Sepse v souvislosti s těhotenstvím - proč vytvářet další speciální doporučení, když jsou k dispozici mezinárodní "sepsis guidelines"?Editorial

V. Černý

Anest. intenziv. Med. 2015;26(5):261-262  

Survey of transfusion practices in Jehovah's WitnessesAnaesthesiology - Original Paper

R. Černá Pařízková, D. Seidlová, V. Černý

Anest. intenziv. Med. 2015;26(5):263-269  

Objective:The aim of the study was to explore attitudes and clinical practices of anesthesiologists in the Czech Republic towards patients' refusal of blood transfusion. Design:A prospective questionnaire. Materials and methods:An anonymous questionnaire was sent by e-mail to the physicians who were members of the Czech Society of Anesthesiology and Intensive Care Medicine (CSARIM). The physicians were asked about their opinion and clinical practice in patients refusing blood transfusion in life-threatening haemorrhage situations. Results:Two hundred and forty responses were obtained....

Comparison of heparin and citrate anticoagulation during continuous veno-venous haemodialysis (CVVHD) in critically ill children - prospective, crossover studyIntensive Care Medicine - Original Paper

T. Zaoral, M. Hladík, J. Zapletalová

Anest. intenziv. Med. 2015;26(5):270-278  

Objective:In continuous renal replacement therapy, heparin anticoagulation has been largely replaced with citrate anticoagulation to limit the risk of bleeding. In this prospective crossover trial, we compared the heparin and citrate effect on the circuit lifetimes during continuous veno-venous haemodialysis (CVVHD) in children. Design:Prospective, crossover trial. Setting:Paediatric intensive care unit, Department of Paediatrics, University Hospital. Materials and methods:From 2009 to 2014, 63 eligible children (age 89.24 ± 62.9 months, weight 30.37 ± 20.62 kg) received at least...

Echocardiography for preload and fluid responsiveness assessmentEchodidaktika

F. Mošna

Anest. intenziv. Med. 2015;26(5):280-284  

Fluid administration is a basic therapeutic approach in patients with hypovolaemic circulatory failure. Inappropriate fluid resuscitation has serious and in some cases fatal consequences. To distinguish between volume responsive or non-responsive patients is one of the intensivist's high priority tasks. Formerly used static parameters like CVP and PAOP are failing in this decision making. Echocardiography is offering an opportunity to monitor dynamic parameters (IVS and SVC diameter variation, maximal transaortic velocity and VTI) to identify the patients, which will profit from fluid administration. The necessity of mechanical ventilation is a limitation...

Sledování a monitorování oběhuAtestační otázky

V. Černý

Anest. intenziv. Med. 2015;26(5):285-286  

Měření krevního tlaku neinvazivní metodou - měli bychom znát, co je schováno za číslem na displeji...Postgraduate education - Selected Topics in Clinical Physiology

V. Černý

Anest. intenziv. Med. 2015;26(5):287-288  

Practice advisory on anesthetic care for magnetic resonance imagingGuidelines

V. Černý

Anest. intenziv. Med. 2015;26(5):289-290  

Patophysiology and diagnostics of anaphylactic syndrome of pregnancyAnaesthesiology - Review articles

A. Černý, A. Pařízek, P. Šimják

Anest. intenziv. Med. 2015;26(5):291-296  

Amniotic fluid embolism (also known as anaphylaxis-like syndrome) is a rare but serious pregnancy complication with high mortality. Presentations may vary from subtle clinical events to sudden cardiac arrest or death. Amniotic fluidembolism is one of the most common causes of maternal mortality in developed countries. The basic principle is the entry of amniotic fluid and its particles into maternal circulation. It is hypothesised that these particles trigger an immune-based mechanism. This results in a wide spectrum of clinical symptoms including cardiovascular, respiratory and haematological. The management of these symptoms requires prompt interdisciplinary...

Diagnostika a léčba sepse v souvislosti s těhotenstvímGuidelines

V. Adámková, M. Balík, J. Bláha, V. Černý, M. Kolář, J. Mašata, J. Melichar, A. Pařízek, R. Pilka, R. Plavka, P. Štourač

Anest. intenziv. Med. 2015;26(5):298-302  

Svědci Jehovovi - měníme názory?Ethics and Medicine Law

R. Černá Pařízková, B. Stibor

Anest. intenziv. Med. 2015;26(5):303-304  

The 140th anniversary of the opening of the "St. Apollinaire's" National Maternity HospitalHistory

A. Pařízek

Anest. intenziv. Med. 2015;26(5):305-307  

The National Maternity Hospital, also known as "St. Apollinaire's", and officially the Gynecological-Maternity Clinic of the First Medical Faculty and General Faculty Hospital of Charles University, celebrated the 140^th anniversary of its opening on April 28^th, 2015. This hospital is one of the longest operating maternity hospitals in the world.The National Maternity Hospital has been continuously operating since 1875, when a baby girl was first born in what was then known as the Royal National Maternity and Foundling Hospital in Prague. The architect and builder of this hospital was Josef Hlávka (1831-1908) - one of the greatest...

Zpráva z IX. kongresu České společnosti intenzivní medicínyCongresses and Conferences

Anest. intenziv. Med. 2015;26(5):308-312