Po stopách ztracené rezistenceEditorial

Karel Škarvan

Anest. intenziv. Med. 2010;21(1):3-5  

Dětská anestezie 2009Editorial

Vladimír Mixa

Anest. intenziv. Med. 2010;21(1):5-6  

Ultrasound guidance in regional anaesthesia and interventional pain managementAnaesthesiology - Review articles

Michálek Pavel, Mach Dušan, Pokorný Lukáš, Gabrhelík Tomáš

Anest. intenziv. Med. 2010;21(1):7-13  

The use of ultrasound guidance for regional anaesthesia and interventional pain management marked the start of a new era at the end of the last century. New portable ultrasound machines with high-frequency probes allow visualisation of even very small nerve structures. Ultrasound-guided blocks offer some potential advantages when compared with other techniques such as neurostimulation or anatomical landmarks: a precise, real-time location of the needle-nerve relationship, an evaluation of the local anaesthetic distribution and a decreased risk of inadvertent vascular puncture. In some blocks, ultrasound guidance has helped to decrease the amount of...

Cardiogenic shock with systemic inflammatory response: Complications of acute myocardial infarctionIntesive Care Medicine - Review Article

Janda Robert, Sýkora Roman

Anest. intenziv. Med. 2010;21(1):14-17  

The mortality of cardiogenic shock remains high despite current progress in revascularisation and the supportive treatment of myocardial infarction. An activation of systemic inflammation may appear in one fifth of the cases of cardiogenic shock and as such may further increase the risk of death.

Osmotherapy in neurosurgery - hyperosmolar mannitol or hypertonic saline?Intesive Care Medicine - Review Article

Dostálová Vlasta, Dostál Pavel, Schreiberová Jitka, Černý Vladimír

Anest. intenziv. Med. 2010;21(1):18-22  

Hyperosmolar solutions of mannitol and hypertonic saline (HS) have been both used to treat elevated intracranial pressure in critically ill patients and during neurosurgery interventions. The hyperosmolarity of mannitol and HS, combined with the impermeability of the blood - brain barrier to mannitol and sodium, provides favourable conditions for moving water from the brain to the intravascular compartment. However, a number of prospective clinical trials comparing the effects of mannitol and HS on intracranial pressure have suggested that HS is at least as effective as, if not better than, mannitol in the treatment of intracranial hypertension and...

Immunotherapy of sepsisIntesive Care Medicine - Review Article

Průcha Miroslav, Černý Vladimír

Anest. intenziv. Med. 2010;21(1):23-30  

A disorder of the immune mechanisms of innate and adaptive immunity, inadequate inflammatory response and/or immunoparalysis are the drivers of the search for an effective immunomodulatory treatment in septic patients. During the last 30 years various approaches have been tried without substantial effect. Immunomodulatory therapy involves anti-inflammatory treatment - with intravenous immunoglobulins, corticosteroids, therapy targeting the inflammatory cascade - cytokine inhibitors or inhibitors of Toll-like receptor mechanisms of recognition. On the other hand there is immunostimulatory therapy whose repertoire is significantly smaller - growth factors...

Invasive fungal disease: terminology, definition and therapeutic approach - 2009 updateIntesive Care Medicine - Review Article

Haber Jan, Forsterová Kristina

Anest. intenziv. Med. 2010;21(1):31-38  

The treatment of invasive fungal disease (IFD) has become a regular component of the complex treatment of hematological malignancies and IFD has become a problem in ICU patients as well. In an effort to improve the communication between physicians and clinical researchers, and to improve the understanding of the different terms used inconsistently to describe the same medical situation or diagnosis, a panel of experts first published definitions of opportunistic invasive fungal diseases in 2002. They were later accepted both in Europe and the USA and updated in 2008. We review the new data and characteristics of the various treatment approaches (prophylactic...

The development of paediatric anaesthesiology and intensive therapy in PragueHistory

Pokorný Jiří, Klíma Karel, Kopecká Ludmila, Kyncl Vladimír, Slánská Marie, Šturma Jan

Anest. intenziv. Med. 2010;21(1):40-46  

The authors describe the beginnings and the development of paediatric anaesthesia, resuscitation and intensive therapy in two Charles University Hospitals in Prague in the second half of the 20^th century.The Department of Anaesthesiology was founded at the Paediatric University Hospital and headed by Miloslav Drapka (1911-2000) in 1965. The department provided anaesthetics and perioperative care for patients from the clinics of Paediatric Surgery, Orthopaedics, ENT, Gynaecology and Obstetrics, and for children indicated for diagnostic imaging procedures. Drapka adapted contemporary methods of anaesthesiology to paediatric patients. He...

Paediatric anaesthesia in Prague in the 1950sHistory

Koutecký Josef

Anest. intenziv. Med. 2010;21(1):47-49  

A famous paediatric oncologist remembers his early resident years in the Prague Paediatric Hospital during the 1950s. He also reminisces on his role as an anaesthetist.

The history of paediatric anaesthesiology in Prague: Anaesthesiological procedures in paediatric stomatologyHistory

Klíma Karel

Anest. intenziv. Med. 2010;21(1):50-57  

In 1970, the new University Children's Hospital was opened in Prague-Motol. The 12-bed Department of Maxillofacial and Dental Surgery for children was the first one to be opened in the former Czechoslovakia. Prof. Jaroslav Komínek, the head of the department, organised an internship programme with the Department of Anaesthesiology for his physician. The head of the anaesthetic department Miloslav Drapka was the founder of paediatric anaesthesiology in Czechoslovakia.The initial attempts at anaesthesia for dental surgery were not very successful. Operations in the buccal cavity without tracheal intubation were very hazardous. The author describes...

KALENDÁŘ AKCÍ

Anest. intenziv. Med. 2010;21(1):57  

Udělení cen na XVI. kongresu ČSARIM, České Budějovice, 1.-3. 10. 2009News from CSARIM

Anest. intenziv. Med. 2010;21(1):58  

ESPA - nová podoba společnosti dětských anesteziologů Evropy (29. 9. 2009)News from CSARIM

Anest. intenziv. Med. 2010;21(1):59  

Vzpomínka na Viléma GanzeNews from CSARIM

Karel Škarvan

Anest. intenziv. Med. 2010;21(1):59  

Přednášky ke stažení na www.csim.cz (přednášky z kongresu ČSIM 2009, Hradec Králové)News from CSIM

Anest. intenziv. Med. 2010;21(1):60-61  

Kontakty na odborné společnostiNews from CSIM

Anest. intenziv. Med. 2010;21(1):61  

Zápis z jednání výboru č. 3/2009News from CSIM

Anest. intenziv. Med. 2010;21(1):62