Terapeutická hypotermie po zástavě oběhu - máme přestat? Ani náhodou!Editorial

Roman Škulec, Anatolij Truhlář, Petr Ošťádal, Vladimír Černý

Anest. intenziv. Med. 2014;25(3):181-183  

Bougie-assisted cricothyrotomy on an animal model - a pilot studyAnaesthesiology - Original Paper

Henlín Tomáš, Michálek Pavel, Tyll Tomáš, Ryska Ondřej, Juhas Štefan, Juhasová Jana

Anest. intenziv. Med. 2014;25(3):184-189  

Objective:Surgical securing of a patent airway is a life-saving procedure in the scenarios where other methods have failed. The aim of this study was to evaluate bougie-assisted cricothyrotomy (BACT) on a porcine model. Design:Interventional pilot study performed on a porcine model. Materials and methods:We performed bougie-assisted cricothyrotomy on 10 mini-pigs under general anaesthesia. The following parameters were measured: procedure duration, success rate and number of attempts needed. Other evaluated parameters included anatomical location of the incision, trauma to the posterior tracheal wall and other...

Continuous caudal epidural blocade in postoperative analgesia of an extremely premature baby - case reportAnaesthesiology - Case Reports

Mixa Vladimír, Berka Ivan, Rygl Michal

Anest. intenziv. Med. 2014;25(3):190-193  

This case report illustrates the use of continuous caudal epidural blockade in postoperative analgesia of an extremely premature baby. A patient with body weight of 550 g was treated for a severe form of necrotizing enterocolitis. Systemic analgesia was no longer sufficient, and therefore it was combined with continuous caudal epidural analgesia by a 1F (28G) catheter. Continuous levobupivacaine 0.25% was administered at 0.2 mg/kg/h. The quality of analgesia was evaluated by the Comfort Neo score with a satisfactory result.

Postdural puncture headache in obstetricsAnaesthesiology - Review articles

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

Anest. intenziv. Med. 2014;25(3):194-202  

Postdural puncture headache (PDPH) is a relatively common iatrogenic complication (about 1% of all neuroaxial punctures) in obstetrics. The reasons for higher incidence in pregnant women compared to the general patient population are mainly the physiological and pathophysiological differences in pregnant women, but also the increasing number of neuroaxial blockades used. Because untreated postdural puncture syndrome can result in fatal complications, the basic principle of treatment is a complex multimodal approach consisting of all available conservative and invasive therapies, adequate communication and psychological support of the patient. The aim...

The role of ultrashort-acting beta-blockers in anaesthesia and intensive careAnaesthesiology - Review articles

Rulíšek Jan, Balík Martin, Leden Pavel, Zakharchenko Mikhailo

Anest. intenziv. Med. 2014;25(3):203-211  

Beta-1-adrenergic blocking agents are widely used in patients with ischaemic heart disease and patients with heart failure. Anaesthesiologists are in daily contact with these drugs as they are part of medication in anaesthetised patients undergoing surgical procedures. Long-term mortality benefit effect of these drugs has been proven. Esmolol as a representative of ultrashort-acting beta-blockers can be safely used to control septic tachycardia and promote myocardial protection in this situation. According to published data it can be used even if a patient has concomitant catecholamine infusion. In the peri-operative period, esmolol is indicated for...

Candid sepsis as a complication in a polytrauma patientIntesive Care Medicine - Case Report

Sas Igor, Straževská Eva, Hrdý Ondřej, Gál Roman

Anest. intenziv. Med. 2014;25(3):212-215  

We describe a case of a patient with traumatic rupture of the spleen and liver, which was complicated by candid sepsis. The infection was endogenous, originating from the bowel. Empirical therapy with echinocandin was started. The diagnosis was confirmed by finding Candida krusei and Candida glabrata in abdominal tube secretion culture and also in blood culture. The sepsis was successfully treated. The patient died because of complications not related to the candid sepsis.

The importance of thromboelastography (TEG) and thrombelastometry (ROTEM) in the intensive care unitIntesive Care Medicine - Case Report

Durila Miroslav, Lukáš Pavel, Pelichovská Martina, Vymazal Tomáš

Anest. intenziv. Med. 2014;25(3):216-221  

Prolonged coagulation tests (INR and APTT) are a common occurrence in ITU patients. Thromboelastography (TEG) and rotational tromboelastometry (ROTEM) have been used since the last century in various fields of medicine. Unlike conventional laboratory tests they assess the function of other blood components especially the platelets. In this article we highlight the importance of TEG/ROTEM in intensive medicine. We present cases where this methodology proved to be more reliable than conventional tests both pre-operatively, postoperatively or in the differential diagnosis of bleeding events. Using this methodology in these and many other cases we were...

Current techniques of continuous non-invasive monitoring of arterial blood pressureIntesive Care Medicine - Review Article

Beneš Jan, Šimanová Alena, Kasal Eduard

Anest. intenziv. Med. 2014;25(3):222-230  

Blood pressure is one of the most important parameters monitored in anaesthesia and intensive care medicine. Two possibilities of automatic blood pressure monitoring are at hand in contemporary practice: intermittent measurements obtained via an oscillometric cuff or continuous monitoring based on arterial catheterisation. In recent years novel technologies have been developed enabling continuous non-invasive monitoring of blood pressure. This review article describes the two most developed of these technologies: the volume clamp method and appalanation tonometry. Devices based on these principles might in near future help to significantly improve...

Možnosti využití ultrazvuku u neuroaxiálních blokádPostgraduate education - ECHO didactics

Mach Dušan

Anest. intenziv. Med. 2014;25(3):231-234  

Centrální žilní porty a jejich využití k zajištění dlouhodobého cévního přístupuPostgraduate Education - Didactic Radiology

Renc Ondřej, Chovanec Vendelín, Raupach Jan

Anest. intenziv. Med. 2014;25(3):235-238  

Premedikace a lačněníPostgraduate Education - Topics for Board Examination

Chytra Ivan, Černý Vladimír

Anest. intenziv. Med. 2014;25(3):239-240  

Valsalvův manévrPostgraduate education - Selected Topics in Clinical Physiology

Michálek Pavel

Anest. intenziv. Med. 2014;25(3):241-243  

Consensus guidelines for the management of postoperative nausea and vomitingGuidelines

Černý Vladimír

Anest. intenziv. Med. 2014;25(3):244-246  

Mezioborové stanovisko k používání terapeutické hypotermie u pacientů po zástavě oběhuGuidelines

Černý Vladimír, Matějovič Martin, Škulec Roman, Truhlář Anatolij

Anest. intenziv. Med. 2014;25(3):247-248  

Použití vysokofrekvenční ventilace/oscilace u pacientů s ARDS: jen jako rescue postup!Studie ovlivňující klinickou praxi

Herold Ivan, Černý Vladimír

Anest. intenziv. Med. 2014;25(3):249-250  

Souhlas k pitvě - právní a etický problém?Ethics and Medicine Law

Černá Pařízková Renata

Anest. intenziv. Med. 2014;25(3):251-254  

Vladimír Lemon and MusicHistory

Herold Ivan

Anest. intenziv. Med. 2014;25(3):255-258  

Author relates to professional community hidden musical face of influential pioneer of Czech Anaesthesiology and Resuscitation through parts of his personal correspondence with Vladimír Lemon.