Výsledky atestací oboru Intenzivní medicína - můžeme být spokojeni?Editorial

Černý Vladimír

Anest. intenziv. Med. 2011;22(6):315-316  

The fascial plane conceptAnaesthesiology - New concepts

Nalos Daniel, Mach Dušan

Anest. intenziv. Med. 2011;22(6):317-319  

The muscular fascias surrounding peripheral nerves create an enclosed space. Their elasticity determines the size and shape of the space thus affecting the distribution of local anaesthetics. We suggest that application of a local anaesthetic into an "optimal" space outlined by the fascial planes, in particular under ultrasound guidance, largely determines the quality of the peripheral nerve block. In contrast, effort to apply local anaesthetics as close as possible to the peripheral nerve increases the risk of peripheral nerve damage. On the basis of histological studies of the tissues surrounding the nerves, CT and MRI studies performed on the author...

To cool or not to cool? Obstacles to implementing therapeutic hypothermia guidelinesIntensive Care Medicine - Original Paper

Fiala Hynek, Berta Emil, Gabrhelík Tomáš, Šafránek Petr

Anest. intenziv. Med. 2011;22(6):320-327  

Objective:To determine the cause of failed guideline implementation. Design:A questionnaire survey. Setting:University Hospital ICU and Emergency Department. Methods:The authors conducted a questionnaire survey among all healthcare workers participating in the care for patients after cardiopulmonary resuscitation in University Hospital Olomouc (total 67 medical professionals). The respondents were asked about factors preventing them from employing therapeutic hypothermia. Physician respondents were queried about the reasons for not initiating or discontinuing of cooling, inducing muscle relaxation,...

The effect of terlipressin on vital organ perfusion in cardiopulmonary resuscitation - experimental study TERCA (Terlipressin in Cardiac Arrest)Intensive Care Medicine - Original Paper

Truhlář Anatolij, Turek Zdeněk, Škulec Roman, Černý Vladimír

Anest. intenziv. Med. 2011;22(6):328-336  

Objective:Vasoactive drugs are used in cardiopulmonary resuscitation to increase vital organ perfusion. The aim of this study was to compare the haemodynamic effects of synergistically acting terlipressin and adrenaline vs. adrenaline alone in a porcine model of ventricular fibrillation (VF). Design:Randomized, double-blinded, placebo controlled experimental study. Setting:Department of Anaesthesiology and Intensive Care Medicine, University Hospital; Animal Research Laboratory, Faculty of Military Health Sciences Materials and methods:Fourteen domestic pigs were randomly assigned...

Severe course of Still's disease with multiple organ failure with predominant liver failureIntesive Care Medicine - Case Report

Kočan Ladislav, Vašková Janka, Vaško Ladislav, Hoková Hana, Majerník Miloš, Krištofová Beáta, Šimonová Jana, Firment Jozef

Anest. intenziv. Med. 2011;22(6):337-342  

Still's Disease is a disease of unknown aetiology and pathogenesis. It is characterized by fever, arthritis, salmon-coloured rash and organ failure in severe cases. This is a case report of a 31-year old female patient on long-term steroid treatment who suffered from adult Still's disease. She was admitted to the Clinic of Anaesthesiology and Intensive Care with fever up to 40 °C, unconsciousness and signs of multi-organ failure (liver, acute kidney failure, cardiovascular system, lungs, and disseminated intravascular coagulation). A complex of examinations did not confirm the cause to be sepsis, malignancy, a haematological disease or an infectious...

Principles of mechanical ventilation in chronic obstructive pulmonary diseaseIntesive Care Medicine - Review Article

Beroušek Jan, Cvachovec Karel

Anest. intenziv. Med. 2011;22(6):343-347  

Chronic obstructive pulmonary disease (COPD) has become the fourth most frequent cause of death in the European Union and in 2020 it may reach the third place. The treatment cost amounts to € 38.6 billion a year. In the cases when conservative and oxygen therapy do not achieve a sufficient effect and progressive respiratory failure appears, it is necessary to decide about the respiratory support and its form in a timely manner. The mechanical ventilation strategy can be divided into non-invasive and invasive. Non-invasive ventilation is recommended as the first choice in acute exacerbation of COPD. The weaning of a patient from the ventilator...

The 200-year Anniversary of J. Y. Simpson's BirthHistory

Málek Jiří

Anest. intenziv. Med. 2011;22(6):348-349  

J Y Simpson, an important figure in the history of anaesthesia, was born 200 years ago. Simpson is well known for many new methods and discoveries in anaesthesiology, obstetrics, gynaecology and infection. He was a very early advocate of the use of analgesia during childbirth, which was a matter of discussion not only in medicine but also in religion and ethics. Simpson was the first to use ether during delivery but he was dissatisfied with it and tried to find a better drug. After experiments with various substances he used chloroform in November 1847 and published his experience 2 weeks later. The article reminds us of his significance in...

Poselství anesteziologůmHistory

Pokorný Jiří

Anest. intenziv. Med. 2011;22(6):349-354  

18. kongres ČSARIM, Praha 6.-8. 2011 - část II. Abstrakta a posteryCongresses and Conferences

Anest. intenziv. Med. 2011;22(6):355-370  

Max Harry Weil, MD, PhD, ScD (Hon) (1927-2011)Obituary

I. Herold

Anest. intenziv. Med. 2011;22(6):371  

MUDr. Karel ZÍTKO (1928-2011)Obituary

Jiří Pokorný sen.

Anest. intenziv. Med. 2011;22(6):372  

Nejlepší odborné publikace v roce 2010News from CSARIM

Anest. intenziv. Med. 2011;22(6):373  

Ohlédnutí za XVIII. kongresem ČSARIM, Praha 2011News from CSARIM

Anest. intenziv. Med. 2011;22(6):373-375  

Newsletter CSIM č. 1, (18. 10. 2011)News from CSIM

V. Černý

Anest. intenziv. Med. 2011;22(6):376  

Formáty účasti ČSIM a jejich definiceNews from CSIM

Anest. intenziv. Med. 2011;22(6):377  

Nejbližší odborné konferenceNews from CSIM

Anest. intenziv. Med. 2011;22(6):377  

Competency based training in intensive care medicine in Europe (druhá část)News from CSIM

Anest. intenziv. Med. 2011;22(6):377-391