Výsledky voleb do výboru České společnosti intenzivní medicíny - jak bychom jako anesteziologové měli se získaným mandátem naložit?Editorial

V. Černý

Anest. intenziv. Med. 2013;24(3):149-150  

Desfluran - neprávem PopelkouEditorial

T. Vymazal

Anest. intenziv. Med. 2013;24(3):151-153  

A comparison of medial cervical plexus block versus combined (superficial and deep) cervical plexus block for carotid endarterectomy: a prospective, randomized singleblind studyAnaesthesiology - Original Paper

Nalos Daniel, Cihlář Jiří, Vašátko Luděk, Bejšovec David, Pollak Petr, Neuman Pavel, Procházka Ondřej, Beňo Luboš, Hamplová Vlasta

Anest. intenziv. Med. 2013;24(3):154-156  

Objective:To compare the standard method of combined (superficial and deep) cervical plexus block (SDCPB) with a medial cervical plexus block (MCPB). Design:A prospective, randomized, single blind study. Setting:Department of Anaesthesiology and Intesive Care Medicine, Tertiary Hospital. Material and methods:One hundred consecutive patients undergoing elective carotid endarterectomy (CEA) were randomized into two groups. The quality of the block, time to perform the block, nature and rate of complications and patient's as well as surgeon's satisfaction were assessed. Data was statistically analyzed...

Successful use of sugammadex in morbidly obese patient with a history of postoperative respiratory failure - Case reportAnaesthesiology - Case Reports

Brabcová Milena, Vymazal Tomáš

Anest. intenziv. Med. 2013;24(3):157-159  

Non-depolarizing muscle relaxing agents are routinely used in nearly two thirds of general anaesthetics. Residual neuromuscular blockade as a major side effect leads to hypoventilation and can contribute to the development of postoperative aspiration and pneumonia. This case report compares the peri-operative course of a patient who underwent the same surgical procedure within tree years. It corroborated the effectiveness and reliability of sugammadex.

Desflurane proves to be the right inhalational anaesthetic agent in a severe stage of myasthenia gravis - Case reportAnaesthesiology - Case Reports

Bicek Vladimír, Vymazal Tomáš

Anest. intenziv. Med. 2013;24(3):160-162  

Myasthenia gravis (MG) is a disease affecting the neuromuscular transmission. Patients show various and unpredictable sensitivity and response to non-depolarizing muscle relaxants. The risk of residual muscular blockade and postoperative respiratory failure with consequent complications is very high in such patients. An essential part of the MG treatment, namely if there is a thymoma present (10-15% of cases), is surgical thymectomy. Full thymectomy by partial sternotomy is the gold standard surgical treatment thereof. Our case report depicts a peri-operative course in a 45 years old woman with BMI of 28.3 kg/m² and myasthenia gravis grade...

Sugammadex for active reversal of neuromuscular blockade induced by rocuronium for Caesarean section in general anaesthesia - series of case reportsAnaesthesiology - Case Reports

Štourač Petr, Kosinová Martina, Bártíková Ivana, Klučka Jozef, Křikava Ivo, Štoudek Roman, Harazim Hana, Huser Martin, Janků Petr, Gál Roman

Anest. intenziv. Med. 2013;24(3):163-167  

Sugammadex is a selective relaxant-binding agent, which reverses rocuronium-induced neuromuscular blocks of any depth. We reported six Caesarean sec-tion cases undergoing general anaesthesia with propofol(1.6-2.3 mg/kg) or thiopental (4.1-5.6 mg/kg) and rocuronium (0.8-1.1 mg/kg) or sukcinylcholin(1.0-1.5 mg/kg) for the induction of neuromuscular blockade. Rocuronium was used for the maintenance of neromuscular blockade (0.4-0.5 mg/kg). At the end of the procedure, all the patients had a significant degree of neuromuscular block. In one patient, there was no single twitch response and no TOF-ratio, three patients had shallow neuromuscular blockade...

