Perioperační funkce plic u nemocných se zhoubným nádoremArticles

V. Bosek

Anest. intenziv. Med. 2000;11(3):90-91

Continuous Administration of Atracurium and Mivacurium with Neuromuscular Block MonitoringArticles

M. Svítek

Anest. intenziv. Med. 2000;11(3):92-95

Continuous administration of neuromuscular blocking agents allows to perform a controlled neuromuscular block. Neuromuscular monitoring withdifferent stimulation modes is a necessary prerequisite for the control of a depth block. This technique of administration appears to be attractive incases when profound relaxation of muscles is desired until the end of surgery, then rapid recovery should follow. Laparoscopic procedures are typicalcases. The neuromuscular blocking agents mivacurium and atracurium fulfill the criteria for minimal accumulation in the organism, both agents allowfor rapid recovery of neuromuscular function. Recovery time can be shortened...

First Experience with Bispectral Index as a Standard for Determination of Anesthesia DepthArticles

O. Masár

Anest. intenziv. Med. 2000;11(3):96-99

Along with the development of anesthesia, there are continuous efforts to assess the depth of anesthesia together with perioperative processes ofperception. The author analyzes several methods to objectively assess the depth of anesthesia. First experience with bispectral index monitoring isoutlined on the set of fifteen patients.

Tracheal Rupture during Orotracheal Intubation in General Anesthesia - a Case ReportArticles

M. Mrázová, P. Heriban

Anest. intenziv. Med. 2000;11(3):100-101

After induction of general anesthesia, orotracheal intubation was performed. The signs of ruptured trachea occured soon afterwards. This is a rarecomplication of intubation if a stylet is not used or if prolonged intubation is not the case. The complication was immediately successfully managed.

Comparison of Sevoflurane, Propofol and Thiopental for Minor Gynecologic ProceduresArticles

A. Kurzová, K. Emingerová, J. Málek

Anest. intenziv. Med. 2000;11(3):102-105

In a prospective randomized study we evaluated the advantages of sevoflurane anesthesia to propofol or thiopental anesthesia in 67 patientsscheduled for day-case minor gynecologic procedures. After premedication with alfentanil 0,25-0,5 mg plus atropine 0,5 mg plus droperidol 1,25 mg,anesthesia was induced with sevoflurane (group S, n = 21) using singlebreath technique; anesthesia was maintained with the mixture of sevofluranein nitrous oxide/oxygen mixture. In the group P (n = 23) anesthesia was induced with propofol 2-2,5 mg/kg and maintained with supplementary dosesof 20-30 mgs of propofol; group T (n = 23) was induced with thiopental and maintained...

Effect of Anesthesia on Blood Loss during Total Hip ReplacementArticles

J. Frdlík, I. Chytra, R. Pradl, E. Kasal

Anest. intenziv. Med. 2000;11(3):106-108

The authors present the results of retrospective analysis of data collected from 246 patients who underwent total hip replacement at the UniversityHospital Pilsen between November 1, 1997 and April 30, 1999. There is compared blood loss during general to spinal anesthesia with respect to theduration of a procedure. There was not observed a difference in a blood loss between the two anesthesia groups. Surgical procedure of total hipreplacement lasting more than 100 minutes was associated with significantly greater blood loss, irrespectively of the type of anesthesia provided.

Nalbuphine in Postoperative AnalgesiaArticles

J. Málek, J. Počta, M. Starec

Anest. intenziv. Med. 2000;11(3):109-112

Nalbuphine hydrochloride (Nubain ® , 20 mg) was administered intramusculary for postoperative pain control to thirty three patients scheduled foropen cholecystectomy. Quality and duration of analgesia, with adverse effects were evaluated for two subsequent doses of nalbuphine. First dose wasadministered at the end of surgery, the other dose as requested by the patient. Besides one skin allergic reaction there were not observed any seriousadverse effects. Analgesia was not adequate in four and two patients after the first and second dose, respectively. The average duration of analgesiawas 3,4 hours and 4,5 hours after the first and second dose,...

