Educating young doctors in the COVID era

Beneš J., Vymazal T., Klincová M., Klabusayová E.

Anest. intenziv. Med. 2021;32(1):3-6  

Positive pressure application of oxygen using Venturi nozzle Corovalve made on a 3D printer. A simple and inexpensive method applicable in emergency conditions on a mass scale

Rogozov V., Furdová A., Ďurica D., Vaněk T., Reichertová M., Filipová B., Kačer P.

Anest. intenziv. Med. 2021;32(1):9-13 | DOI: 10.36290/aim.2021.007  

Acute hypoxemic respiratory failure (which occures also with severe course of COVID-19) requires oxygen therapy. The invasiveness and intensity of chosen therapy corresponds with patient's condition and technical means available. If a large number of patients with hypoxic failure suddenly occur, the available equipment and/or human capacity to provide effective oxygen therapy may be greatly strained. The goal of our experiment was to test functionality of a simple device equipped with a Venturi nozzle Corovalve which we designed and printed on a 3D printer. We incorporated the nozzle into a system assembled from parts commonly available in the Czech...

Point of care examination of blood clotting - current possibilities

Zatloukal J., Horáková M., Bultasová L., Pouska J., Kletečka J., Beneš J.

Anest. intenziv. Med. 2021;32(1):14-24 | DOI: 10.36290/aim.2020.049  

Determination of platelet function and function of plasma coagulation system is one of the commonly performed examinations in anesthesiology and intensive care. The reason for the examination of blood clotting may be planned or acute surgery, spontaneous bleeding, postoperative bleeding without a clear source, monitoring the effect of treatment with anticoagulant and antiplatelet drugs, thromboembolism, etc. Very often these are urgent situations where it is advantageous if such examination can be performed directly at the patient's bedside. Current medicine offers us the possibility of using several so-called point of care (POCT) devices that can...

Gabapentinoids in the perioperative period

Gimunová O., Zemanová J.

Anest. intenziv. Med. 2021;32(1):25-29 | DOI: 10.36290/aim.2021.012  

Multimodal analgesia is predicated on interactions of medicines whereby benefits of combination exceed the risks. Perioperative gabapentinoids have significant adverse effects. Gabapentinoids, when combined with opioids, confer even greater respiratory risk than opioids alone. Routine perioperative administration of gabapentinoids is not more recommended. New clinical trials to evaluate analgesic benefits of gabapentinoids on postoperative pain are very unlikely to provide any new evidence.

One hundred and ninety years since discovery of chloroform - history of inhalational anaesthetics. Part 1

Málek J., Tůma P.

Anest. intenziv. Med. 2021;32(1):30-35 | DOI: 10.36290/aim.2021.006  

The article presents discovery of chloroform and anaesthetic drugs that preceded its use or followed it as well as notable names connected with this history. Part one deals with the three oldest agents: ether, nitrous oxide and chloroform.

Fascial planes for regional anesthesia of the lower limb

Nalos D.

Anest. intenziv. Med. 2021;32(1):36-43 | DOI: 10.36290/aim.2021.005  

The article is a continuation of the series on the importance of fascia for regional anesthesia. This chapter attempts to align the anatomical structure of the lower limb with the requirements for regional anesthesia. The basic structure studied are deep fascia in the thigh area - fascia lata and deep myofascial structures. Fascia lata divides the muscles of the thigh into three compartments. The thickness of the fascia late makes it impossible for the local anesthetic to penetrate into a different compartment than the one into which it was administered. The local anesthetic is spread only in the myofascial spaces of individual compartments. The anterior...

A rare complication of central venous catheter insertion

Bělohlávek T., Zoľák V., Köppl J., Nosáľ S.

Anest. intenziv. Med. 2021;32(1):44-47 | DOI: 10.36290/aim.2021.013  

The insertion of a central venous catheter is an integral part of the therapy and monitoring of critically ill patients in intensive care units. Although, ultrasonography significantly improves the success and safety of insertion, it is still invasive procedure associated with the risk of many complications. Rare, later complications include migration - leaving the end of initially in the correct position inserted catheter. The exact mechanism of migration is unknown. In the present text, we describe a case of rare migration of a central venous catheter inserted through the right internal jugular vein originally into the right heart atrium back to...

Pneumothorax, which was not a pneumothorax

Matoušek V., Zemanová P., Stach Z.

Anest. intenziv. Med. 2021;32(1):48-51 | DOI: 10.36290/aim.2021.004  

66 y.o. patient with end-stage chronic obstructive pulmonary disease was hospitalized in a standard ward, after abrupt onset of dyspnea a chest X-ray showed a pneumothorax. However, ultrasound examination before pleural drainage did not confirm pneumothorax and thus drainage was not performed. A computed tomography scan showed vanishing lung syndrome, explaining the X-ray finding. This case report points out vanishing lung syndrome and demonstrates complementarity of different imaging methods in diagnostic of pneumothorax in patient with complicated intrathoracic pathologies.

Shaken adult syndrome or a neurological complication of epidural anesthesia?

Bauerová A., Nosková P., Bláha J.

Anest. intenziv. Med. 2021;32(1):52-54 | DOI: 10.36290/aim.2021.002  

Shaken adult syndrome is a diagnosis related to the long-known shaken baby syndrome. However, the existence of this diagnosis in adults is debatable and only a minimal number of cases have been published worldwide so far. This case report describes a patient who underwent a caesarean section under epidural anesthesia and developed neurological symptoms several hours after the procedure, indicating an acute worsening of her recurrent chronic subdural hematoma. Upon closer inspection, it was clarified that she was a long-term physically abused woman with the shaken adult syndrome. The aim of this case report is to point out the fact that not every neurological...

Extracorporeal CO2 removal in intensive care patients: a European round table consensus

Černý V.

Anest. intenziv. Med. 2021;32(1):58 | DOI: 10.36290/aim.2021.015  

Recommendations for anaesthesia and sedation in breastfeeding women

Černý V.

Anest. intenziv. Med. 2021;32(1):59 | DOI: 10.36290/aim.2021.016  

Biochemical urine testing in intensive care: we should learn to use it more frequently

Navrátil P., Astapenko D., Černý V.

Anest. intenziv. Med. 2021;32(1):55-57 | DOI: 10.36290/aim.2021.014  

The 14/2021 ČSARIM Committee opinion: Current availability and provision of intensive care in the context of the COVID-19 disease pandemic

Černý V.

Anest. intenziv. Med. 2021;32(1):60  

The 15/2021 ČSARIM Committee opinion: On the use of bamlanivimab in COVID-19 patients

Balík M., Černý V. (editor), Čierná Peterová I., Dlouhý P., Roháčová H., Šonka P., Šrámek V., Vašáková M., Vymazal T.

Anest. intenziv. Med. 2021;32(1):61-64  

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

Černý V.

Anest. intenziv. Med. 2021;32(1):65-66