Anesteziologie a intenzivní medicína, 2004 (vol. 15), issue 3
Anaesthesia-related Complications: A Report of 55 679 Anaesthesias over a 3-years Period from the Hradec Kralove University Hospital in 1999-2001Articles
V. Černý, K. Urbancová, T. Suchý
Anest. intenziv. Med. 2004;15(3):113-124
Introduction:Several surveys have evaluated the incidence of anaesthesia-related complications and deaths, however thestatistical data regarding anaesthesia mortality and morbidity fromthe Czech Republic have not been reported yet. The aimof the study was to report and analyze anaesthesia-related complications over a 3 years period from a university hospital.Setting: Dept. of Anesthesiology and Intensive Care.Material and Methods: A retrospective analysis of prospectively collected data during the period between 1999 and 2001was conducted. The number of anaesthesia cases, ASA status, deaths during anaesthesia and within 24 hours, selectedcomplications...
The Role of the Anaesthesiologist, His Work and Responsibility during the Surgery: A Preoperative Survey on Patients' Opinions, Attitudes and NotionsArticles
P. Nohel, L. Dadák
Anest. intenziv. Med. 2004;15(3):125-129
Objective:The role of the anaesthesiologist as an independent specialist and patients' view of themwere examined in manystudies. Studies performed in English speaking countries show that only 54 to 89 per cent of patients undergoing surgeryrealize that their anaesthesiologist has a medical qualification; this number is higher than 90% in German speakingcountries. The goal of this study was to determine opinions and attitudes of patients in the Czech Republic.Design: An anonymous questionnaire-based survey.Setting: Dept. of Anaesthesiolgy and Intensive Care, University HospitalMethod: Patients undergoing elective surgery under general anaesthesia...
Malignant HyperthermiaArticles
I. Schröderová, P. Nohel, D. Štěpánková
Anest. intenziv. Med. 2004;15(3):130-139
Malignant hyperthermia is a serious complication of general anaesthesia. It is a genetically determined disposition with anautosomal dominant transfer. The development of MH is conditioned by the exposure to triggering agents - inhalationanaesthetics and suxamethonium.The nature ofMHis a disorder of calcium metabolismin sarcoplasmic reticulum receptorsin skeletal muscle. The review presents an overview of the history and current knowledge of pathophysiology, genetics,clinical picture and treatment of MH, gives important information for anaesthesia practice, summarizes current means ofpre-symptomatic testing and informs on the state of MH diagnostics...
Mechanical Ventilation at Paediatric Intensive Care UnitsArticles
M. Fedora, P. Košut, D. Barnetová, I. Fanta, R. Hrdlička, J. Kobr, M. Prchlík, V. Smolka, B. Trávníček, V. Vobruba, P. Dominik, M. Klimovič, M. Šeda, L. Marek, M. Doleček
Anest. intenziv. Med. 2004;15(3):140-146
Objective:The aims of this study were to evaluate the incidence of mechanically ventilated children in participating units,to find out the demographic data of the patients, to evaluate ventilator settings and to assess the mortality of ventilatedchildren.Design: Prospective observational multicenter study between 1. 2. 2002 and 30. 4. 2002.Setting: Seven paediatric intensive care units in tertiary hospitals in the Czech Republic.Material and Method: All children between 0 and 18 years admitted to the participating paediatric intensive care units whorequired intubation and mechanical ventilation were enrolled. Following parameters were recorded...
Levosimendan and its Role in the Management of Heart FailureArticles
P. Michálek
Anest. intenziv. Med. 2004;15(3):147-151
The "low-flow" states related to heart failure need the inotropic haemodynamic support. Increasing myocardial contractilitywith catecholamines and PDE-inhibitors is associated with excessive intracellular calcium concentration. This side effectcan induce life-threatening arrhytmias and increases myocardial oxygen consumption in cardiomyocytes. Calcium sensitizationis a relatively new concept of inotropic support. The principle is improving of myocardial performance by directbinding to troponin C without risk of excessive intracellular calcium concentrations. Levosimendan is a calcium sensitizerwith dual mode of action. Calcium sensitization and ATP-dependent...
The History of Resuscitation III. (From the 19th century to the beginning of the 20th century)Articles
V. Rogozov
Anest. intenziv. Med. 2004;15(3):152-160
The article gives a survey of the development of resuscitation methods and attempts from the 19th century to the firstdecade of the 20th century and refers to ideas, personalities, important publications, events and facts that interfered withthe development of the resuscitation art. The article contains information gained due to the Wood Library-MuseumFellowship 2000.