Analgesia for Labor and Delivery Using Inhalational Anesthetic AgentsArticles

J. Skácel, J. Bošota

Anest. intenziv. Med. 2000;11(3):113-116

Even though epidural analgesia is a preferred method of analgesia, this could be accomplished also with inhalational anesthetics, especially witha mixture of 50% oxygen and nitrous oxide. This method of analgesia is effective in protracted labor. This analgesia allows for economic lung ventilation,discards emotional part of fear with inadequate reaction to pain. This results in better coordination of the actions of uterus - all this favourably affectsthe course of labor and delivery. Higher concentrations of oxygen in inspired mixture of gases improves hemoglobin saturation in both the parturientand the fetus, with positive effects on ABG's. In 1995,...

Use of Epidural Analgesia in ThoracosurgeryArticles

M. Refka, M. Janíková, M. Tonkovičová, M. Šarafín

Anest. intenziv. Med. 2000;11(3):117-120

Authors in the retrospective study analyze a group of 776 patients in whom epidural catheter was applied for analgetic management after chestoperation.As the assesment criteria, they observed analgetic effectivity of the method, occurence of serious side effects and complications related to epiduralcatheter application. Applied substances: combination of morphin and bupivacain. They conclude that the use of epidural analgesia as a routine methodin thoracosurgical patients is fully justified for its high effectivity and low occurence of side effects.

Protective Effect of Losartan, Non-peptide Angiotensin II Antagonist, on the Course of Postischemic Renal Injury in an Experimental ModelArticles

J. Špatenka, J. Heller, L. Červenka

Anest. intenziv. Med. 2000;11(3):121-124

The effect of non-peptide angiotensin II antagonist losartan (L) on the tolerance of kidneys to warm ischemia was evaluated in a rat model. Ischemiawas induced by temporary closure of renal arteries for 45 minutes. L was administered chronically (CH) via oral route for 4 weeks (10 mg.kg -1 .day -1 ),acutely intravenously before ischemia (A), or after ischemia (B) in the dose 3 mg.kg -1. In the animals of the control group (K) only ischemia of kidneyswas induced. Seven-day survival and the degree of funcional injury of kidneys in rats were assessed according to plasma creatinine and urea levels24 hours after injury.Significantly improved survival was...

Severe Theophylline Poisoning in ChildrenArticles

M. Uher, M. Kurák, M. Pisarčíková, J. Filka, Ľ. Podracká, M. Hulíková, H. Adamová

Anest. intenziv. Med. 2000;11(3):125-128

In our setting, theophylline poisoning in children comes up very often in some seasons. The authors try to present on four typical cases importantmoments and pitfalls of the treatment of this intoxication, trying to limit the sequelae resulting from the poisoning. Pharmacologic properties oftheophylline is outlined together with the pathophysiologic aspects, clinical picture and treatment of the poisoning, including the resulting sequelaein formerly healthy children.

Acute Intoxications - Actual Situation in the North-Moravian RegionArticles

Marek O., Fiala H.

Anest. intenziv. Med. 2000;11(3):129-130

We found steady decrease of the number of adult intoxicated patients demanding treatment at resuscitation units (the conclusion is based on dataobtained from 17 depts. of anaesthesiology and resuscitation (AR), two clinics of AR, 5 ICUs of clinics of internal diseases and depts. from the regionof ÚSZ Olomouc).Contrary to this we found increase of number of adult intoxicated patients treated on ICUs of depts. of internal diseases.We also got data from two paediatric clinical resuscitation units - number of intoxicated children increased only slightly or hasn't changed at all.Important is the fact of increasing number of intoxicated children with drug...

Catheter Related Sepsis and the Pathogenesis and RiskArticles

M. Pisarčíková, M. Uher, J. Filka, M. Kurák, Molokáčová

Anest. intenziv. Med. 2000;11(3):131-133

The authors present the definition of catheter - related sepsis and the definitions of the other catheter - related infections. They present thepathogenesis, risk factors a prevention of catheter - related sepsis.