Anesteziologie a intenzivní medicína, 2000 (vol. 11), issue 1
Remifentanil - Economic Feasibility for Routine PracticeArticles
V. Dibusz, F. Soukup, P. Kolouch
Anest. intenziv. Med. 2000;11(1):3-4
We sought to compare the financial expenditures associated with combined anesthesia wit h remifentanil to financial expenditures associated withroutine anesthesia. The difference was 75 Czech crowns/hour in favor of routine anesthesia. However, better hemodynamic stability, lower incidenceof complications and better postoperative comfort of a patient led us to the introduction of remifentanil to routine anesthesiologic practice even whenfinancial expenditures associated with this type of anesthesia have risen mildly.
Body Temperature Changes during Surgery not involving Body Cavities: Epidural versus General AnesthesiaArticles
M. A. Lfeituri, A. Studená, J. Bober, J. Firment, J. Capková
Anest. intenziv. Med. 2000;11(1):5-7
Forty adult patients of two groups scheduled for vascular and orthopedic surgery of the lower extremities were enrolled in a study comparing bodytemperature changes under either epidural (EA, 20 patients) or general (GA, 20 patients) anes thesia. Temperature recordings were obtained fromtympanic membrane (TM) and axilla, and were collected preoperatively, immediately after induction in anesthesia and then at twenty-min intervalsfor the first three hours of surgery. Body temperatures at the two measurement sites were decr eased gradually throughout the studied period in a similarpattern in both groups of patients. At the end of the third hour after...
Nitric Oxide - NO: History, Biochemistry, Physiology and PathophysiologyArticles
P. Janouš, J. Pokorný
Anest. intenziv. Med. 2000;11(1):8-10
The paper summarizes the basic facts on history as well as on chemical, physiological and pathophysiological properties of nitric oxide, necessaryfor understanding pathogenesis of multitude of diseases including hypertension, atherosclerosis, immune reactions and others.
Nitric Oxide and Qualifications for Clinical ApplicationArticles
J. Pokorný Jr., T. Hyánek
Anest. intenziv. Med. 2000;11(1):11-14
Following short historical introduction, the authors present a survey of key effect of nitric oxide in organism. Special attention is devoted to theeffect of nitric oxide on pulmonary circulation and gas exchange. There are outlined principal indications and contraindication of inhalationaladministration of nitric oxide for therapeutical purposes, along with key causes of its non-standard effect.
Technical Principles of Nitric Oxide ApplicationArticles
M. Mayer, J. Pokorný Jr., T. Hyánek
Anest. intenziv. Med. 2000;11(1):15-19
The authors present basic technical prerequisities for safe administration of nitric oxide (NO). Characteristics of its administration, principles ofNO a NO2 analysis and development trends of those equipment are outlined. The present philosophy on nitric oxide application is demonstrated on the development line of Austrian company Messer Austria; its main advantage is compatibility with all generally used mechanical ventilators.
Complex Registration System for Nitric Oxide ApplicationArticles
Z. Grepl, M. Mayer, T. Hyánek
Anest. intenziv. Med. 2000;11(1):20-23
The authors describe an expert system enabling detection, archiving and evaluation of followed parameters during application of nitric oxide inclinical practice. Minimal hardware configuration for detached application work-station is presented. The configuration should guarantee compati-bility of the application device Pulmonox (Messer, Austria) and monitoring system with detecting computer or server of a computer network. In detailthere is described software for on-line and long-term trend evaluation of data. The evolvement of complex registration system as a basis for expertsystem presents a new approach toward evaluation of nitric oxide application...
Tracheal Gas Insufflation in Pediatric Patients with Severe Respiratory FailureArticles
M. Fedora, M. Šeda, M. Klimovič, R. Nekvasil, P. Dominik
Anest. intenziv. Med. 2000;11(1):24-27
Objective:To evaluate the effects of tracheal gas insufflation (TGI) on blood gases exchange (especially paCO2) in children with severe respiratoryfailure.Study design: Prospective observational study.Setting: Department of Anesthesiology and Intensive Care ECMO Center; University Children's Hospital, Brno.Patients: 8 children with acute hypoxemic respiratory failure with pronounced hypercapnia.Methods: Patients were mechanically ventilated in PCV or PRVC mode; oxygenation was optimalized with increase of mean airway pressure (Paw)by increasing PEEP with limited peak airway pressure (PIP) with respect to the lowest possible FiO2. Tidal volumes...
High Frequency Oscillatory Ventilation in the Treatment of ARDS in Pediatric PatientsArticles
V. Vobruba, V. Kredba, O. Černá
Anest. intenziv. Med. 2000;11(1):28-30
ARDS (acute respiratory distress syndrome) is a serious pulmonary disease characterized by a typical course with frequent complications and highmortality. It is well know it does not affect only adult population but can be found also in children even in the lowest age groups. Besides conventionalmechanical ventilation (CMV), high frequency oscillatory ventilation (HFOV) can be used in its therapy. There are discussed several exceptionalcharacteristics of oscillatory ventilation, and a summary the conclusions of the biggest published trials is presented.
Early HFO Application Decreases Mortality of Pediatric Acute Respiratory Distress SyndromeArticles
M. Fedora, M. Klimovič, M. Šeda, P. Dominik, R. Nekvasil
Anest. intenziv. Med. 2000;11(1):31-36
Objective:To evaluate the effect of the duration of conventional mechanical ventilation prior to high-frequency oscillation on the effectivity of HFOand patient survival.Study design: Retrospective analysis of the set of patients.Setting: Department of Anesthesiology and Intensive Care; ECMO Center University Children's Hospital Brno.Patients: 26 patients > 1 month of age with severe hypoxemic respiratory failure and ARDS. Mean age was 44.4 months (three adult patients - 17,19 and 24 years), mean weight 13.8 kilograms, maximum weight 70 kilograms, 17 boys, 9 girls. 15 patients died. 84,6% per cent of patients sufferedfrom basic medical...
Tazocin in Intraabdominal Surgery InfectionArticles
T. Grosmanová, V. Král, M. Kolář, H. Hrabalová, L. Mezníková, I. Klementa, T. Bohanes
Anest. intenziv. Med. 2000;11(1):37-41
Between January 20 and September 30 1997, Tazocin was administered to 22 patients at Surgery Dep 1, University Hospital Olomouc, as antibioticmonotherapy after surgery procedures in cases of serious intraabdominal primary infections. Average time of administration was 8 days. In all cases,cultivated infectious pathogens were senzitive to Tazocin, and at the third or fourth day of administration relief of symptoms and decrease in bodytemperature was observed. We encountered no side effects. Hematological hepatal and renal functions remained within the normal range. CRP, IL-2rand IL-8 gradually decreased during therapy. The causing pathogens were found...