Invazivní kandidózy - změna léčebného paradigmatu?Editorial

Pavel Ševčík

Anest. intenziv. Med. 2009;20(1):3-4  

Robotická medicína, anesteziolog a automatizace anestezieEditorial

Ivan Herold

Anest. intenziv. Med. 2009;20(1):4-7  

Robot-assisted laparoscopic surgery from the anaesthesiologist's perspectiveAnaesthesiology - Review articles

Jurenka Božetěch, Lásziková Eva, Köhler Otto, Langer Daniel, Balcárek Lukáš, Henlín Tomáš, Netuková Daniela, Ryska Miroslav

Anest. intenziv. Med. 2009;20(1):8-12  

Robot-assisted laparoscopic surgery is a new and rapidly developing technology of the last decade. The surgeon takes advantage of the 3D surgical field imaging and manipulation scope beyond the capability of the current laparoscopic instruments. An uncomplicated course of robotic surgery significantly shortens the length of hospital stay compared to standard open surgery. On the other hand a robotic surgical system carries high acquisition and operating costs.It remains to be seen whether robot-assisted surgical procedures are safe and minimal-invasive even in patients with multiple comorbidities.

Paediatric intensive care outcomes in the Czech Republic in 2007Intensive Care Medicine - Original Paper

Vobruba Václav, Dlask Karel, Fajt Martin, Vojtovič Pavel, Kalousová Jana, Kripner Jiří, Prchlík Martin, Pizingerová Kateřina, Fanta Ivan, Biolek Jiří, Pajerek Jan, Lukeš Antonín, Fedora Michal, Smolka Vratislav, Hladík Michal

Anest. intenziv. Med. 2009;20(1):13-17  

Objective:To determine the outcomes of paediatric intensive care in the Czech Republic in 2007. Design:Retrospective, multi-centre study. Setting:Intensive care units of tertiary paediatric centres. Materials and methods:We evaluated the 2007 PICU patient data - PICU length of stay, days on mechanical ventilation, invasive procedures (CVCs, arterial lines, ICP measurements and CRRT) and outcomes. Results:Of the total number of 5287 patients admitted to the 15 tertiary paediatric intensive care units (PICU), 134 patients died (mortality rate 2.5%).

The importance of tidal volume and its monitoring during high-frequency ventilationIntesive Care Medicine - Review Article

Roubík Karel, Pachl Jan

Anest. intenziv. Med. 2009;20(1):18-24  

Even though High-Frequency Ventilation (HFV) meets criteria defining so called protective ventilatory strategy, HFV is not widely used in the clinical practice. Rational initiation of HFV and consequent maintenance of a constant ventilation belong to the limiting factors. Tidal volume is a parameter playing a crucial role in HFV. In the initial phase of HFV, monitoring of tidal volume allows reaching normocapnia promptly. As tidal volume generated by the ventilator depends on the relationship between the output impedance of the ventilator and the connected impedance of the respiratory system, stability of the adjusted ventilatory regimen also depends...

Dosage and administration of antibiotics in critically ill patientsIntesive Care Medicine - Review Article

Chytra Ivan, Štěpán Martin

Anest. intenziv. Med. 2009;20(1):25-29  

Early and appropriate antibacterial therapy is a principal intervention in septic patients. Adequate fluid resuscitation in the hyperdynamic stage of sepsis increases renal perfusion and via increased capillary permeability leads to a leak into the third space. The increased clearance and volume of distribution may result in low plasmatic concentration of antimicrobial drugs. Alternatively, sepsis can induce multiple organ dysfunction (kidney, liver), causing a decrease of antimicrobial drug clearance with increased risk of toxic effects.To optimize antibacterial therapy, clinician must know the properties of the used antibiotics and how these...

Guidelines for the treatment of invasive fungal infections in immunocompromised patientsGuidelines

Haber Jan, Mayer Jiří, Drgoňa Luboš

Anest. intenziv. Med. 2009;20(1):31-35  

A national working group representing clinicians, microbiologists, and different specialist medical societies and working groups prepared evidence-based guidelines for the treatment of established invasive fungal infections. In this article, the first one of a series of three, the evidence criteria of the Infectious Diseases Society of America (IDSA) used for assessing the quality of clinical trials, and EORTC/MSG Consensus Group for definitions of invasive fungal disease, are presented.

Guidelines for the treatment of invasive candidiasisGuidelines

Haber Jan, Ráčil Zdenek, Mayer Jiří, Mallátová Naďa, Kouba Michal, Sedláček Petr, Faber Edgar, Herold Ivan, Múdry Peter, Drgoňa Luboš, Kocmanová Iva, Karas Michal, Buchta Vladimír, Vydra Jan, Kolář Michal, Trupl Jan, Marešová Vilma, Rozsypal Hanuš, Nyč Otakar, Cwiertka Karel

Anest. intenziv. Med. 2009;20(1):37-47  

A national task force representing clinicians (haematologists, oncologists, microbiologists and intensivists), specialist medical societies and working groups prepared evidence-based guidelines for the treatment of established fungal infections - invasive candidiasis - in adult haematology and ICU patients. These guidelines updated those published in the Czech Republic in 2003/2004. The quality of the clinical trials was assessed using the evidence criteria of the Infectious Diseases Society of America (IDSA) and the updated EORTC/MSG Consensus Group conclusions were used for definitions of invasive fungal disease.

Guidelines for the treatment of invasive aspergillosisGuidelines

Ráčil Zdenek, Mayer Jiří, Kocmanová Iva, Haber Jan, Mallátová Naďa, Kouba Michal, Sedláček Petr, Faber Edgar, Herold Ivan, Múdry Peter, Drgoňa Luboš, Karas Michal, Buchta Vladimír, Vydra Jan, Kolář Michal, Trupl Jan, Marešová Vilma, Rozsypal Hanuš, Nyč Otakar, Cwiertka Karel

Anest. intenziv. Med. 2009;20(1):48-56  

An increasing incidence of invasive aspergillosis is observed in most immunocompromised patients, and especially in patients with acute leukemia and following haematopoietic stem cell transplantation. In order to decrease mortality due to this infection, clinicians need to optimize their treatment choices.The objective of these guidelines is to summarize the current evidence for the treatment of invasive aspergillosis. The recommendations have been developed by an expert panel following an evidence-based literature search with regard to current recommendations of the European Conference in Infections in Leukemia and Infectious Diseases Society...

Dopisy redakciLetter to Editor

Anest. intenziv. Med. 2009;20(1):57-58  

Zprávy ČSARIMNews from CSARIM

Anest. intenziv. Med. 2009;20(1):59-61  

Dopis členům České společnosti anesteziologie, resuscitace a intenzivní medicínyNews from CSARIM

Anest. intenziv. Med. 2009;20(1):61-63  

7. mezinárodní sympozium Historie anestezieNews from CSARIM

Anest. intenziv. Med. 2009;20(1):63  

II. česko-slovenský kongres intenzivní medicíny a XIII. Minářovy dnyNews from CSIM

Anest. intenziv. Med. 2009;20(1):64-66