N-Terminal-Pro Brain Natriuretic Peptide (NT-pro BNP) and Troponin I as prognostic markers of septic cardiomyopathyIntensive Care Medicine - Original Paper

Stachura Peter, Turek Zdeněk, Švábl Miroslav, F. Hausmann Dieter

Anest. intenziv. Med. 2013;24(3):169-178  

Objective:Cardiac dysfunction might be a considerable factor determining the outcome of critically ill patients. NT-pro BNP is highly predictive for the functional and troponin I for the morphological heart dysfunction in septic, critically ill patients. We compared the sensitivity and specificity of NT-pro BNP and troponin I in septic patients to the outcome markers SOFA score and procalcitonin. Design:Prospective, observational trial. Setting:Surgical Intensive Care Unit (SICU) at a tertiary care hospital. Materials and Methods:The trial criteria were met by 16 survivors and 17 non-survivors...

Papillary muscle rupture in patient with acute myocardial infarction - echocardiographic case reportAnaesthesiology - Case Reports

Rulíšek Jan, Rohn Vilém, Kovárník Tomáš, Dobiáš Miloš, Balík Martin

Anest. intenziv. Med. 2013;24(3):179-182  

Acute papillary muscle rupture is one of the mechanical complications of acute myocardial infarction. If treated conservatively, mortality exceeds 90%. Rapid diagnosis and indication of a surgical procedure can dramatically improve the patients' prognosis. During the diagnostic process, transoesophageal echocardiography plays a major role as it reveals the mechanism of mitral valve regurgitation. We present a case report of a 66 year old man with papillary muscle rupture, where fast diagnosis and surgical treatment resulted in successful management of the disease.

Kidney and composition of infusion solutions. Reason for cautionSpecial article

Matějovič Martin

Anest. intenziv. Med. 2013;24(3):183-185  

Intravenous fluid therapy is one of the cornerstones of critical illness management. Surprisingly, only very recently findings have suggested that clinicians carefully consider the type, amount and rate of administration of the resuscitation fluids. Indeed, long-awaited studies have been published over the past 12 months, enabling the clinicians to make better decisions which solution to choose from the large menu on offer. This article is a brief commentary on the most recent studies demonstrating the distinct effects of intravenous fluids on the renal physiology and function in critical care and peri-operative medicine.

Current practice in obstetric anaesthesia. Part II General anaesthesia for Caesarean SectionPostgraduate education

Bláha Jan, Nosková Pavlína, Klozová Radka, Seidlová Dagmar, Štourač Petr, Pařízek Antonín

Anest. intenziv. Med. 2013;24(3):186-192  

General anaesthesia for Caesarean Section remains the method of choice in life-threatening situations for the mother or foetus. Although meta-analyses of studies comparing neuraxial and general anaesthesia did not find significant differences in maternal mortality or in the influence of different types of anaesthesia on the outcome of in-term born babies (discussed in more details in the previous article, Current Practice in Obstetric Anaesthesia I.), general anaesthesia for Caesarean Section should be always given with maximum caution. In this article we discuss general anaesthesia for Caesarean Section especially in terms of difficult intubation,...

Chronická mukokutánní kandidózaPostgraduate Education - Didactic Radiology

Sedláček Zdeněk

Anest. intenziv. Med. 2013;24(3):193-195  

UZ obraz periferního nervového systémuPostgraduate education - ECHO didactics

Mach Dušan

Anest. intenziv. Med. 2013;24(3):195-198  

Anesteziologický přístroj, dýchací systémyPostgraduate Education - Topics for Board Examination

Šindelář Jan, Cvachovec Karel, Adamus Milan, Černý Vladimír

Anest. intenziv. Med. 2013;24(3):199-202  

Klinická fyziologie koronární cirkulacePostgraduate education - Selected Topics in Clinical Physiology

Turek Zdeněk, Černý Vladimír

Anest. intenziv. Med. 2013;24(3):204-207  

Doporučení francouzské Společnosti anesteziea intenzivní péče: Předintervenční zhodnocení hemostázyGuidelines

V. Černý

Anest. intenziv. Med. 2013;24(3):208  

Základy anestézie vedenej nízkým prietokom čerstvých plynovBook Reviews

Karel Cvachovec

Anest. intenziv. Med. 2013;24(3):210  

Výborová schůze ČSARIMNews from CSARIM

Anest. intenziv. Med. 2013;24(3):211-213  

Stanovisko výboru k používání syntetických koloidních roztoků na bázi hydroxyetyl škrobu u pacientů v intenzivní péčiNews from CSIM

Vladimír Černý

Anest. intenziv. Med. 2013;24(3):214  

Zápis z jednání výboru č. 2/2013News from CSIM

Anest. intenziv. Med. 2013;24(3):216-217