Anesteziologie a intenzivní medicína, 2004 (vol. 15), issue 2
Cardiovascular Complications of Carotid Endarterectomy under Regional Anaesthesia Technique: a Comparison of Cervical Plexus Block and Cervical Epidural AnaesthesiaArticles
P. Michálek, M. Stern, J. Šoupal, V. Kubricht, M. Švec, P. Šebesta, P. Šedivý, M. Adamec, P. Tošenovský, L. Janoušek
Anest. intenziv. Med. 2004;15(2):64-68
Objective:The aim of this retrospective study was to evaluate a haemodynamic profile of the patients during carotidendarterectomy under regional anaesthesia technique and to compare the perioperative cardiovascular stability andcomplication rate of cervical plexus block (CPB) and cervical epidural anaesthesia (CEA).Design: Retrospective clinical study.Setting: Department of Cardiovascular Anaesthesia and Intensive Care, Na Homolce Hospital, Prague, Czech Republic,Department of Transplant Surgery, IKEM, Prague, Czech Republic.Material and Methods: A total of 529 carotid artery endarterectomies performed under regional anaesthesia in 1998-2003period...
The Relation between Skeletal Muscle Blood Flow and Selected Parameters of Metabolism during Cardiac Surgery with Cardiopulmonary BypassArticles
P. Živný, J. Manďák, V. Palička, P. Hrubá, V. Lonský, P. Kuneš, J. Kubíček
Anest. intenziv. Med. 2004;15(2):69-73
Objective:The aim of the study was to compare the interstitial metabolism of glucose, lactate, urea and glycerol in skeletalmuscle with interstitial blood flow by microdialysis in two groups of patients undergoing cardiac surgery with a cardiopulmonarybypass (CBP) under normothermic and hypothermic conditions. Design: Prospective randomised study.Setting: Institute of Clinical Biochemistry and Diagnostics, Department of Cardiosurgery, University Hospital, Hradec Králové.Material and Methods: Microdialysis was performed in forty patients undergoing cardiac surgery with a cardiopulmonarybypass (CBP). After an institutional approval, patients...
Is the Combination of alpha2 Agonist-Ketamin Suitable for Human Anaesthesia?Articles
L. Hess
Anest. intenziv. Med. 2004;15(2):74-80
An alpha2 agonist-ketamine combination is often used in veterinary anaesthesiology for anaesthetizing or immobilizinglaboratory or domestic animals or animals reared in zoos.Depending on the dose ketamine has sedative, analgetic, psychomimetic, cataleptic and anaestetic effects. It stimulatesblood circulation. It does not significantly alter the pattern of breathing. Alpha2 agonists include xylazine and recentlymedetomidine. They have a significant sympatholytic effect and lower noradrenaline level in the CNS by 75%. They reduceheart frequency by sympatholytic effect and stimulation of the vagus nerve and invoke a drop in blood pressure.Medetomidine...
Anaesthesia Management of Extended Liver Resection without Allogenic Blood Transfusion: a Case ReportArticles
R. Gál, I. Čundrle, B. Stibor, Z. Kala, V. Procházka
Anest. intenziv. Med. 2004;15(2):81-83
We report anaesthesia management for liver resection in a patient with supposedlarge blood loss,because of close relationsof the hepatic metastasis of colorectal carcinoma to the portal and inferior caval vein. To minimize blood loss we usedcombination of an acute normovolemic haemodilution (ANH) and a low central venous pressure (CVP) anaesthesia. The2000 g of whole blood was withdrawnafter induction of general anaesthesia.TheCVPwas maintained below5mmHg duringresection of hepatic parenchyma. The right hepatectomy with subsegmentomy IV A was performed using of total vascularexclusion.The estimated blood loss was 2000 ml.The patient was extubated withoutcomplications...
Comparison of Impedance Cardiography and Bolus Thermodilution Method in Mechanically Ventilated Patients Requiring Haemodynamic Support: a Prospective StudyArticles
V. Černý, H. Djurberg, D. Tjan, S. Jacobs
Anest. intenziv. Med. 2004;15(2):84-88
Objective:Bolus thermodilution (BTD) is the most commonly used bedside method of a cardiac output measurement incritically ill patients. A noninvasive alternative method for determining cardiac output and selected derived variables is thatof impedance cardiography (ICG), however, conficting results in the literature regarding degree of agreement between BTDand ICG have been published in the literature so far. The aim of the study was to assess the degree of correlation andagreement between cardiac output by impedance cardiography and thermodilution method and to evaluate the relationshipbetween selected variables derived from ICG and those...