Anesteziologie a intenzivní medicína, 2020 (vol. 31), issue 1-2

Editorial

Pandemie COVID-19 – jenom rizika a negativní dopady nebo i příležitosti?

Černý V., Beneš J.

Anest. intenziv. Med. 2020;31(1-2):3  

Review Article

Airway management in the adult prehospital medicine - to tube or not to tube?

Klementová O., Henlín T., Szkorupa M., Michálek P.

Anest. intenziv. Med. 2020;31(1-2):6-12 | DOI: 10.36290/aim.2020.007  

Adequate oxygenation and maintaining the patent airway are one of the key factors for patient survival in prehospital care. The main difference against the operating room is the environment of the accident and experience with the qualification of the provider. Basic techniques include the use of manual maneuvers for opening the airway, bag-mask ventilation, and insertion of the oropharyngeal or nasopharyngeal airways. Advanced techniques involve the insertion of a supraglottic airway device and tracheal intubation. Surgical cricothyrotomy is indicated only in a small number of patients and in the battlefield medicine. Tracheal intubation still remains...

Our article after ten years: Intraoperative fluid optimization using stroke volume variation in high risk surgical patients: results of prospective randomized study

Beneš J., Chytra I., Pradl R., Kasal E.

Anest. intenziv. Med. 2020;31(1-2):13-17 | DOI: 10.36290/aim.2020.001  

Ten years ago, the results of randomized prospective single-centrce study aimed to optimize hemodynamics in high-risk patients undergoing scheduled intra-abdominal procedures were published in Critical Care journal. This review article provides a critical assessment of the results of this work and further developments in this area, seen from a distance of one decade.

Sedation in the intensive care unit - part I.

Suk P., Kletečka J., Beneš J., Šrámek V.

Anest. intenziv. Med. 2020;31(1-2):18-22 | DOI: 10.36290/aim.2020.004  

Sedation is an important part of care of patients on mechanical ventilation with the aim to improve their comfort. In this review article, adequate analgesia, clinical assessment of sedation depth, comparison of light versus deep sedation including its effect on clinically relevant outcomes, and comparison of common sedative agents are discussed.

Historical overview of fluid therapy

Kříž M., Raděj J., Nalos M.

Anest. intenziv. Med. 2020;31(1-2):23-29 | DOI: 10.36290/aim.2020.008  

Management of intravenous fluid therapy has been part of clinical practice for more than 180 years. During that time, the development of fluid composition, the procedures for their application and the understanding of the respective physiology went through many milestones. Even nowadays, the evolution is not over. Further research should aim to fill in the gaps of knowledge on this issue, to verify current findings and to optimize prescription in the treatment of specific groups of critically ill patients. It will be crucial, to find credible evidence for optimal composition, dose, and timing of fluid therapy in intensive care. In this review article,...

Fascial planes of the trunk in relation to regional anesthesia -part one: chest fascial spaces in relation to regional anesthesia

Nalos D.

Anest. intenziv. Med. 2020;31(1-2):30-36 | DOI: 10.36290/aim.2020.002  

The article describes the embryonal and anatomical consequences of the development of the torso fascial system in relation to the possibilities of regional anesthesia of the chest. Using literary sources, own ultrasound documentation and image documentation from the computer tomography, author try to clarify the mechanism and localization of the action of local anesthetics in new fascial blockades in the chest wall, based on anatomical and physical principles.

Non-acute coronary syndrome elevations of high-sensitivity troponin - a challenge for the emergency physician

Romanko I., Matias M., Romanko-Ingrischová M.

Anest. intenziv. Med. 2020;31(1-2):37-41 | DOI: 10.36290/aim.2020.017  

High‑sensitivity troponin (troponin I and troponin T) is serum marker specific for myocardial injury. Raised high‑sensitivity troponin levels can be found in acute coronary syndrome, but also in a variety of other conditions as well. Differential diagnosis of high‑sensitivity troponin elevations are a great challenge for emergency physicians. Apart from ruling‑out acute coronary syndrome, other potential causes such as cardiovascular disease, infections, renal disease and age have to be considered. This narrative review discusses the possible insight of an emergency physician on non‑ischaemic elevations of high‑sensitivity...

