The use of the pulmonary artery catheter in departments of cardiac surgery in the Czech and Slovak Republics - international questionnaire studyOriginal Article

J. Kunstýř, M. Pořízka

Anest. intenziv. Med. 2018;29(5):251-257  

Objective:The aim of the study was to evaluate the frequency with which the pulmonary artery catheter is used in departments of cardiac surgery in the Czech and Slovak Republics, and to study the indications, complications and the use of alternative methods of haemodynamic monitoring. Design:Retrospective, international survey. Setting:Centres of adult cardiac surgery. Materials and methods:An electronic questionnaire focused on data concerning the use of the pulmonary artery catheter between 2015 and 2017 was sent to all twelve adult centres of cardiac surgery in the Czech Republic and to three...

Effects of infusion solution on blood coagulationCelková anestezie - přehledový článek

S. Ševčíková, M. Durila, T. Vymazal

Anest. intenziv. Med. 2018;29(5):258-264  

Crystalloids and colloids are ubiquitous in perioperative and intensive care medicine. However, there is still a vivid debate about which solution has the minimal negative effect on coagulation. The following article summarizes the existing knowledge about the influence of infusion solutions on blood coagulation measured by standard coagulation tests such as PT and APTT, and also using tromboelasthography and rotational thromboelastometry. The goal was to determine which infusion solution has the least negative effect on blood coagulation in the published literature.

Co všechno vnese umělá inteligence do anesteziologie?Highlights from the literature

J. Drábková

Anest. intenziv. Med. 2018;29(5):264  

Regional anaesthesia for knee joint surgery - peripheral nerve blocks with minimal impact on motor function of the lower limbAnaesthesiology - Review articles

Ľ. Beňo

Anest. intenziv. Med. 2018;29(5):265-268  

This review describes the "femoral triangle" and "adductor canal" peripheral nerve blocks used for knee joint surgery. A significant advantage of these blockades is their preserving of the quadriceps motor function. This article shows how to distinguish the femoral triangle from the adductor canal and it explains the differences between them. It contains recent anatomical information from published cadaveric studies and it provides a simple guideline how to perform both techniques in clinical practice.

Application of palliative care in intensive care medicineIntensive Care Medicine - Original Paper

M. Metznerová, M. Zítková

Anest. intenziv. Med. 2018;29(5):269-274  

Objective: Palliative care has become an integral part of intensive care medicine. The goal of the study was to map the actual process of change from active intensive care to palliative care in terminal patients unable to express their will in the ICU setting, and to describe the factors influencing this process in practice. Design:Monocentric, retrospective analysis of documents. Setting:Department of Anesthesiology and Intensive Care Medicine, University Hospital. Materials and methods: The sample included medical records of 100 patients meeting the predefined study criteria. Written records of...

Perzistující pooperační bolestHighlights from the literature

J. Drábková

Anest. intenziv. Med. 2018;29(5):274  

Cytomegalovirus infection in intensive care. Treat or ignore them?Intesive Care Medicine - Review Article

T. Karvunidis, T. Reischig, M. Matějovič

Anest. intenziv. Med. 2018;29(5):275-282  

Cytomegalovirus (CMV) reactivation, infection and associated organ dysfunction in immunocompetent critically ill patients is getting into the intensivists' focus. Although the causal relationship between CMV reactivation and unfavorable outcomes has not been confirmed yet, observational evidence suggests a strong association with higher mortality, prolonged organ support and length-of-stay in intensive care. In addition to these relatively direct consequences, affected patients are more susceptible to the development of nosocomial infections, potentially as a result of complex immunomodulation of the host caused by CMV reactivation. Epidemiology, pathophysiology,...

Diagnostika a léčba peripartálního život ohrožujícího krvácení - Česko-slovenský mezioborový konsenzusGuidelines

A. Pařízek, T. Binder, J. Bláha, J. Blatný, M. Buršík, J. Feyereisl, P. Janků, Z. Kokrdová, P. Křepelka, J. Kvasnička, M. Lubušký, D. Seidlová, O. Šimetka, P. Štourač, V. Černý

Anest. intenziv. Med. 2018;29(5):284-290  

Kortikosteroidy v sepsi - definitivní názor?Highlights from the literature

J. Drábková

Anest. intenziv. Med. 2018;29(5):291  

Stanovisko výboru k podávání léčivých přípravků s obsahem propofolu z jedné lahvičky/ampulky pro více pacientůDokumenty ČSARIM ČLS JEP

Anest. intenziv. Med. 2018;29(5):292  

Using propofol - what is forbidden, is not (really) allowed ... or what are we risking if we use it in contradiction with the SPC?Ethics and Medicine Law

R. Černá Pařízková

Anest. intenziv. Med. 2018;29(5):293-296  

Propofol is an intravenous anaesthetic agent based on lipid emulsion without antimicrobial additive with high risk of microbial growth. Non-compliance with the recommended SPC (Summary of Product Characteristics) administration was associated with serious infectious complications. The aim of the article is to analyze the ethical and legal problems that can be associated with incorrect practice of using propofol.

Vrací se plná krev do civilní traumatologie?Highlights from the literature

J. Drábková

Anest. intenziv. Med. 2018;29(5):296  

Anestezie u popáleninPostgraduate Education - Topics for Board Examination

V. Černý

Anest. intenziv. Med. 2018;29(5):297  

Čichové receptory - nejde jen o čich aneb fascinující příklad dokonalé evoluce (jen ještě úplně nevíme, proč to tak vše je...)Postgraduate education - Selected Topics in Clinical Physiology

D. Astapenko, V. Černý

Anest. intenziv. Med. 2018;29(5):298-299  

Zobrazovací metody v klinické praxiZobrazovací metody v klinické praxi

M. Adamus, V. Černý, J. Málek

Anest. intenziv. Med. 2018;29(5):300  

Porucha vědomí a okluze Percheronovy arterieZobrazovací metody v klinické praxi

Z. Šustrová, D. Černík, J. Beneš, F. Cihlář

Anest. intenziv. Med. 2018;29(5):301-302  

Konsenzuální doporučení pro nitrožilní podávání ketaminu v léčbě akutní bolestiGuidelines

V. Černý

Anest. intenziv. Med. 2018;29(5):303  

Praktická doporučení pro středně hlubokou analgosedaciGuidelines

V. Černý

Anest. intenziv. Med. 2018;29(5):304  

Statistika oboru anesteziologie a intenzivní medicína - A 025News from CSIM

J. Drábková

Anest. intenziv. Med. 2018;29(5):305-308  

Ohlédnutí za kongresem ČSIM v Brně 20.-22. června 2018: Co jste na něj říkali vy?Congresses and Conferences

F. Duška

Anest. intenziv. Med. 2018;29(5):309-310  

Zajímavosti, tipy a trikyZajímavosti, tipy a triky

V. Černý

Anest. intenziv. Med. 2018;29(5):311-312