Anesteziologie a intenzivní medicína, 2006 (vol. 17), issue 4
Perioperative spinal cord monitoring during spinal surgeryAnaesthesiology - Original Paper
I. Čundrle, M. Mokrá, M. Němec, J. Bednařík, R. Chaloupka
Anest. intenziv. Med. 2006;17(4):187-192 
Objective:To compare two methods of perioperative spinal cord monitoring during spinal deformity correction surgery. Desing:Observational study. Setting:Department of Anaesthesiology and Intensive Care, Department of Orthopaedic Surgery, University Hospital Brno. Materials and Methods:Patients admitted to the orthopaedic ICU in 1980-2005 were divided to groups 1-4 of 294, 235, 410 and 116 patients. Patients in groups 1-3 were monitored with the wake-up test in the course of three different anaesthetic techniques. Patients in group 4 were monitored using combined monitoring of somatosensory (SEP)...
Transient language disturbances following anaesthesia in bilingual patients - case reportsAnaesthesiology - Case Reports
O. Gimunová, M. Mokrá
Anest. intenziv. Med. 2006;17(4):193-194
This article describes cases of transient language disturbances following anaesthesia. There is often a paradoxical fixation on the non-native language following anaesthesia.These cases shed some light on the way languages are stored in the brain.
Difficult Airways - prediction and managementAnaesthesiology - Comprehensive Report
T. Strang, P. Michálek
Anest. intenziv. Med. 2006;17(4):195-202
Difficult intubation is uncommon and fortunately the "can't ventilate can't intubate" scenario is extremely rare (1 : 5000). However both remain important causes of anaesthesia-related mortality and morbidity. The ability to predict problems results in improved outcome but sadly our methods remain to date disappointing in accuracy. A number of algorithms have now been developed to guide the physician meeting a difficult airway in predicted or unexpected circumstances. There are many basic and advanced techniques of airway management that anaesthetists should be competent to perform after training. Fibreoptic intubation remains probably the "gold standard"...
Evaluation of tissue perfusion by microdialysis technique with 3H₂O indicator in the rat model of haemorrhagic shockIntensive Care Medicine - Original Paper
M. ©itina, V. Černý
Anest. intenziv. Med. 2006;17(4):203-207
Objective:To evaluate the indicator microdialysis technique with 3H₂O as a method of estimation of local blood flow in skeletal muscle and liver in the rat model of haemorrhagic shock. Methods:Microdialysis probes were inserted in the hind limb muscle and liver of 9 rats and perfused with perfusate containing 3H₂O. Haemorrhagic shock was induced in 6 rats by repeated exsanguinations and 3 rats were used as the control group.The outflow-to-inflow ratio of water activity, lactate and pyruvate in the dialysate were repeatedly measured and the lactate to pyruvate ratio (L/P) was calculated. Spearman correlation coefficient...
Impact of the opening manoeuvre on gas exchange, haemodynamics and the splanchnic circulation in ARDS patientsIntensive Care Medicine - Original Paper
V. Zvoníček, V. ©rámek
Anest. intenziv. Med. 2006;17(4):208-212
Objective:To perform the recruitment manoeuvre (RM) in ARDS patients according to transalveolar pressure (Ptrans = airway pressure minus oesophageal pressure) and to evaluate its impact on gas exchange and the global and splanchnic haemodynamics. Design:Prospective, interventional study. Setting:Department of Anaesthesia & Intensive Care, St. Anna University Hospital, Brno, Czech Republic. Methods:Patients in the early phase of ARDS were enrolled in the study. RM was performed in the CPAP mode for 40 seconds; the aim was to reach transalveolar pressure (Ptrans) of 30 cm H₂O measured...
Death of a novice scuba diver after sudden emergence from a 5-meter depth - case reportIntesive Care Medicine - Case Report
M. Votýpka, V. ©rámek, P. Nohel, J. Vítovec, L. Groch, O. Hlinomaz
Anest. intenziv. Med. 2006;17(4):213-214
We describe the fatal case of a scuba diver after emerging from a 5-meter depth while breathholding. He sustained a fatal pulmonary barotrauma accompanied by air embolism into the brain and coronary vessels. He subsequently developed ARDS and severe cardiomyopathy. On the 33rd day after the accident the patient died with symptoms of a severe sepsis.
New developments in haemodynamic monitoring: Part IIntensive Care Medicine - Comprehensive Report
V. ©rámek, P. Suk
Anest. intenziv. Med. 2006;17(4):215-219
This review article summarizes new trends in systemic haemodynamic monitoring mainly in 2005.This part is aimed at the use of pulmonary artery catheter and the PiCCO system including assessment of the extravascular lung water. Less invasive methods for assessment of cardiac output are mentioned.
New developments in haemodynamic monitoring: Part IIIntensive Care Medicine - Comprehensive Report
P. Suk, V. ©rámek
Anest. intenziv. Med. 2006;17(4):220-223
This review article summarizes new trends in systemic haemodynamic monitoring in 2005. This part is aimed at the less invasive cardiac output measurement methods, particularly transoesophageal Doppler and venous oximetry, and the application of protocols for optimization of the haemodynamics and oxygen delivery.
Experience of anaesthesiologist from Korean WarHistory
V. Trávníček
Anest. intenziv. Med. 2006;17(4):224-227
During the Korean war a Czechoslovak field hospital has worked between 1952 and 1954 in Northern Korea following to the demand of North Korean government for medical aid. The author has worked there from 1953 for 16 months as only one anaesthesiologist with 9 surgeons. He has acquired large experience in very difficult field conditions in a regional civilian hospital in Chongjin. During 16 months he carried out about 1000 general anaesthetics. In the report he describes the highly demanding conditions in the field and the methods how he accomplished his assignment. His experience was than used as basis for the formation of anaesthesiology in the army...