Case Report

Pulmonary alveolar proteinosis: repeated bilateral whole lung lavage supported by extracorporeal membrane oxygenation

Beneš J., Roleček P., Černý V.

Anest. intenziv. Med. 2020;31(1-2):42-45 | DOI: 10.36290/aim.2020.009  

Whole lung lavage with large quantity of normal saline is the current standard of care treatment of pulmonary alveolar proteinosis. This rare disease characterized by alveolar accumulation of lipoproteinaceous material leads to respiratory failure of different severity. In some cases, it is not possible to perform the treatment safely without risk of severe periprocedural hypoxia. These rare cases can be treated with the support of extracorporeal membrane oxygenation. We present a case of a 41-year old patient successfully treated with repeated bilateral whole lung lavage supported by extracorporeal membrane oxygenation. Extracorporeal membrane oxygenation...

New guidelines

Příjem a třídění pacientů se suspektním nebo potvrzeným COVID-19

Flajšingrová J., Gřegoř R., Kratochvíl J., Lepší Z., Pařízek T., Šeblová J., Škulec R.

Anest. intenziv. Med. 2020;31(1-2):46-48 | DOI: 10.36290/aim.2020.018  

Obecné zásady péče o pacienta s COVID-19 na pracovišti intenzivní péče

Černá Pařízková R., Mach D.

Anest. intenziv. Med. 2020;31(1-2):49-50 | DOI: 10.36290/aim.2020.010  

Perioperační péče o pacientky podstupující císařský řez

Bláha J., Pařízek A., Štourač P., Seidlová D., Nosková P., Mannová J.

Anest. intenziv. Med. 2020;31(1-2):51-52 | DOI: 10.36290/aim.2020.011  

Kardiopulmonální resuscitace pacientů se suspektním nebo potvrzeným COVID-19

Černá Pařízková R., Černý V., Djakow J., Kosinová M., Škulec R., Štourač P., Truhlář A.

Anest. intenziv. Med. 2020;31(1-2):53-56 | DOI: 10.36290/aim.2020.019  

Protektivní ventilace u chirurgicky nemocných pacientů: doporučení mezinárodního expertního panelu

Černý V.

Anest. intenziv. Med. 2020;31(1-2):57-58 | DOI: 10.36290/aim.2020.012  

Cílená regulace tělesné teploty: konsenzuální stanovisko mezioborové pracovní skupiny

Balík M., Bělohlávek J., Beneš J., Černý V., Cvachovec K., Drábek T., Ošťádal P., Škulec R., Škola J.

Anest. intenziv. Med. 2020;31(1-2):59-63 | DOI: 10.36290/aim.2020.020  

Mezinárodní konsenzuální stanovisko k použití uterotonik v průběhu císařského řezu

Štourač P., Bláha J.

Anest. intenziv. Med. 2020;31(1-2):64-65 | DOI: 10.36290/aim.2020.013  

Clinical physiology

Glykemie, mozkové neurotransmitery a možný vztah k pooperační kognitivní poruše?

Astapenko D., Černý V.

Anest. intenziv. Med. 2020;31(1-2):66-67 | DOI: 10.36290/aim.2020.014  

Reports of professional companies

European Diploma in Regional Anaesthesia and Acute Pain Management - EDRA

Merjavý P.

Anest. intenziv. Med. 2020;31(1-2):70-72  

Prof. MUDr. Danuše Táborská, DrSc. 22. 12. 1928 – 6. 4. 2020

Ševčík P., Černý V., Cvachovec K., Šrámek V.

Anest. intenziv. Med. 2020;31(1-2):73  

Correspondence

Životní jubileum  emeritního primáře  MUDr. Jana Řezáče

Kesslerová L.

Anest. intenziv. Med. 2020;31(1-2):74  

Zajímavosti, tipy a triky

Zajímavosti, tipy a triky, informace z jiných oborů

Černý V.

Anest. intenziv. Med. 2020;31(1-2):68-69  


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