy causes greater hemodynamic oscillations than
    M Župčić, S Graf Župčić, V Duzel, T Šimurina, L Šakić, J Fudurić, J Peršec, ...
    Croatian Medical Journal 58 (4), 270-280 2017
    Citations: 10

  • Transcranial cerebral oxymetric monitoring reduces brain hypoxia in obese and elderly patients undergoing general anesthesia for laparoscopic cholecystectomy
    T Ružman, B Mraović, T Šimurina, D Gulam, N Ružman, M Miškulin
    Surg Laparosc Endosc Percutan Tech 2017
    Citations: 9

  • A case of Mediterranean spotted fever associated with severe respiratory distress syndrome
    B Dželalija, V Punda-Polić, A Medić, B Mraović, T Šimurina
    Microbes and Infection 17 (11-12), 870-873 2015
    Citations: 6

  • Effects of IV lidocaine administered prior to extubation on early and late recovery after breast surgery: 1AP1–5
    B Mraovic, T Simurina, S Mikulandra, J Seric, Z Sonicki
    European Journal of Anaesthesiology| EJA 27 (47), 8 2010
    Citations: 6

  • Invazivne i neinvazivne tehnike uspostavljanja dišnog puta
    N Skitarelić, T Šimurina
    Medica Jadertina 39 (3-4), 61-67 2009
    Citations: 6