The COVID-19 pandemic: not over yet, but what use can be made of it even now…

Vladimír Černý

Anest. intenziv. Med. 2020;31(5):203  

Low volume distal sciatic block (LVDSB) - comparison spread of injectate between LVSDB and distal adductor canal in healthy volunteer

Nalos D., Beňo L., Bejšovec D.

Anest. intenziv. Med. 2020;31(5):206-211 | DOI: 10.36290/aim.2020.051  

Study objective: The aim of the study is to compare two different approaches to the blockade of the popliteal area by evaluating the distribution of an aqueous solution of salt in one volunteer. Type of study: Short technical report. Site type: Department of Anesthesiology, Perioperative and Intenzive Medicine. Material and method: In a volunteer, we simulated two alternative regional blocks, simultaneously, one on each lower limb. On the left leg a simulation of the low volume block of the distal part of the sciatic nerve (LVDSB) was performed by applying 6 ml of 0.9% NaCl solution. Subsequently, on the right leg, simulation of the distal adductor...

Changes of endotheial glycocalyx layer after cadiopulmonary resuscitation in porcine model of cardiac arrest

Astapenko D., Škulec R., Černá Pařízková R., Pinterová N., Hovanec T., Mlýnková T., Dudáková J., Bílská M., Pařízek T., Radochová V., Černý V.

Anest. intenziv. Med. 2020;31(5):212-216 | DOI: 10.36290/aim.2020.052  

Objective: Endothelial glycocalyx (EG) plays key role in maintaining vascular integrity. Perturbation of the EG in patients after cardiac arrest has been described by measuring syndecan-1 and heparan sulphate levels. Non-invasive method of evaluating EG thickness by using Perfused Boundary Region (PBR) has been introduced recently. PBR represents the amount of lateral deviation of red blood cells towards the EG in µm. The aim of the study was to evaluate changes in PBR on porcine model of cardiac arrest in order to assess the usefulness of PBR as an indicator of glycocalyx damage. Design: Experimental study on a porcine model of cardiac arrest....

Fentanyl - 60 years since synthesis, history of opioid analgesics

Málek J.

Anest. intenziv. Med. 2020;31(5):217-224 | DOI: 10.36290/aim.2020.047  

The article presents discovery of opioid analgesics, their marketing, as well as notable names connected with this history.

The importance and options of peroperative evaluation of nociception

Rogozov V., Vaněk T.

Anest. intenziv. Med. 2020;31(5):225-232 | DOI: 10.36290/aim.2020.045  

The main objective of anaesthetic care is to ensure safe and adequate anaesthesia and analgesia during surgery. By "safe" we mean full reversibility of the induced arteficial state while maintaining full integrity of the organism (in which the crucial role is represented by the maintenance of adequate supply of oxygen and organ perfusion). The term "adequate" refers to the goal of effective suppression of consciousness and nociception while minimizing adverse side effects of anaesthetics and analgesics, i.e. using the minimum effective dose of anaesthetic and analgesic. For such defined qualities, the authors propose the concept of euanaesthesia and...

Refusal of patient admission from pre-hospital care by the provider of acute inpatient care

Peřan D., Mlynářová D., Pekara J., Cmorej P. Ch., Černá Pařízková R.

Anest. intenziv. Med. 2020;31(5):233-237 | DOI: 10.36290/aim.2020.043  

The admission of a patient by the provider of acute inpatient care from the emergency medical services is performed on the basis of a medical professional indication and at the same time is supported by a legislative framework. A possible refusal of patient admission may lead to a delay in the initiation of emergency care with a deterioration in the patient's health and to the inference of legal liability for healthcare professionals. This article provides an analysis of legal status and several examples of situations of refusal of patient admission by the provider of inpatient care.

Use of rotational thromboelastometry in perioperative medicine and its comparison with standard coagulation testing

Jonáš J., Durila M., Blahýnková M., Vymazal T.

Anest. intenziv. Med. 2020;31(5):238-245 | DOI: 10.36290/aim.2020.044  

Evaluation of the hemocoagulation status is one of the basic examinations in intensive and perioperative care. However, commonly used standard coagulation tests, such as prothrombin time, and activated partial thromboplastin time, do not provide comprehensive information on the hemocoagulation status. On the other hand, rotational thromboelastometry, as a dynamic viscoelastometric method, can examine all phases of secondary hemostasis. Its results thus better correspond to the in vivo situation. In addition, the results of rotational thromboelastometry are available earlier, and the implementation of this method into the perioperative bleeding management...

On the 110th anniversary of medical rescue service in Olomouc

Vetešník J.

Anest. intenziv. Med. 2020;31(5):246-248 | DOI: 10.36290/aim.2020.048  

The Emergency Service in Olomouc "Freiwillige Rettungsgesellschaft Olmütz" was established on October 4, 1910 as a volunteer association dealing with providing first aid and transportation of the sick and wounded. The Viennese Protective Society was a model example for them. The activities of the Olomouc "Freiwillige Rettungsgesellschaft" were limited after 1925, and after that the Czech rescue service "First Aid in Olomouc" was preferred by the City Council. The emergency service station with an ambulance car and portraits of the founders, Dr. Alois Karschulin and notary Richard Mader, is on display on a shooting target board from 1911 (placed in...

Patterns of acute respiratory distress syndrome in adult patients with COVID-19

Astapenko D., Černý V.

Anest. intenziv. Med. 2020;31(5):256-257 | DOI: 10.36290/aim.2020.054  

The 13/2020 Czech Society of Anaesthesiology and Intensive Care Medicine Committee opinion: Decision-making in intensive care patients in the setting of limited/scarce resources

MUDr. Černá Pařízková Renata, Ph.D., LL.M., doc. JUDr. Šustek Petr, Ph.D., JUDr. Ing. Prudil Lukáš, Ph.D., MUDr. Mgr. Těšinová Jolana, Ph.D., JUDr. Mgr. Šolc Martin, prof. MUDr. Cvachovec Karel, CSc., MBA, JUDr. Dostál Ondřej, Ph.D., LL.M., prof. MUDr. Černý Vladimír, Ph.D., FCCM

Anest. intenziv. Med. 2020;31(5):249-255  

Features of interest, tips and tricks, information from other disciplines

Černý V.

Anest. intenziv. Med. 2020;31(5):258-259