Anesteziologie a intenzivní medicína, 2007 (vol. 18), issue 4
Anaesthesia options in carotid endarterectomyAnaesthesiology - Original Paper
Z. Mrozek, J. Koutná, O. Marek
Anest. intenziv. Med. 2007;18(4):202-209 
Objective:Carotid endarterectomy is a procedure used for the treatment of partial carotid obstruction. Until recently it was performed under general anaesthesia (GA) but recently cervical plexus block (CB) has been used as an alternative. It enables monitoring of the level of consciousness and motor function of the patient during the surgery and therefore allows early diagnosis and intervention in cerebral hypoxia. The aim of the survey was to compare the two anaesthesia methods intra-operatively and in the early postoperative period. Setting:Department of anaesthesiology and intensive care, University Hospital. Materials...
Influence of low dose ketamine on anaesthesia for bronchoscopic proceduresAnaesthesiology - Original Paper
O. Marek, M. Adamus, Z. Mrozek
Anest. intenziv. Med. 2007;18(4):210-215
Objective:To investigate an optimal anaesthesia regimen for invasive bronchoscopy in patients with a various degree of perioperative risk. Design:Clinical prospective randomized study. Setting:Department of Anaesthesiology and Critical Care, University Hospital. Materials and methods:160 patients with tracheal stenosis were treated with laser therapy and insertion of a tracheal stent via a rigid bronchoscope. A combination of midazolam, ketamine, propofol and sufentanil was used for anaesthesia without neuromuscular blockade. The patients were randomised to intravenous ketamine 0.30 mg/kg group...
Single-shot paravertebral block in children - the initial experienceAnaesthesiology - Original Paper
E. Berta, J. Špaňhel, O. Šmakal, T. Gabrhelík, V. Smolka, B. Bertová, H. Špaňhelová, H. Fiala
Anest. intenziv. Med. 2007;18(4):216-220
Objective:To study the effectiveness of a single-shot paravertebral block in children following major urologic surgery. Both multiple-level and continuous paravertebral blocks had already been successfully used for postoperative analgesia in children. Design:Prospective, observational, partly observer-blinded trial. Setting:Department of Anaesthesia and Intensive Care, University Hospital. Materials and methods:A paravertebral block was performed at Th10-12 level in 8 children (median age 9.8 months [range 3.2-17.1]) undergoing renal surgery during the preparatory phase before a pilot study. At...
Notes on the pathophysiology of postoperative deliriumAnaesthesiology - Comprehensive Report
M. Hála
Anest. intenziv. Med. 2007;18(4):221-226
Postoperative delirium represents a serious complication after major surgery. Patients suffer from anxiety, hallucinations and delusions and have higher postoperative morbidity and mortality. A long-term cognitive impairment is its common consequence. Delirium thus represents a nursing, therapeutic as well as economic problem. In this review article the basic characteristics and incidence of postoperative delirium are summarized, and hypotheses of its development published so far are presented.
One-year experience with the Centralized Intensive Care Unit of the Department of Anaesthesiology and Intensive Care Medicine in BrnoIntensive Care Medicine - Original Paper
P. Štourač, E. Straževská, I. Zimová, M. Pisár, P. Ševčík, R. Gál
Anest. intenziv. Med. 2007;18(4):227-230
Objective:The aim of this retrospective study was to present the results of the one-year work of the new Department of resuscitation and intensive care medicine of the Department of anaesthesiology, resuscitation and intensive care medicine of the Medical School of Masaryk University and University Hospital Brno. Design: Retrospective descriptive study. Setting:The Department of anaesthesiology, resuscitation and intensive care medicine of the Medical school of Masaryk University and University Hospital Brno. Material and methods:The article describes our one-year experience, from 1st October 2005 to 30th September...
Non-invasive optical methods for microcirculatory assessment in experiment and in clinical practice: Orthogonal polarization spectral (OPS) imaging and Sidestream dark-field (SDF) imagingIntensive Care Medicine - Comprehensive Report
Z. Turek, R. Pařízková, V. Černý
Anest. intenziv. Med. 2007;18(4):231-235
Microcirculation plays an essential role in the interaction between the blood and target tissues. Despite its evident importance in the pathophysiology and development of numerous acute and chronic diseases such as hypertension, diabetes or sepsis, currently available methods allowing direct visualization of the microcirculatory network and its assessment in clinical practice are very limited. Orthogonal polarization spectral (OPS) imaging and its improved successor Sidestream dark-field (SDF) imaging are relatively new optical non-invasive technologies incorporated in a hand-held examination probe for visualization of the mucosal surface microcirculation...
Non-heart-beating donorsIntensive Care Medicine - Comprehensive Report
M. Gerlichová, V. Černý, P. Navrátil, K. Baker
Anest. intenziv. Med. 2007;18(4):236-240
Since the 1990s the continuous quest for new organ resources for transplantation has re-evoked the interest in non-heart-beating donors (NHBD). The method was pioneered in the Netherlands and nowadays NHBDs are accepted in a wide range of countries. Since 2002 the Czech Republic has joined these countries in accepting this group of donors. The basic medical problem related to NHBD is the duration of the warm ischaemic time and the ischaemic-reperfusion syndrome. NHBDs remain a very specific group even from the ethical and legal aspects. Legislation of individual countries varies as much as the protocols of the individual transplantation centres. The...
The First Registered Anaesthetic Nurse in Czechoslovakia: D. S. Alena Stárková-PalečkováHistory
J. Pokorný
Anest. intenziv. Med. 2007;18(4):241-243
The author describes the professional career of the first registered anaesthetic nurse in Czechoslovakia and her contribution to the forming of the specialty of anaesthesiology and nurse education in anaesthesia and intensive care.
The early days of ether anaesthesia in Moravia in February 1847History
J. Vetešník
Anest. intenziv. Med. 2007;18(4):244-246
Just 111 days after Morton's first inhalational ether anaesthesia in Boston, the same ether anaesthesia was administered in Brno (04/02/1847) and in Olomouc (09/02/1847).
History of anaesthesiology and intensive care in the University Children's Hospital in Brno-Černé PoleHistory
N. Medřická, J. Šífová
Anest. intenziv. Med. 2007;18(4):246-247
The authors describe the beginnings and evolution of the specialty of anaesthesiology including paediatric intensive care in Brno's Children's Hospital to date.