Preoperative cognitive screening in vascular surgery patientsCelková anestezie - původní práce

M. Horáček

Anest. intenziv. Med. 2019;30(2):60-67 | DOI: 10.36290/aim.2019.020  

Objective: To determine the proportion of patients with possible cognitive dysfunction in a population of seniors ≥ 60 years undergoing elective vascular surgical procedures at the pre-anaesthetic visit, and to examine if there is a difference in cognitive functions among individual categories of vascular surgical procedures. The secondary aim was to find if such cognitive testing is feasible and acceptable for patients. Design: Prospective, observational trial. Setting: Department of vascular surgery at a teaching hospital. Materials and methods: Following ethical board approval, consecutive patients ≥...

Akutní ischemie mezenteriaHighlights from the literature

J. Drábková

Anest. intenziv. Med. 2019;30(2):67  

Montgomery T tube in a management of inoperable tracheal stenosisCelková anestezie - kazuistiky

J. Votruba, Z. Šestáková, M. Lukeš, P. Michálek

Anest. intenziv. Med. 2019;30(2):68-71 | DOI: 10.36290/aim.2019.022  

Surgically untreatable tracheal stenosis is a very serious condition that requires repeated interventions of the interventional bronchologist and has an uncertain prognosis. This case report describes the definitive solution of tracheal stenosis, following long-term unsuccessful dilatations and stenting, by the insertion of the Montgomery T tube. The procedure requires close cooperation between the interventional bronchologist and the anaesthetist, using a combination of rigid and flexible bronchoscopes and high-frequency jet ventilation. In this patient, the insertion of the Montgomery T tube provided a significant improvement in the quality of life,...

Pozdní probouzení po zresuscitované zástavě srdeční - jaká prognóza?Highlights from the literature

J. Drábková

Anest. intenziv. Med. 2019;30(2):71  

Anaesthesia for minor surgery in the early postpartum period - Czech and Slovak prospective national surveysAnestezie v gynekologii a porodnictví - Původní článek

P. Štourač, J. Bláha, P. Nosková, R. Klozová, D. Seidlová, M. Grochová, M. Kosinová, J. Jarkovský, H. Zelinková, D. Schwarz, M. Svoboda, S. Richterová, O. Smékalová, B. Zaoralová, Z. Mrozek, Z. Krupková, L. Večeřa, H. Ivanková, A. Magyarová, J. Šimonová, J. Firment

Anest. intenziv. Med. 2019;30(2):72-79 | DOI: 10.36290/aim.2019.024  

Objectives: To determine the anaesthesia practice for early postpartum procedures in the Czech Republic (CZE) and Slovakia (SK). Design: International, prospective, observational. Departments: 105 departments providing obstetric anaesthesia in CZE and SK. Methods: With Ethical Committee approval we aimed to enrol all the 149 obstetric departments in CZE and SK and to monitor every case of anaesthetic care in the peripartum period during November 2015. The data were recorded into CLADE-IS database through a Case Report Form consisting of two parts (Demography 2014 and Case Report). The database was analysed descriptively...

New horizons in regional anaesthesia - the fascias and ultrasoundAnaesthesiology - Special Article

D. Nalos, D. Doležal, D. Mach

Anest. intenziv. Med. 2019;30(2):80-85 | DOI: 10.36290/aim.2019.025  

The ultrasound machine has become a practically irreplaceable aid for safe and successful regional anaesthesia. Introduction of ultrasonic assistance into regional anaesthesia represents a revolutionary change comparable to that of the introduction of electro-stimulating methods to locate nerves. Direct visualization of needles and target organs and in particular monitoring of the distribution of the local anaesthetic in real time fundamentally influence normal clinical practice. Due to the ultrasound navigation, there a reduction in the risk of serious complications had been achieved. There has also been a reduction in the doses of local anaesthetics...

