Comparison of cardiac output monitoring with the Pulse Wave Transit Time technique versus arterial waveform analysisIntensive Care Medicine - Original Paper

M. Chobola, J. Hruda, M. Lukeš, J. Klimeš, V. Šrámek, P. Suk

Anest. intenziv. Med. 2017;28(6):339-345  

Objective:The aim of the study was to compare the esCCO Vismo (Nihon Kohden, Japan) monitor to the routinely used LiDCOrapid (LiDCO Group, Great Britain) monitor in patients undergoing abdominal surgery. Design:Observational study. Setting:General surgery operating theatres in a University Hospital. Materials and methods:ASA III patients scheduled for elective major abdominal surgery with expected operation duration over 90 minutes were included in the study. Cardiac output measurements by esCCO and LiDCOrapid were recorded before induction of anaesthesia, every 15 min throughout the surgery and...

The adult oncological patient in intensive care. Is it time to start saying "yes, we will consider" instead of just "no"?Intesive Care Medicine - Review Article

T. Karvunidis, D. Lysák, M. Matějovič

Anest. intenziv. Med. 2017;28(6):346-353  

An increasing number of cancer patients are being admitted to the intensive care and high dependency units due to the rising incidence of solid and/or haematological malignancies together with an expanding range of therapeutic options and improved survival of these patients. The reasons for admission are the potentially life-threatening cancer-related complications and/or treatment-associated side-effects or eventual co-morbidities. Epidemiology, indication criteria, extension of treatment, prognosis of the acute disease and changes applied to the general prognosis as a consequence of the critical illness are some of the most common and frequently...

Ultrasound-assisted continual infraclavicular block of the brachial plexusAnaesthesiology - Case Reports

D. Nalos

Anest. intenziv. Med. 2017;28(6):354-356  

visualisation of the brachial plexus from the supraclavicular approach with catheter insertion via the infraclavicular approach allows visual control of the insertion and optimum fixation of the catheter while observing the rules of aseptic technique. The continual analgesic technique was used for intermittent application of local anaesthetic in a patient in whom passive physiotherapy of the elbow using a motorised splint was held back by pain.

The heart as a source of systemic embolizationReview Article

J. Rulíšek, Z. Hlubocká

Anest. intenziv. Med. 2017;28(6):357-362  

Embolism from the heart and the thoracic aorta often lead to significant mortality and morbidity. It is estimated that one third of all ischemic strokes are related to heart embolism. A typical reason for thrombus formation is the dilatation of a heart chamber, either atrial due to atrial fibrillation or flutter, or ventricular due to ischemic or non-ischaemic cardiomyopathy. Other sources are infective and non-infective endocarditis, cardiac tumors (myxoma is dominant) and ulcerated aortic atherosclerotic plaques. Echocardiography is the first line method in the diagnosis and management. Transthoracic and transoesophageal echocardiography as well...

TotalTrack VLM - a new tool for difficult airway managementCase Report

T. Brožek, P. Michálek, J. Votruba

Anest. intenziv. Med. 2017;28(6):363-366  

TotalTrack VLM is a new tool for airway management in patients with anticipated difficult intubation. This device is a second generation intubating laryngeal mask with an additional channel for drainage of the gastric contents. The mask allows direct visualization of the larynx using an optical cable. Simultaneously, both oxygenation and ventilation may be provided during attempts for tracheal intubation. We present the first two cases of tracheal intubation using TotalTrack VLM in our department. The first patient had anterior larynx malposition with enlarged epiglottis and repositiong of the mask was required, while the second patient was intubated...

Perioperační nutrice - význam a nutnost edukace pacientůHighlights from the literature

J. Drábková

Anest. intenziv. Med. 2017;28(6):366  

Statistics in biomedical research IIISpecial article

K. Langová, J. Zapletalová, L. Ličman

Anest. intenziv. Med. 2017;28(6):367-370  

The article deals with common mistakes in data presentation, interpretation and publication. It points out the most frequent mistakes in graphic data presentation. It explains the relations between causality and correlation. It reminds of the necessity of thinking about a possible coincidence or confounding factors. It deals with the misunderstanding and misinterpretation of the p-value. It mentions publication bias which occurs when authors and editors publish mostly positive findings. It recommends researchers to contact a statistician before commencing a study.

Bezpečné podávání farmak během anesteziologické péčeDokumenty ČSARIM ČLS JEP

K. Cvachovec, V. Černý, M. Horáček, I. Kupečková, B. Kuta, P. Michálek, M. Říhová, J. Škola, P. Štourač, R. Urbanec, J. Vítek, R. Zoubková

Anest. intenziv. Med. 2017;28(6):371-375  

Etika v intenzivní péčiPostgraduate Education - Topics for Board Examination

V. Černý

Anest. intenziv. Med. 2017;28(6):376  

Mapovitá spinální anestezie - co je příčinou?Postgraduate education - Selected Topics in Clinical Physiology

P. Roleček, Černý V.

Anest. intenziv. Med. 2017;28(6):377-378  

MUDr. Milan Poledna (1. 6. 1922 - 1. 12. 2017)Personalia

Z. Petrová

Anest. intenziv. Med. 2017;28(6):378  

Doporučení pro léčbu kardiálního selháníGuidelines

V. Černý

Anest. intenziv. Med. 2017;28(6):379-380  

Pravidelná chůze znamená menší riziko smrtiHighlights from the literature

J. Drábková

Anest. intenziv. Med. 2017;28(6):380  

Anaesthesia in the Austro-Hungarian Empire during World War I and in the newly formed Czechoslovak Republic. Part III - Intravenous regional anaesthesia and neuraxial anaesthetic methodsHistory

O. Gimunová, J. Málek

Anest. intenziv. Med. 2017;28(6):381-385  

The authors present an annotated part of a surgical textbook from 1921. The first edition was published in 1917 during WWI. The first part of the textbook concerns anaesthesiology and the text is divided into 5 parts because of the extent (Introduction, Local and Regional Anaesthesia, Intravenous Regional Anaesthesia and Spinal Anaesthesia, General Anaesthesia I and General Anaesthesia II). Each part has been annotated in order to provide historical context of the anaesthetic methods and their origin. The textbook follows the German and Vienna schools of medicine.

Zajímavosti, tipy a trikyZajímavosti, tipy a triky

V. Černý

Anest. intenziv. Med. 2017;28(6):386