Comparison of catheter high-frequency jet ventilation and conventional ventilation during interventional bronchoscopy in patients with upper airway obstructionOriginal Article

M. Paulíková, P. Matula

Anest. intenziv. Med. 2018;29(4):187-192  

Objective:To investigate the risks and safety of catheter high-frequency jet ventilation in laryngeal surgery with varying degrees of airway obstruction. Design:Observational, prospective study. Setting:Department of Anaesthesiology at an Oncological Institute. Materials and methods: The study included 58 patients undergoing laryngeal surgery with varying degrees of airway obstruction, who were divided into two groups: patients ventilated by conventional mechanical ventilation and catheter high-frequency jet ventilation. Patients with cardiac and respiratory comorbidities, obesity and smokers...

Akutní koronární syndrom po nekardiochirurgických operačních výkonechHighlights from the literature

J. Drábková

Anest. intenziv. Med. 2018;29(4):192  

Serum concentrations of calprotectin and cagranulin C in polytrauma patientsOriginal Article

E. Bartáková, P. Novotný, M. Blahutová, M. Holub, T. Tyll

Anest. intenziv. Med. 2018;29(4):193-200  

Objective: To study the kinetics of calprotectin and calgranulin C in the serum of patients with polytrauma, to evaluate the serum levels of both the proteins as predictors of nosocomial infection (NI), and to compare calprotectin and calgranulin C with routine biomarkers and scoring systems. Design: Monocentric, prospective, clinical study Setting: University Hospital ICU Materials and methods: The study included 25 polytrauma patients and 20 healthy volunteers. The blood specimens were collected on admission (day 1) and then on days 3, 5 and 7 of hospitalization. Concentrations of calprotectin...

Horečka po spinálních traumatechHighlights from the literature

J. Drábková

Anest. intenziv. Med. 2018;29(4):200  

Spontaneous rebound of the anticoagulant effect of accumulated dabigatran after the antagonist activity cessation: Case report of life-threatening haemorrhageCase Report

J. Pažout, M. Mikešová, F. Duška

Anest. intenziv. Med. 2018;29(4):201-206  

NOAC (Non-Vitamin K Oral Anticoagulants) are currently increasingly used for treatment of thromboembolism. The main reason for their popularity is the possibility of oral application without the need to monitor their effect. In our report we describe the case of an 81-year-old man with paroxysmal atrial fibrillation treated with dabigatran, which accumulated in the patient, resulting in a life-threatening gastrointestinal bleeding. The patient was first treated with a prothrombin complex concentrate and then the selective dabigatran antagonist idarucizumab. An important finding from the case report was the existence of rebound phenomenon of returning...

A new definition of status epilepticus and its pharmacological managementReview Article

O. Strýček, V. Šrámek

Anest. intenziv. Med. 2018;29(4):207-216  

Status epilepticus is a life-threatening condition with a high mortality rate, requiring urgent therapy. To unify the views on this topic, a new definition has been proposed that reflects the patho-physiology better than the previous one. The new definition particularly highlights time as a major factor in the evolution of status epilepticus and points to the possibility of irreversible changes in the brain caused by the ongoing epileptic activity. The choice of a suitable drug is essential in treating status epilepticus. In addition to the traditional drugs (phenytoin, valproate), new drugs which promise significant benefits are emerging (levetiracetam,...

Restriktivní versus liberální tekutinová terapieHighlights from the literature

J. Drábková

Anest. intenziv. Med. 2018;29(4):216  

The use of ultrasound in interventional pain managementReview Article

P. Michálek, M. Matias

Anest. intenziv. Med. 2018;29(4):217-223  

Ultrasound-guided procedures are an integral part of interventional pain management. Ultrasound may be used in the outpatient setting, does not burden patients or staff with radiation and allows the visualisation of the needle passage and important anatomical structures in real time. The performed procedures include blocks of peripheral plexuses and nerves, the caudal block, interfascial applications, paravertebral blocks, interventions on the cervical and sacral sympathetic structures, injections to the cervical nerve roots, blockades of the facet joint innervation at the cervical, thoracic and lumbar levels, administration to the shoulder or hip...

Sepse a novinky 2018Highlights from the literature

J. Drábková

Anest. intenziv. Med. 2018;29(4):223  

Patient transfers between healthcare facilities and referral healthcare facilitiesEthics and Medicine Law

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

Anest. intenziv. Med. 2018;29(4):224-229  

Patients are admitted to intensive care on the basis of clinical indications. Variability in the availability of specialised care or the lack of beds in intensive care may necessitate care at another healthcare facility. The article discusses patients' inter-hospital transfers from the point of view of patients' and healthcare providers' rights.

Analgezie u vaginálního poroduDokumenty ČSARIM ČLS JEP

J. Bláha, V. Černý, P. Janků, M. Kameníková, Z. Kokrdová, M. Korbeľ, P. Nosková, A. Pařízek, P. Pařízková, D. Seidlová, P. Štourač, Š. Trenkler

Anest. intenziv. Med. 2018;29(4):230-234  

Péče o zemřelého dárce orgánů s diagnózou smrti mozkuDokumenty ČSARIM ČLS JEP

E. Kieslichová, E. Pokorná, R. Černá Pařízková, H. Říha, T. Vymazal, V. Černý

Anest. intenziv. Med. 2018;29(4):235-241  

Smrt mozku, péče o dárce orgánůPostgraduate Education - Topics for Board Examination

V. Černý

Anest. intenziv. Med. 2018;29(4):242  

Evoluční adaptační mechanismy (nejenom na hypoxii) a jejich význam pro klinickou medicínuPostgraduate Education - Topics for Board Examination

D. Astapenko, V. Černý

Anest. intenziv. Med. 2018;29(4):243-245  

EKG v klinické praxiEKG v klinické praxi

M. Adamus, V. Černý, J. Málek

Anest. intenziv. Med. 2018;29(4):245  

EKG lekce 1EKG v klinické praxi

O. Šmíd, J. Šimek

Anest. intenziv. Med. 2018;29(4):246-247  

Zajímavosti, tipy a trikyHighlights from the literature

V. Černý

Anest. intenziv. Med. 2018;29(4):248