Anesteziologie a intenzivní medicína, 2003 (vol. 14), issue 4
How to Ventilate Patients with ALI/ARDS: a Search for ConsensusArticles
I. Herold
Anest. intenziv. Med. 2003;14(4):163-171
The article deals with conclusions the American-European consensus Conferences on ALI/ARDS and VALI and their impacton current protocol of mechanical ventilation. Re-targeting of goals of mechanical ventilation, which give priority toavoidance of lung damage with inappropriate ventilation pattern leads to introduction of lung protective ventilatory strategy.It is based on Lachmann's concept of "open the lung and keep it open". Barotrauma, volotrauma and atelectrauma arerecognized as main determinants for lung damage. The causative relation between lung damage due to mechanicalventilation and its deleterious effect on extrapulmonary organs leading to...
Rescue Therapeutical Procedures in Patients with Severe ARDSArticles
P. Dostál, R. Pařízková
Anest. intenziv. Med. 2003;14(4):172-180
Prognosis of patients suffering from acute respiratory distress syndrome (ARDS) remains uncertain with mortality rate20-60 %. Severe respiratory failure featuring profound hypoxemia resistant to conventional therapy may occur in somepatients. "Rescue therapy procedures" have been considered as treatment options mostly in experimental setting or instrictly defined and limited cohorts of patients. Selected experimental and clinical trials evaluating therapy with inhalednitric oxide, surfactant treatment, liquid ventilation, high frequency oscillation, extracorporeal lung assisting devices andprone position are discussed.Based on currently available results,prone...
Intrapulmonary Conditions and Ventilatory Parameters in Conventional and High FrequencyVentilationArticles
K. Roubík, J. Pachl
Anest. intenziv. Med. 2003;14(4):181-187
The article deals with differences between the conventional mechanical ventilation and a high-frequency ventilation. First,the different physical principles of gas flow are described. Then, effects of the mechanical properties of the respiratorysystem upon intrapulmonary conditions are studied in both ventilatory regimens. Differences between the parameterscharacterising each ventilatory regimen are explained. Finally, the importance of the ventilatory parameters for a safe andefficient application of both conventional and high-frequency ventilations is examined.
Selected Legal and Professional Problems of Organ Donation in the Czech RepublicArticles
E. Pokorná, ©. Vítko
Anest. intenziv. Med. 2003;14(4):188-195
Basic information about the new Czech transplant law No. 285/2002, valid since September 1st, 2002. This survey describesmainly the rules and principles of brain death diagnosis and practical issues of indication criteria for cadaver organ donors.
The History of Resuscitation II. (18th century to the beginning of 19th century - Part Two)Articles
V. Rogozov
Anest. intenziv. Med. 2003;14(4):196-206
This article gives a survey of the development of resuscitation methods and attempts from 18th century to the beginning of19th century and refers to ideas, personalities, important publications, events and facts that interfered with the developmentof resuscitation art.The text is a part of work consisting of other articles devoted to the previous (from prehistory to the 17th century) andsubsequent (19th and 20th centuries) periods of the development of resuscitation.