Anesteziologie a intenzivní medicína, 2007 (vol. 18), issue 5
Fast-track and ultra fast-track cardiac anaesthesia - postoperative pain and other parameters observationAnaesthesiology - Original Paper
J. Šnircová, R. Fajt, J. Hrabák, M. Jareš, M. Kopa, T. Vaněk
Anest. intenziv. Med. 2007;18(5):276-281 
Objective:We have been using fast-track techniques (alfentanil and remifentanil based) for cardiac anaesthesia in our department routinely since 2001. The aim of this study was to compare these two methods. Design:A prospective follow-up study. Setting:Department of Cardiac Surgery, University Hospital Kralovske Vinohrady, Charles University, Prague. Materials and methods:In the prospective follow-up study, 71 consecutive patients (alfentanil 32, remifentanil 39) undergoing common cardiothoracic procedures were observed during 2006. The following parameters were observed: time to extubation, length...
Fibrinolysis and its management in cardiac surgeryAnaesthesiology - Review articles
T. Vaněk, J. Šnircová
Anest. intenziv. Med. 2007;18(5):282-285
The article summarizes current knowledge of fibrinolysis and fibrinolytic inhibitors in cardiac surgery. It deals with the effectiveness and safety of antifibrinolytic therapy in "on-pump" and "off-pump" cardiac surgery.
Perioperative beta-blockadeAnaesthesiology - Review articles
K. Škarvan
Anest. intenziv. Med. 2007;18(5):286-295
Adverse cardiac outcome continues to be an important cause of perioperative morbidity and mortality in non-cardiac surgery. This is related to the high prevalence of coronary artery disease in the ageing surgical population. Beta-blockers have proven useful and efficatious in the treatment of perioperative myocardial ischaemia and arrhytmias. After early studies had suggested that a prophylactic perioperative beta-blockade could also reduce perioperative and long-term morbidity and mortality, the administration of beta-blockers to patients with coronary artery disease or its risk factors undergoing major non-cardiac surgery is now recommended in published...
Do beta-blockers still have their role in myocardial protection?Anaesthesiology - Review articles
M. Horáček
Anest. intenziv. Med. 2007;18(5):296-300
Cardiovascular complications after non-cardiac surgery occur in one out of ten patients. All possible risk-reducing approaches including perioperative beta-blockade are warranted. Beta-blocker administration is based on the results of randomized controlled studies performed by Mangano et al. and Poldermans et al. However, new findings cast doubt on routine beta-blocker use. Current recommendations for perioperative beta-blockade for non-cardiac surgery are presented in this review.
Cardiogenic shock and its current management optionsAnaesthesiology - Review articles
A. Březina, H. Říha
Anest. intenziv. Med. 2007;18(5):301-304
A review of the causes, epidemiology, pathophysiology and treatment options of cardiogenic shock is presented.
Professor Peter J. Safar, MD (1924-2003): unbelievable life careerHistory
J. Pokorný sen.
Anest. intenziv. Med. 2007;18(5):305-314
When describing the lifelong work of Professor Peter Safar, his colleagues and successors Ake Grenvik and Patrick Kochanek called their teacher the Michelangelo of acute medicine. Just as Michelangelo Buonarotti (1475-1564) became the acknowledged and unsurpassed universal fine artist of the climax of renaissance when he created unique works of sculpture, painting, architecture and even poetry, the anaesthesiologist Peter Safar achieved worldwide acknowledgement for the scientific evidence, creation and general introduction of cardiopulmonary resuscitation and following this the introduction and development of modern prehospital and hospital critical...