Is laryngeal mask airway the method of choice for airway management in open tracheal surgery?Celková anestezie - kazuistiky

M. Krečmerová, V. Bicek, J. Schützner, K. Adámková, P. Michálek, T. Vymazal

Anest. intenziv. Med. 2018;29(2):67-71  

Introduction:Any resection and reconstruction of the trachea in stenotic lesions is a complex procedure with potentially challenging airway management. The aim of this case series is to assess the suitability and safety of the laryngeal mask airway in these procedures. Materials and methods:The charts of 54 consecutive patients operated on at University Hospital Motol during 2009-2016 period were reviewed. The surgery was done in the same ENT department and the anaesthetics were given by one of two anaesthetists with more than 15 years of experience. We evaluated the tracheal stenosis parameters, ease of insertion of the laryngeal...

Sleep endoscopy - a new challenge for the anaesthetist in the diagnostics and treatment of the obstructive sleep apnea syndromeCelková anestezie - přehledový článek

O. Jor, J. Kubíčková, J. Máca, V. Šeděnková, M. Frelich, P. Ševčík, P. Komínek

Anest. intenziv. Med. 2018;29(2):72-76  

The obstructive sleep apnoea syndrome (OSA) is characterized by repeated episodes of partial or complete occlusion of the upper airways during sleep. Patients with OSA have an increased risk of hypertension, congestive heart failure, pulmonary hypertension, diabetes and stroke. OSA presents a significant risk for the general anaesthesia induction as well as the entire perioperative period. OSA is an independent risk factor for difficult bag ventilation and difficult intubation. The diagnostic problem for OSA patients is to determine the site of their airway obstruction. Local findings differ significantly in consciousness and sleep. The aim of this...

Echocardiography accrediation for intensivists: The European Diploma in Echocardiography (EDEC)Special article

M. Balík

Anest. intenziv. Med. 2018;29(2):77-81  

Echocardiography at its basic level has become a compulsory component of the educational curriculum in intensive care and an ultrasound device should become standard equipment in the intensive care unit. The issue of quality and standardization of education in echocardiography is addressed by available accreditations, which should provide a growing number of supervisors for the basic level, and stimulate the spread of echocardiographic applications and research in the field of non-invasive haemodynamics. Since 2016, an opportunity exists in the EU to gain the accreditation in critical care echocardiography in the form of the European Diploma in Echocardiography...

Srovnání validity SOFA, qSOFA a SIRS v predikci MOF a mortality u septických pacientů v zemích se středním HDPHighlights from the literature

J. Drábková

Anest. intenziv. Med. 2018;29(2):81  

Sterility of lidocaine syringes prepared in advance in the obstetric theatreAnestezie v gynekologii a porodnictví - Původní článek

M. Beneš, J. Peštová, J. Bláha

Anest. intenziv. Med. 2018;29(2):82-85  

Objective:Due to its fast onset of action, 2% lidocaine is our local anaesthetic of choice for topping-up an already established epidural catheter in case of urgent Caesarean Section. Unfortunately, 2% lidocain is only available in 2-ml ampoules in the Czech Republic, and the time needed for drawing up the epidural bolus can be a barrier for its use in emergency. Pre-filled syringes of lidocaine would significantly shorten the time from decision to administration in this situation as well as the overall time of onset of epidural anaesthesia. The general local protocols are mostly against this method, pointing to a risk of bacterial contamination...

Impact of adrenaline on the intra-arrest haemodynamics during experimental cardiac arrestUrgentní medicína - původní článek

R. Škulec, T. Pařízek, D. Astapenko, R. Černá Pařízková, M. Bílská, T. Hovanec, N. Pinterová, A. Truhlář, V. Radochová, V. Černý

Anest. intenziv. Med. 2018;29(2):86-95  

Objective:Although adrenaline administration is a part of the advanced life support algorithm, its role has been questioned recently. Therefore, we conducted a study to investigate the effect of adrenaline administration on the haemodynamics during experimental cardiac arrest (CA). Design:Randomized, unblinded, experimental study. Setting:Experimental laboratory in a university hospital. Materials and methods:Ventricular fibrillation was induced for 15 minutes (two minutes without resuscitation attempts, three minutes of chest compressions, ten minutes of chest compressions and mechanical...

Má význam celkové předehřátí před intratékálním podáním morfinu u sectio caesarea?Highlights from the literature

J. Drábková

Anest. intenziv. Med. 2018;29(2):95  

The role of videolaryngoscopy in perioperative medicineReview Article

T. Brožek, P. Michálek

Anest. intenziv. Med. 2018;29(2):96-106  

Videolaryngoscopy is a technique of tracheal intubation that uses indirect laryngoscopy. The laryngeal inlet is displayed on the monitor of the device. Videolaryngoscopes can be divided according to whether they contain a tracheal tube insertion channel or according the shape and angle of a laryngoscopic blade. Videolaryngoscopy improves the clarity of laryngeal view in adults during induction to general anaesthesia with orotracheal intubation, and reduces the risk of injury compared to classical laryngoscopy, particularly in patients with difficult airways. There is no evidence of reduction in intubation attempts, decrease of intubation time or reduction...

Zásady bezpečné anesteziologické péčeDokumenty ČSARIM ČLS JEP

M. Adamus, K. Cvachovec, V. Černý, I. Herold, M. Horáček, D. Mach, V. Rogozov, P. Ševčík, P. Štourač, J. Šturma, T. Vymazal

Anest. intenziv. Med. 2018;29(2):107-110  

Porodní analgeziePostgraduate Education - Topics for Board Examination

V. Černý

Anest. intenziv. Med. 2018;29(2):111  

Vliv gravitačního přetížení na kardiopulmonální systém a kdy se nebát ani "extrémně vysoké" hodnoty CPAP?Postgraduate education - Selected Topics in Clinical Physiology

D. Astapenko, Černý V.

Anest. intenziv. Med. 2018;29(2):112-113  

Podstata účinku noradrenalinu při septickém šokuHighlights from the literature

J. Drábková

Anest. intenziv. Med. 2018;29(2):113  

Doporučení pro časnou péči u pacientů s akutní ischemickou cévní mozkovou příhodou (2018)Guidelines

V. Černý

Anest. intenziv. Med. 2018;29(2):114-117  

Zajímavosti, tipy a trikyZajímavosti, tipy a triky

V. Černý

Anest. intenziv. Med. 2018;29(2):118  

Vliv hloubky hypotermie na prognózu sepse a její zařazení do qSOFAHighlights from the literature

J. Drábková

Anest. intenziv. Med. 2018;29(2):119  

Lze stanovit prognózu mortality sepse podle dynamiky laktátemie?Highlights from the literature

J. Drábková

Anest. intenziv. Med. 2018;29(2):119  

Dne 25. listopadu 2017 ve věku 61 let zemřel MUDr. Jiří LepšPersonalia

M. Holoubková

Anest. intenziv. Med. 2018;29(2):120