Co přinesl rok 2009?Editorial

Karel Cvachovec

Anest. intenziv. Med. 2009;20(6):303-304  

Kam směřuje Česká společnosti intenzivní medicíny v nejbližších letech?Editorial

Vladimír Černý

Anest. intenziv. Med. 2009;20(6):304  

Transcatheter Aortic Valve Implantation: The anaesthetist's viewAnaesthesiology - Original Paper

Vaněk Tomáš, Bednář František, Kočka Viktor, Luha Olev, Toušek Petr, Jirmář Radovan, Widimský Petr

Anest. intenziv. Med. 2009;20(6):305-308  

Transcatheter Aortic Valve Implantation is arising as a new modality in the treatment of severe symptomatic aortic stenosis. This method has recently been introduced to the Czech Republic. It is reserved for the high risk patient population and requires close interdisciplinary co-operation where an experienced cardiac anaesthetist has an important role. The authors present their initial experience with 7 cases.

Continuous infusion versus intermittent administration of vancomycin in critically ill patients with Gram-positive infections resistant to beta-lactam antibioticsIntensive Care Medicine - Original Paper

Štěpán Martin, Chytra Ivan, Pelnář Petr, Bergerová Tamara, Kasal Eduard

Anest. intenziv. Med. 2009;20(6):309-316  

Objective:The aim of study was to compare the clinical and microbiological efficacy of continuous infusion versus intermittent administration of vancomycin in critically ill patients with Gram-positive infections resistant to beta-lactam antibiotics. The second goal was to evaluate the safety of both the vancomycin administration modes in relation to renal function. Design:Prospective randomized controlled study. Setting:Interdisciplinary intensive care unit of a University teaching hospital. Materials and methods:Patients admitted to the interdisciplinary ICU suffering from Gram-positive infection...

Prognostic factors of community-acquired purulent meningitis outcome in adultsIntensive Care Medicine - Original Paper

Džupová Olga, Rozsypal Hanuš, Beneš Jiří

Anest. intenziv. Med. 2009;20(6):317-323  

Objective:To assess the clinical outcome of acute bacterial meningitis in adults and to identify predictors of unfavourable outcome. Design:Prospective longitudinal observational study. Setting:Department of infectious diseases, university hospital. Materials and methods:The study included patients of ≥ 16 years of age treated for community-acquired bacterial meningitis. Medical history and clinical laboratory data were recorded. Clinical outcome was classified using the Glasgow Outcome Scale (GOS 1-5) and dichotomized to favourable (GOS 5) and unfavourable (GOS 1-4) outcomes....

Bleeding complications and overdosing of anticoagulant therapyGuidelines

Gumulec Jaromír, Kessler Petr, Procházka Václav, Brejcha Martin, Grundmann Milan, Penka Miroslav, Zänger Mathias, Machytka Evžen, Klement Petr

Anest. intenziv. Med. 2009;20(6):324-331  

Anticoagulant therapy is one of the most common forms of medical intervention. It is the mainstay of prevention and treatment of thrombotic events. Omission of adequate anticoagulant prophylaxis at least for moderate-risk and high-risk patients is a widely recognized medical error.Bleeding is one of the most feared complications of anticoagulant therapy, and is a risk of all anticoagulants. Whereas unfractionated heparin and warfarin, the oldest and most widely used anticoagulants, have specific antidotes for their anticoagulant effect, many of the newer agents (direct and indirect inhibitors of coagulation factors Xa and/or IIa) do not have...

Ethical problems experienced during emergency medical care provisionEthics and Medicine Law

Pokorný Jiří sen.

Anest. intenziv. Med. 2009;20(6):332-334  

The article starts with a definition of ethics and classification of emergency medical care. The ethics view of the problems of care of single and mass casualties is described. A major ethical problem is posed by the cases of critically ill patients in whom intensive therapy has proved to be inefficient and futile. In those cases transition from intensive to symptomatic care is indicated because the patient has entered the phase of dying. Such a decision has to be made by the lead physician in agreement with other physicians caring for the patient. The implementation of guidelines for the transition from intensive to symptomatic care is recommended....

The development of intensive care medicine in Israel from its creation until todayHistory

Singer Pierre

Anest. intenziv. Med. 2009;20(6):335-337  

Simon Bursztein was the founder of intensive care medicine in Israel. After the 6-day War, intensive care stations were created at the Rambam Medical Center in Haifa and the practice of general intensive care was developed. Pr Bursztein with his colleague from Hadassah Medical Center in Jerusalem, Pr Shamai Kotev, created a specialty which still exists today. The history of the specialty in Israel and worldwide is detailed in this article.

Prim. MUDr. Jiří DostálHistory

Zemanová Jitka, Ševčík Pavel

Anest. intenziv. Med. 2009;20(6):337-338  

The authors describe Dr. Jiri Dostal's professional career and his relentless contribution to progress in anaesthesiology, intensive care and emergency medicine. An annual emergency medicine conference carrying his name takes place in Hradec nad Moravicí.

Blahopřání doc. MUDr. Adolfě Scheinarové, CSc., k životnímu jubileuNews from CSARIM

Anest. intenziv. Med. 2009;20(6):339  

Mitigace pandemie chřipkyNews from CSARIM

Anest. intenziv. Med. 2009;20(6):340