Anesteziologie a intenzivní medicína, 2002 (vol. 13), issue 2
Anaesthesia and Antiplatelet TherapyArticles
H. Říha, A. Březina
Anest. intenziv. Med. 2002;13(2):54-58
The article presents review of the function of thrombocytes in the haemocoagulation system with emphasis on the thrombogenesis in acute coronary syndromms. It explains the function and importance of antiplatelet therapy together with its pathophysiological basis. Pharmacodynamic and pharmacokinetic data of the antiplatelet drugs are described. The authors explain importance of these details for every day anaesthesia
Cisatracurium as the Part of the Induction of General Anaesthesia with Haemodynamic StabilityArticles
Svítek, Polívková
Anest. intenziv. Med. 2002;13(2):59-62
We evaluated haemodynamic stability during the induction of general anaesthesia in the group od 49 patients. For the orotracheal intubation we used nondepolarizing muscle relaxant cisatrcurium which is told not to make a release of histamin. For the induction of general anaesthesia we used etomidate (intravenous induction agent) with sufentanil (opioid). We compared two groups ofpatients who were divided by the severity of cardiovascular conditions, especially coronary heart disease. The application of cisatracurium did not impair followed haemodynamic parameters significantly. Other signs of release of histamin were not noted. Cisatracurium is the...
Extubation in the Operating Room - New Era in Cardiac AnaesthesiaArticles
P. Brůček, Z. Straka, T. Vaněk, P. Widimský
Anest. intenziv. Med. 2002;13(2):63-65
Objective:To evaluate extubation in the operating room as a routine practice in cardiac anaesthesia.Method: The prospective study enrolled h2 patients without any limitation. The average age was h2 years (4(x78). The surgery procedures includes revascularization procedures (in 73.8% cases without cardiopulmonary bypass), replacements of aortic valve and "redo" operations. The average duration of the operation was 178 minutes (90-300). Pethidine and atropine were used in the premedication. The anaesthesia was maintained with remifentanil, propofol and inhalation anaesthetics. Atracurium was used as a neuromuscular blocking agent. Early postoperative...
Adenotonsillectomy in ChildrenArticles
A. Kropáč
Anest. intenziv. Med. 2002;13(2):66-67
Adenotonsillectomy in children in our institution has been made using general anaesthesia sicce 1995. In the view of new anaesthetics in the clinical practice we prefer as the most appropriate approach general anaesthesia with sevoflurane and mivacurium for the orotracheal intubat
Compartement Syndrome of the Calf after Spinal Anaesthesia - a Case ReportArticles
Th. G. De Leeuw, M. M. T. E. Lange, J. Rupreht
Anest. intenziv. Med. 2002;13(2):68-70
A Kompartment syndrome of a limb is a serious condition tkat can cause severe disability or even loss of the limb. We describe a tase of a healthy 16-year-old girl with a fracture of the right patella who developed a Kompartmenx syndrome of the calf immediately after spinal anaesthesia. Pathophysiology of this complication and prudent anaesthetic approach for trauma of limb in young persons is evaluatd.
Haemocoagulations Parameters during Mild Hypothermia in Patients with Severe Head InjurArticles
R. Gál, L. Čundrle, I. Zimová
Anest. intenziv. Med. 2002;13(2):71-72
In our study are presented some blond count and clotting parameers of IS patients with severe brain injury, in which was used deliberate mild hypothermia 34 °C during 72 hours as a component of intensive care management together with standard treatment protocol according to European Brain Injury Consortium. The laboratory values were obtained from 9 examinations of arterial blond in 8 hours period during hypothermia therapy and during normothermia too. For statistickl analysis was used Wilcoxon test. There were no significant changes in serum levels of haemoglobin, trombocytes, fibrinogen, activated partial tromboplastin and prothrombin time values...
Mushroom Poisoning in Emergency MedicineArticles
A. Dukát
Anest. intenziv. Med. 2002;13(2):73-78
Mushroom poisoning (mycointoxication) is a severe clinical problem in the emergency medicine. The classification of the ethiology and pathogenesis made by Gavorník should be mainly used in the complex management of mushroom poisoning. This classification is not only the algorithm for the differential diagnosis of mushroom poisoning but also the basis for the appropriate rational therapy.
Petroleum Derivates Aspiration - a Case ReportArticles
D. Podhorný, L. Voříšková, P. Smetana
Anest. intenziv. Med. 2002;13(2):79-82
ARDS is caused by pulmonary or extrapulmonary injury, when the pulmonary injlection happens by complex mechanism of multiorgan failure. Principal morphological manifestation is noncardiogenic pulmonary oedema, principal pathophysiological incidence on one's behalf organism is pulmonary oxygenation failure. Oxygenation failure is assessed by the oxygenation index (yuotient between arterial pOz and FiOz) We describe a tase of urgent development of ARDS after petroleum derivates aspiration by worker noncomplying with safety code at work in closed room.
Prokalcitonin - the Sensitive and Specific Marker of Severe Bacterial IntlammationArticles
M. Průcha, R. Zazula, J. Hyánek
Anest. intenziv. Med. 2002;13(2):83-85
The differential diagnosis of infectious and noninfectious ethiology of an injlammation is difficult problem in many clinical situations. In the nineties new important marker - procalcitonin - appears. Although its physiological role and regulation of its production is not sufficiently explained, procalcitonin has been shown to be important, sensitive and specific marker of the bacterial infection triggering a systemicinjlammatory reaction in the body. Nowadays procalcitonin is believed to be more specific marker of the severity of sepsis than interleukin-h or C-reactive protein. The determination of procalcitonin concentration is of important value...
Prokalcitonin not only in the Differential Diagnosis of the Inflammatory ResponseArticles
R. Zazula, M. Průcha, A. Spálený, M. Jarešová, Š. Vítko
Anest. intenziv. Med. 2002;13(2):86-91
The thesis evaluates the role of procalcitonin in the differential diagnosis of infectious and non-infectious etiology of the systemic injlammatory response by the body and compares it with the value of traditional markers of injlammation. Part two of the thesis evaluates the determination of serum procalcitonin levels in the early post-operative period in patients after liver transplantation. A total of 407 procalcitonin samples form 124 patients divided roto four diagnostic groups: 0 - localized infection (88 studies), 1- SIRS (100 studies), 2 - sepsis (1 h5 studies), 3 - severe sepsis and septic shock (54 studies) were examined. The groups were...