Anesteziologie a intenzivní medicína, 2007 (vol. 18), issue 1
The American Society of Anesthesiologists' (ASA) Classification of Physical Status - time for change?Anaesthesiology - Original Paper
M. Adamus, I. Herold, Š. Trenkler, J. Koutná, A. Kropáč, J. Závada
Anest. intenziv. Med. 2007;18(1):9-23 
Objective:The American Society of Anesthesiologists' (ASA) Classification of Physical Status is a widely used grading system for the preoperative health of the surgical patient.The aim of the study was to assess the consistency of its use by the anaesthetists of several anaesthetic departments in the Czech and Slovak Republics. Design:Prospective, observational, multicentre, postal study. Setting:4 Czech and 1 Slovak Departments of Anaesthesia. Materials and methods:A printed or electronic questionnaire was sent to 101 anaesthetists from 5 departments in the Czech and Slovak Republics. Their length...
Automatic control of rocuronium-induced neuromuscular block during long-lasting neurosurgical interventionsAnaesthesiology - Original Paper
M. Adamus, R. Bělohlávek
Anest. intenziv. Med. 2007;18(1):24-29
Objective:During balanced anaesthesia, the degree of neuromuscular block (NMB) must be sufficient to provide adequate surgical conditions but not as excessive as to make it difficult to reverse at the end of surgery. A continuous relaxant infusion is an appropriate technique for long-lasting operations but manual control of the infusion rate can be time-consuming.We present a device (both hardware and software) for fuzzy control of NMB during general anaesthesia. Design:Clinical, prospective study. Setting:Department of Anaesthesiology and Intensive Care Medicine, University Hospital. Materials and methods:After...
Incidence of postoperative residual curarization following cisatracurium and rocuronium-induced neuromuscular block: a prospective studyAnaesthesiology - Original Paper
M. Adamus, J. Koutná, D. Žáčková
Anest. intenziv. Med. 2007;18(1):30-34
Objective:To assess the incidence of postoperative residual curarization following cisatracurium and rocuronium-induced neuromuscular block. Design:Clinical, prospective, controlled study. Setting:Department of Anaesthesiology and Intensive Care Medicine, University Hospital, Materials and methods:We investigated residual curarization after general anaesthesia with either cisatracurium (CIS, n = 384) or rocuronium (ROC, n = 406) induced neuromuscular blockade without peroperative neuromuscular blockade monitoring in 790 patients. On admission to the recovery room we performed submaximal stimulation...
Intramuscular suxamethonium in experiment and in clinical practiceAnaesthesiology - Original Paper
M. Svítek, L. Hess, V. Rogozov, J. Schreiberová
Anest. intenziv. Med. 2007;18(1):35-39
Objective:To assess if intramuscular suxamethonium 0.5 mg . kg⁻1 administered to cats during general anaesthesia results in immobilisation without disturbance of spontaneous breathing. To assess optimal dose of intramuscular suxamethonium in adult humans. Design:Prospective experimental study in cats, prospective clinical study in humans. Materials and methods:Suxamethonium 0.5 mg . kg⁻1 was administered in the hind paw of cats anaesthetised with a medetomidine-ketamine combination. Muscle relaxation was measured using accelerograph TOF Watch SX and cardiorespiratory monitoring...
Early urine and blood biochemical changes in experimental model of sepsisIntensive Care Medicine - Original Paper
M. Fencl, M. Matějovič, A. Kroužecký, L. Dadák, I. Novák, V. Šrámek
Anest. intenziv. Med. 2007;18(1):40-44
Objective:To compare biochemical changes in the blood and urine in the early phase of an experimental model of sepsis. Design:Experimental, prospective trial. Setting:ICU of the 1st Medical Department, Charles University, Medical School and Teaching Hospital Plzen, Czech Republic. Department of Anaesthesia and Intensive Care, St. Ann's University Hospital Brno, Czech Republic. Materials and methods:Twelve pigs weighing 24 kg (18; 30) were studied for 12 hrs after the induction of experimental G-negative volume-resuscitated sepsis.The sepsis was induced with a continuous live Pseudomonas...
Lev Spinadel - founder of anaesthesiology in CzechoslovakiaHistory
J. Pokorný, V. Trávníček
Anest. intenziv. Med. 2007;18(1):45-49
The authors introduce the readers to the personality of Lev Spinadel who returned from the Second World War as a specialized anaesthesiologist. His aim was not only to practice modern anaesthetic methods in a large hospital but also to promote this worldwide young medical specialty in Czechoslovakia. He becamethe founder of the first Czechoslovak department of Anaesthesiology in the Central Army Hospital in Prague.The department started its regular activities on the 1st of January 1948. He achieved his goal when anaesthesiology became a higher medical specialty in 1954. He gave a firm basis to the new specialty by writing the great textbook Clinical...