Zelené vlasy po propofolu?Highlights from the literature

J. Drábková

Anest. intenziv. Med. 2019;30(2):85  

Mucormycosis in solid organ transplant recipientsIntesive Care Medicine - Case Report

S. Palásková, E. Kieslichová

Anest. intenziv. Med. 2019;30(2):86-89 | DOI: 10.36290/aim.2019.027  

Mucormycosis is a very serious, invasive fungal infection, occurring frequently in patients with a modified immune response. Mortality in cases of a generalized form of mucormycosis can reach 96 %. The principles of successful treatment of this disease are early diagnosis and aggressive antimycotic and/or surgical therapy. In this case report we point out the clinical importance of correct timing of therapy, even though even early and appropriate management does not always guarantee survival.

Ošetření poranění podklíčkové tepny v souvislosti s chybným zavedením centrálního žilního katétru či hemodialyzační kanylyZobrazovací metody v klinické praxi

V. Smolka, F. Cihlář

Anest. intenziv. Med. 2019;30(2):90-91  

Online resources in intensive care medicineIntesive Care Medicine - Special Article

J. Kletečka, J. Beneš

Anest. intenziv. Med. 2019;30(2):93-96 | DOI: 10.36290/aim.2019.029  

Intensive care medicine is a complex, demanding and rapidly developing field combining the need for good knowledge of anatomy, physiology, biochemistry or pharmacology with scientific evidence coming from clinical studies and, last but not least, personal, clinical experience. Especially for younger doctors, it may be difficult to comprehend the amount of information available today and to give them the appropriate weight to avoid treatment based on "fashion trends" or, vice versa, a nihilistic denial of any progress. In this special article we tried to offer an overview of freely available online resources and discussion forums which can help our...

Kritéria Sepsis-3 - jsou pokrokem?Highlights from the literature

J. Drábková

Anest. intenziv. Med. 2019;30(2):96  

Doporučení pro diagnostiku, prevenci a léčbu sezonní chřipkyGuidelines

V. Černý

Anest. intenziv. Med. 2019;30(2):97-98  

Vitamin C - od kurdějí k septickému šokuPostgraduate education - Selected Topics in Clinical Physiology

D. Astapenko, V. Černý

Anest. intenziv. Med. 2019;30(2):99-100  

EKG lekce 4EKG v klinické praxi

O. Šmíd, J. Šimek

Anest. intenziv. Med. 2019;30(2):101-102  

Zajímavosti, tipy a trikyZajímavosti, tipy a triky

V. Černý

Anest. intenziv. Med. 2019;30(2):103  

Clinical nutrition in surgery - ESPEN guideline with consensual voting of the working group of Society of Clinical Nutrition and Intensive Metabolic Care (SKVIMP)Guidelines

I. Satinský, E. Havel, K. Bezděk, I. Hanke, M. Káňová, P. Kohout, J. Maňák, V. Maňásek, J. Matek, F. Novák, I. Novák, M. Oliverius, J. Poledník, M. Šenkyřík, Z. Šerclová, P. Tešínský, L. Urbánek, Z. Zadák

Anest. intenziv. Med. 2019;30(2):104-110  

Malnutrition is an important negative factor impacting on postoperative morbidity and mortality in surgical patients. In addition, starvation raises risk of complications in the perioperative period after major surgery. Minimisation of the duration of starvation and protein-caloric deficiency requires careful and permanent monitoring of nutritional care with early response in the perioperative period. It includes modification of diet, sipping and eventually administration of enteral or parenteral nutrition. An up-to-date perioperative care model is the concept of ERAS (Enhanced Recovery After Surgery), where nutritional elements play a fundamental...

Významné životní jubileum doc. MUDr. Jarmily Drábkové, CSc.News from CSARIM

Anest. intenziv. Med. 2019;30(2):111  

Recenze knihy Pain. Management, Issues and ControversiesHighlights from the literature

P. Štourač

Anest. intenziv. Med. 2019;30(2):112