Hypotension following induction to general anaesthesia: prevalence, significance, risk factors and preventive management optionsAnaesthesiology - Review articles

O. Jor, J. Divák, V. Černý

Anest. intenziv. Med. 2016;27(5):277-283  

Hypotension following induction to general anaesthesia occurs frequently in clinical practice. The aim of our narrative review was to offer a summary of the literature data dealing with the issue. Absolute blood pressure values and relative decrease in pressure are discussed, suggesting the limits which cannot be tolerated and require intervention. Hypotension after induction to general anaesthesia is associated with increased postoperative mortality and prolonged hospital length of stay. It also presents one of a few potentially responsive factors influencing postoperative morbidity and mortality.

Aprotinin in cardiac surgery - re-evaluation of the risks?Anaesthesiology - Special Article

T. Vaněk, J. Hlavička, P. Budera

Anest. intenziv. Med. 2016;27(5):284-288  

The article describes the history of introducing aprotinin into cardio-surgical clinical practice and deals with the circumstances based on the results of the BART study leading to its withdrawal from the global pharmaceutical market and with its recent re-authorization in some countries.

KOMENTÁŘ I. Aprotinin - nekonečný příběhAnaesthesiology - Special Article

R. Hájek

Anest. intenziv. Med. 2016;27(5):288-290  

KOMENTÁŘ II. Aprotinin - další pohled na rizika, aneb dočkáme se šťastného konce příběhu?Anaesthesiology - Special Article

M. Horáček

Anest. intenziv. Med. 2016;27(5):290-293  

Selected aspects of anaesthesia for non-obstetric surgical procedures in the pregnant patientAnestezie v gynekologii a porodnictví - Přehledový článek

P. Štourač, J. Bláha, P. Nosková, R. Klozová, D. Seidlová, P. Janků, M. Huser, H. Harazim, M. Kosinová

Anest. intenziv. Med. 2016;27(5):294-301  

The article presents the current view of the Section for Obstetric Anaesthesia and Analgesia of ČSARIM (SPAA ČSARIM) on non-obstetric anaesthesia during pregnancy. The article first discusses the various risks associated with the administration of anaesthesia in pregnant women. Then we describe the various stages of the perioperative process in relation to non-obstetric anaesthesia in pregnant women. At the end we present examples of the anaesthetic management of specific types of procedures.

The 2016 definition of sepsis (Sepsis-3)Intesive Care Medicine - Review Article

P. Sklienka, J. Beneš, J. Máca

Anest. intenziv. Med. 2016;27(5):302-308  

Sepsis represents a life-threatening condition characterized by dysregulated host response to infection. Various definitions and criteria for sepsis, severe sepsis, septic shock and organ dysfunction were used in the past, giving rise to contradictions in the results of the reported data regarding sepsis. Recently, "The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3)" created by the task force of the Society of Critical Care Medicine and the European Society of Intensive Care Medicine was published in 2016.

Echocardiography in the acute coronary syndromeReview Article

M. Pořízka

Anest. intenziv. Med. 2016;27(5):309-314  

Echocardiography is a non-invasive diagnostic technique that provides information regarding heart function and haemodynamics. It is essential both for diagnosing the acute coronary syndrome, evaluation of the ventricular function and the presence of regional wall motion abnormalities, and for ruling out other etiologies of acute chest pain or dyspnoea. It also provides timely and accurate diagnosis in the haemodynamically unstable patients presenting with myocardial infarction complications including cardiac tamponade, severe mitral regurgitation or ventricular septal defect. This review focuses on the current role of echocardiography in patients with...

CPR-related injuries in out-of-hospital cardiac arrest patientsOriginal Article

P. Mokrejš, J. Lejsek, E. Tauchmanová, J. Moravec, R. Zazula

Anest. intenziv. Med. 2016;27(5):315-319  

Objective:Quantification of the incidence of CPR-related injuries in unsuccessfully resuscitated out-of-hospital cardiac arrest patients. Design:Retrospective observational study. Setting:Regional emergency medical services. Materials and methods:The study included the autopsy protocols of all 107 patients unsuccessfully resuscitated fol-lowing non-traumatic out-of-hospital cardiac arrest in the year 2015. We identified all the patients with CPR-related trauma. These patients' medical reports from the emergency information system were then analysed. They were compared to all the 394 resuscitations...

Body temperature in the anaesthetised childDětská anestezie a intenzivní medicína - Přehledový článek

V. Mixa, V. Kaplanová

Anest. intenziv. Med. 2016;27(5):320-326  

Perioperative hypothermia is a serious complication of anaesthesia and is associated with many adverse consequences, including circulatory instability, respiratory depression and prolonged effects of the anaesthetics. The greatest caution should be applied to newborns and young children who are more prone to perioperative decrease in body temperature because of their relatively large body surface area and a thin layer of subcutaneous fat. The main mechanisms of heat loss in the operating theatre are conduction and radiation, convection and evaporation. Optimum thermal homeostasis during anaesthesia in children can be achieved through combining various...

Polohování pacientaPostgraduate Education - Topics for Board Examination

V. Černý

Anest. intenziv. Med. 2016;27(5):327-329  

Zívání - jaký má (asi) význam?Postgraduate education - Selected Topics in Clinical Physiology

D. Astapenko, V. Černý

Anest. intenziv. Med. 2016;27(5):330-332  

Praktická doporučení pro léčbu nozokomiální pneumonie a pneumonie v souvislosti s umělou plicní ventilacíGuidelines

V. Černý

Anest. intenziv. Med. 2016;27(5):334-338  

Kongres ČSIM 2016Congresses and Conferences

Anest. intenziv. Med. 2016;27(5):339-344  

Zajímavosti, tipy a trikyZajímavosti, tipy a triky

V. Černý

Anest. intenziv. Med. 2016;27(5):345  

MUDr. Vladimír ŠigutPersonalia

M. Spyra

Anest. intenziv. Med. 2016;27(5):346