Úvaha o statistice a výkaznictvíEditorial

Karel Cvachovec

Anest. intenziv. Med. 2016;27(1):7-8  

Perioperative monitoring of blood glucose levels in paediatric patientsAnaesthesiology - Original Paper

J. Žurek, M. Vavřina, M. Budíková, M. Forbelská, V. Bendová, M. Richtrová, A. Květoňová, M. Fedora

Anest. intenziv. Med. 2016;27(1):9-14  

Objective:The aim was to study perioperative monitoring of blood glucose levels during anaesthesia in paediatric patients. Design:Prospective observational study. Setting:Department of Anaesthesiology and Intensive Care Medicine, University Hospital. Materials and methods:The study included 318 children aged 0-19 years (120 girls, 198 boys) undergoing elective surgery longer than 60 min. The patients were divided into age groups (newborns, infants, toddlers, age 3-6; age 7-12 and age > 12 years). During anaesthesia, blood glucose levels were monitored at the beginning of surgery and then hourly....

Initial experience with adenosin-induced circulatory arrest during cerebral artery aneurysm surgery - first experienceAnaesthesiology - Case Reports

V. Černý, M. Sameš, T. Radovnický, P. Vojtíšek

Anest. intenziv. Med. 2016;27(1):15-18  

The presented case report describes the first use of adenosine-induced transient circulatory arrest in a patient undergoing cerebral aneurysm clipping in the Czech Republic. Short episodes of circulatory arrest improved surgical conditions (as assessed by the surgeon) without any apparent complications during surgery. The cumulative length of circulatory arrest was 47 seconds; the total dose of administered adenosine was 90 mg. The postoperative course was uneventful and the patient was discharged home with a good functional status. Current scientific evidence in this field and key practical points of this technique are discussed.

Metabolic consequences of bowel damage in intensive careIntesive Care Medicine - Review Article

Z. Zadák, A. Tichá, R. Hyšpler

Anest. intenziv. Med. 2016;27(1):19-24  

The role of the bowel function in intensive care has for a long time been underestimated, but the metabolic or barrier function failure can have potentially fatal consequences. This review summarises the major causes and effects of functional and metabolic bowel damage with emphasis on critical care. The dominant factors are intestinal hypoperfusion consequent to systemic hypotension, restriction of blood flow in the mesenteric area due to partial obstruction of the mesenteric arteries, inflammation, toxicity of xenobiotics to enterocytes, infectious agents, lack of nutrients, ionizing radiation and mechanical bowel damage. The necessary tests for...

Consciousness as a cosmic phenomenonIntesive Care Medicine - Special Article

B. Sániová, M. Drobný

Anest. intenziv. Med. 2016;27(1):25-31  

More than 600 participants took part in the 21^st Toward a Science of Consciousness (TSC) international interdisciplinary conference in Helsinki in 2015, which was focused on the basic issues associated with conscious experience. The aim of such conferences is to bring together neuroscientists, neurologists, anaesthesiologists, philosophers, contemplative and experiential metaphysics opinion leaders, to explore this difficult topic from all possible aspects, in depth and on the basis of sound knowledge.The nature and mechanisms of human consciousness are emerging as one of the most important scientific and philosophical questions of the...

Transcranial Doppler and brain deathPostgraduate education - ECHO didactics

M. Matias

Anest. intenziv. Med. 2016;27(1):32-35  

Transcranial ultrasonography (transcranial doppler, TCD) is a generally underused ultrasound application despite its relative simplicity, low inter-observer variability and a steep learning curve.A typical flow pattern on TCD is an accepted method for confirmation of irreversible brain death prior to organ donation according to the current Czech law. However, TCD in this indication has to be performed by a competent specialist in radiology, neurology, neurosurgery or paediatric neurology with minimum 3 years of proven experience with TCD.Despite this specific competency problem of brain death confirmation, TCD remains a valuable method for...

Chronická medikace před operací - co vysadit a co ponechatPostgraduate Education - Topics for Board Examination

V. Černý

Anest. intenziv. Med. 2016;27(1):35-36  

Rezistence k sukcinylcholinjodiduPostgraduate education - Selected Topics in Clinical Physiology

V. Černý

Anest. intenziv. Med. 2016;27(1):37-38  

Evaluation of Patients With Suspected Acute Pulmonary Embolism: Best Practice Advice From the Clinical Guidelines Committee of the American College of PhysiciansGuidelines

V. Černý

Anest. intenziv. Med. 2016;27(1):39-41  

ARO, KARIM, KAR - Česká republika 2014Statistika oboru anesteziologie a resuscitace

J. Drábková

Anest. intenziv. Med. 2016;27(1):42-47  

The Loss of Chance Doctrine and current changes in the practice and views of courts of justice on the principles of causality and causal link in civil medico-legal proceedingsEthics and Medicine Law

I. Piňos

Anest. intenziv. Med. 2016;27(1):48-51  

The euroatlantic law is divided in two systems - Common law and Code Civil - Code Napoleon. Some principles of Common law are recently accepted in continental systems. Loss of chance is step by step replacing the strict requirement of evidence of causality. The key concepts of civil litigation are presented. What is the correct medical procedure? The new Czech Civil code and expected amounts of compensations.

Zpráva z XXII. kongresu České společnosti anesteziologie, resuscitace a intenzivní medicínyCongresses and Conferences

Anest. intenziv. Med. 2016;27(1):52-66  

Dr. Forrest M. Bird, MD, PhD, ScD - vynálezce ventilační techniky (9. 6. 1921-2. 8. 2015)Obituary

Karel Roubík

Anest. intenziv. Med. 2016;27(1):67-68