Ohlédnutí za 2. česko-slovenským kongresem intenzivní medicínyEditorial

Vladimír Černý

Anest. intenziv. Med. 2008;19(5):247  

General anaesthesia with an awake period for brain surgeryAnaesthesiology - Original Paper

Duba Jaroslav, Gál Roman, Svoboda Tomáš

Anest. intenziv. Med. 2008;19(5):248-251  

Objective:We performed the study to introduce an anaesthetic technique allowing an awake period with intra-operative electrical stimulation of the cortex during craniotomy for resection of tumours affecting the intrinsic cerebral cortex and to confirm the possibility of an awake period during general anesthesia with spontaneous breathing without invasive airway protection in procedures lasting several hours. Design:A clinical, prospective study. Setting:Department of Anaesthesiology, Resuscitation and Intensive Medicine and Department of Neurosurgery at a University Hospital. Materials and methods:The...

Difficulties in implementation of the recommendations for the diagnosis and treatment of severe sepsis and septic shockIntensive Care Medicine - Original Paper

Firment Jozef, Hudák Vladimír, Grendel Tomáš

Anest. intenziv. Med. 2008;19(5):252-259  

Objective:Severe sepsis and septic shock are most important factors of high morbidity and mortality in critically ill patients. The aim of our study was to assess the implementation of the recommendations for the diagnosis and treatment of severe sepsis and septic shock in our department according to the Surviving Sepsis Campaign. Setting:University Department of Anaesthesiology & Intensive Care Medicine. Materials and methods:The 2004 patients were enrolled retrospectively, 2004 being the year of implementation of the recommendations. Since 2005 we have been enrolling patients prospectively with the recommendations...

Twenty five years of selective digestion decontamination - the questions remain unansweredIntesive Care Medicine - Review Article

Kratochvíl Milan, Ševčík Pavel

Anest. intenziv. Med. 2008;19(5):260-268  

Selective digestive decontamination in intensive care is a part of the preventive antimicrobial measures expected to make a positive contribution to the infection prevention, treatment, epidemiology and economy of ICUs. Since its origination it has been used in a limited number of centers reporting many positive results. A wider spread of the method has been thwarted by its not always conclusive and encouraging results and especially fears of promoting antimicrobial resistance which originate in the currently accepted restrictive antibiotic policy. According to this policy, antibiotic prophylaxis in general is not only ineffective but may also produce...

Immunopathogenenis of sepsisIntesive Care Medicine - Review Article

Průcha Miroslav, Fedora Michal

Anest. intenziv. Med. 2008;19(5):269-278  

Sepsis represents a major unresolved problem of current medicine. The important characteristic of sepsis is the interaction between the two subjects - the macro and the microorganism. The concept of a hyperinflammatory syndrome, dominant for two decades, has been challenged and our current understanding is that sepsis represents a dynamic syndrome characterized by many often antagonistic phenomena. Inflammation which characterizes sepsis does not act as a primary physiological compensatory mechanism but rather oscillates between the phases of a hyperinflammatory response and anergy or immunoparalysis. Understanding the pathogenesis of sepsis means...

PŘEDNÁŠKYAbstracts

Anest. intenziv. Med. 2008;19(5):279-283  

PŘEDNÁŠKY - pokračováníAbstracts

Anest. intenziv. Med. 2008;19(5):283-286  

POSTERYAbstracts

Anest. intenziv. Med. 2008;19(5):287-289  

Vzdělávací akce IPVZNews from CSARIM

Anest. intenziv. Med. 2008;19(5):289  

The Žalud Days: Dr Pavel ŽaludHistory

Nalos Daniel

Anest. intenziv. Med. 2008;19(5):290-291  

The author presents the personality of Dr Pavel Žalud, a pioneer of the anaesthesiology specialty in Czechoslovakia and a founder of the specialty at the Masaryk Regional Hospital in Ústí nad Labem. His name is born by the regular spring meeting of anaesthetists and intesivists.

Vzdělávací akce IPVZNews from CSARIM

Anest. intenziv. Med. 2008;19(5):292