Svalová relaxace v České republice v roce 2009 - pokrok nebo přešlapování na místě?Editorial

Milan Adamus, Ivan Herold

Anest. intenziv. Med. 2009;20(3):127-128  

Kontrola glykémie v intenzivní péči - ne jestli, ale jakEditorial

Jan Bláha

Anest. intenziv. Med. 2009;20(3):128-130  

Doporučené postupy ČSARIM - Zásady bezpečného a účelného používání svalových relaxancií v anesteziologiiAnaesthesiology

Milan Adamus, Vladimír Černý, Ivan Herold, Karel Cvachovec, Pavel Ševčík

Anest. intenziv. Med. 2009;20(3):131  

Analgosedation in Intensive Care Units (ICU) in the Czech Republic - the results of questionnaire studyIntensive Care Medicine - Original Paper

Černý Vladimír, Pařízková Renata, Herold Ivan, Šrámek Vladimír, Novák Ivan, Vítková Karolína

Anest. intenziv. Med. 2009;20(3):132-136  

Objective:Study aiming to obtain information on analgosedation regimen on various types of ICUs in the Czech Republic and compare them with data published in similar foreign studies. Design of the study:Observational-questionnaire study. Setting:Various types of ICU. Material and methods:Two-part questionnaire was mailed to members of Intensive Care Medicine Section of CSARIM. The first part of the questionnaire covered use of analgosedation regimens in general, the second part focused in details on protocol sedation used in individual patients treated in ICU during one-day prevalence study (4....

Dynamic parameters of preload in pressure support ventilationIntensive Care Medicine - Original Paper

Suk Pavel, Zvoníček Václav, Pavlík Martin, Štětka Pavel, Šrámek Vladimír

Anest. intenziv. Med. 2009;20(3):137-142  

Objective:To prove the reliability of pulse pressure variation (PPV) and stroke volume variation (SVV) in prediction of fluid responsiveness in patients on pressure support ventilation (PSV) and to assess the relationship between respiratory changes in filling pressures and pleural pressure. Design:Prospective clinical trial. Setting:University hospital multidisciplinary ICU. Methods:Patients with sinus rhythm on PSV in whom cardiac index (CI) was measured by thermodilution. Arterial, central venous (CVP) and pulmonary artery occlusion pressure (PAOP) were recorded and PPV, SVV, inspiratory drop...

Regional cooling of blood in the extracorporeal circuit: New way of anticoagulation during CRRTIntensive Care Medicine - Original Paper

Kroužecký Aleš, Sýkora Roman, Chvojka Jiří, Karvunidis Thomas, Raděj Jaroslav, Novák Ivan, Růžička Jiří, Beneš Jiří, Petránková Zuzana, Bolek Lukáš, Matějovič Martin

Anest. intenziv. Med. 2009;20(3):143-148  

Objective:To test the hypothesis that cooling of blood in the extracorporeal circuit of continuous veno-venous hemofiltration (CVVH) enables to realize the procedure without the need of anticoagulation. Design:Experimental animal study. Methods:We developed the device for selective cooling of extracorporeal circuit (20 °C) allowing blood rewarming (38 °C) just before returning into the body. 12 anesthetized and ventilated pigs were randomized to receive either 6 hrs of CVVH with application of this device (COOL; n = 6) or without it (CONTR; n = 6). Before the procedure and in 15., 60., 180., 360. minute...

Catheter-related blood stream infectionsIntensive Care Medicine - Original Paper

Bureš Jan, Beroušek Jan, Cvachovec Karel

Anest. intenziv. Med. 2009;20(3):149-152  

Objective:To evaluate the occurrence of catheter related blood stream infections in the critical care department when using antimicrobial coated central venous catheters. Design:Cross-sectional study. Setting:Critical care unit, Department of Anaesthesiology and Intensive Care Medicine University Hospital. Material and method:During the period 1. 4. 2007-31. 12. 2007 we monitored number of inserted catheters, duration of insertion and bacterial colonisation from the catheter tips and hemocultures. Results:Overall number of inserted catheters was 270, mean insertion time was 7.5...

Blood and tissue glucose level in critically ill patients: Comparison of different methods of measuring interstitial glucose levelsIntensive Care Medicine - Original Paper

Stoszková Andrea, Dostál Pavel, Musil František, Šmahelová Alena, Zadák Zdeněk, Černý Vladimír

Anest. intenziv. Med. 2009;20(3):153-157  

Objective:The aim of study is to investigate whether the glucose values obtained by miniinvasive techniques of interstitial glucose monitoring (Guardian Real Time (RT) continuous glucose monitoring system and microdialysis) differ substantially from blood glucose readings and whether these methods could be used instead of blood glucose sampling in mechanically ventilated patients with tight glycemic control. Design:Local, prospective study. Setting:Department of Anesthesiology and Intensive Care, University Hospital. Materials and methods:Interstitial glucose concentrations were...

Výuka neodkladné resuscitace na internetuNews from CSARIM

Jiří Málek

Anest. intenziv. Med. 2009;20(3):157  

Delirium during the postoperative period and in the intensive medicineIntesive Care Medicine - Review Article

Hála Martin, Ševčík Pavel

Anest. intenziv. Med. 2009;20(3):158-164  

The review article addresses the problem of delirium in intensive care, its types and definition as well as possibilities of differential diagnostics. Authors describe both non-pharmacologic and pharmacologic measures of prevention and treatment of delirium.

Polarography - major contribution of Jaroslav Heyrovský to the intensive therapyHistory

Pokorný Jiří, Dvořáček Bořivoj, Slánská Marie

Anest. intenziv. Med. 2009;20(3):165-167  

Polarography is an electrochemical method enabling the analysis and quantitative measurement of very small quantities of a number of substances, among others the oxygen. This method has been elaborated by Czech physical chemist Jaroslav Heyrovský. He introduced the dropping mercury electrode for measuring current and after having connected a sensitive galvanometer he began to measure and record continuously even minute quantities of oxygen in fluids, among other media in blood. He called the method polarography and developed it for practical use in laboratories and upheld it worldwide. For this invention Heyrovsky was awarded the Nobel Prize for chemistry...

Dr. Zdeněk Křivánek: Krivanek's Anaesteshesiologist Biannual Meeting in PardubiceHistory

Cvachovec Karel, Fořtová Magdaléna

Anest. intenziv. Med. 2009;20(3):168-169  

Head of Department of Anaesthesiology and Intensive Care in Pardubice Regional Hospital was one of the key persons forming anaesthesiology as a new specialty. As a former surgeon he paid special attention to anaesthesia and intensive care in traumatology, which later became a main topic of regular biannual autumn conferences of anaesthesiologist and intensivist in East Bohemia metropolis Pardubice, where he spent most of his professional life. Authors summarize important biographical data and his contribution to community of anaesthesiologist and as a vice president of CSARIM.

Zápis ze zasedání Akreditační komise oboru Anesteziologie a resuscitaceNews from CSARIM

Anest. intenziv. Med. 2009;20(3):170-171  

Zápis z jednání výboru č. 1/2009News from CSIM

Anest. intenziv. Med. 2009;20(3):172