Anesteziologie a intenzivní medicína, 2003 (vol. 14), issue 3
Balanced Conscious Sedation by a Combination of Midazolam-Clonidine-Ketamine in DentalSurgeryArticles
L. Hess, V. ©čigel, E. Kieslichová, A. Březina, F. Kopáč
Anest. intenziv. Med. 2003;14(3):117-120
Objective:A combination of midazolam-clonidine-ketamine was evaluated in terms of their influence on haemodynamic andrespiratory parameters in dental surgical patientsDesign: Non-comparative clinical study.Setting: Centre of Experimental Medicine, Prague, Department of Anaesthesiology and Resuscitation IKEM, DepartmentAnaesthesiology and Intensive Medicine - IKEM).Materials and methods: In 30 patients of both genders intravenous midazolam was administered in a total dose of 3 mg.Werecorded changes in haemodynamic and respiratory parameters caused by midazolam.After 2 minutes we added clonidine,50 µg iv, and investigated changes in...
Thoracic Paravertebral Block: Relationship between Injected Volume and Number of AffectedNerve Structures (Anatomical Study)Articles
J. Málek, A. Kurzová, J. ©ach, A. Doubková, A. Srp
Anest. intenziv. Med. 2003;14(3):121-125
Objective:In last decade, thoracic paravertebral blocks have been increasingly used. As we use in our hospital a singleentry continuous paravetebral block for postoperative analgesia after thoracotomic procedures, we decided to investigatewhether a linear relationship exists between injected volume and extent of influenced intervertebral spaces.Design: Anatomical study on cadavers.Setting: Charles University, 3rd Medical School, University Hospital Kralovské Vinohrady, Prague.Material and methods:We performed an anatomical study on human adult cadavers by injecting water dyed with methyleneblue bilaterally at the level of Th 4. Using a standard...
Technique of Anaesthesia and Perioperative Care in Sacral Deafferentation (SDAF) and Electrostimulationof Urinary Bladder (SARS) in Patients with Transversal Spinal Cord LesionsArticles
B. Stibor, I. Čundrle, R. Gál
Anest. intenziv. Med. 2003;14(3):126-129
Transversal spinal cord lesions are among the most serious consequences of severe spinal injuries. Approximately 85% ofpatients who survived the first year after injury would die due to urological complications. They have a significantlyshortened average life span.Sacral deafferentation accompanied by implantation of a sacral anterior root stimulator which restores the patients' abilityto control micturition, defaecation and erection is a newand very effective method of treatment of these patients.Theauthorsdescribe both the specific technique of anaesthesia and basic principles of perioperative care associated with this procedurewhich was carried...
Activated Protein C in Treatment of Severe Sepsis - the First Experience in the Czech RepublicArticles
V. Černý, P. Dostál, R. Pařízková, K. Cvachovec, M. Pelichovská, M. Helcl, J. Příhodová, I. Burget, J. Polívková, J. Valenta, V. Dostál
Anest. intenziv. Med. 2003;14(3):130-134
Introduction:Drotrecogin alpha (activated) a recombinant form of human activated protein C (APC) has been consideredas the first therapeutic intervention reducing all-cause mortality in severe sepsis, however its use in Europe is still limited.The Czech Republic was the first country in Europe, where APC was used in clinical practice. The aim of the study was topresent initial experience with APC therapy in the Czech Republic and to describe a cohort of patients treated with APC in2002.Material and methods: A retrospective, descriptive study based on medical records of all patients having received APC wasconducted. Age, sex, diagnosis, Apache...
The History of Resuscitation II - Part one (From the 18th century to the beginning of the 19th century)Articles
V. Rogozov
Anest. intenziv. Med. 2003;14(3):135-138
This article surveys the development of resuscitation methods and attempts from the 18th century to the beginning of 19thcentury and refers to ideas, personalities, important publications, events and facts that interfered with the development ofresuscitation art. The text is part of work consisting of other articles devoted to the previous (from prehistory to the 17th century) and subsequent (19th and 20th centuries) periods of the development of resuscitation. The article containsinformation obtained due to Wood Library-Museum Fellowship 2000.