Looking back on the World Congress of Anaesthesiologists

prof. MUDr. Karel Cvachovec, CSc., MBA

Anest. intenziv. Med. 2021;32(4-5):187-188  

Antagonization of neuromuscular blockade by sugammadex vs. neostigmine in patients undergoing robotic‑assisted urological procedures - effect on extubation time and quality of the recovery - monocentric prospective randomized study

Schraml J., Kokoška V., Broul M., Škulec R., Škola J., Astapenko D., Černý V.

Anest. intenziv. Med. 2021;32(4-5):191-196 | DOI: 10.36290/aim.2021.047  

Objective: The aim of the study was to test the hypothesis that the use of sugammadex shortens the time to extubation compared to the use of neostigmine in patients undergoing robotically assisted urological procedures. Design: Monocentric prospective randomized study. Setting: Tertiary Care Hospital. Material and methods: Sixty adult patients undergoing robotic-assisted urological laparoscopic surgery without contraindications to the administration of rocuronium, neostigmine and sugammadex, with perioperative monitoring of the depth of neuromuscular blockade. Patients were randomized to the group with antagonization of the neuromuscular blockade with...

Evaluation of patients referred to brain death scintigraphy

Havel M., Školoudík D., Nováková D., Švec P., Havránek P., Havlová G., Kraft O., Dedek V., Bukovanský K., Drozdková R., Širůček P.

Anest. intenziv. Med. 2021;32(4-5):197-203 | DOI: 10.36290/aim.2021.049  

Objective: The aim of this work is to analyse data of brain death scintigraphy examinations performed within one centre retrospectively. We focused on the differences between examined children and adults, including proportions of coma causes or organ donors. The cases with negative scintigraphic finding were further assessed. Design: Retrospective. Setting: Nuclear Medicine Department, University Hospital. Material and methods: A total of 320 patients between years 2003 and 2020 were examined (mean age 44 ± 18 years, 207 men, 113 women). The group was divided according to age into patients under 18 years (40, Group A) and those with age higher...

Post­‑operative sleep­‑disordered breathing with different anesthesia techniques: an observational study

Růžek L., Tušinovská L., Hándlová V., Jelínek M., Tomáš T., Šrámek V., Ludka O., Olson L. J., Čundrle I. ml.

Anest. intenziv. Med. 2021;32(4-5):204-210 | DOI: 10.36290/aim.2021.050  

Objective: It has been suggested that regional anesthesia may prevent post­‑operative exacerbation of obstructive sleep apnea. However, clinical evidence is lacking. We have hypothesized that post­‑operative exacerbation of sleep­‑disordered breathing is related to the anesthetic technique. Design: Prospective observational study. Setting: Orthopedic intensive care unit. Material and methods: The inclusion criterion was orthopedic surgery requiring anesthesia. Multichannel polygraphy sleep studies were performed one night before and four consecutive nights after surgery. The Kruskal–Wallis test and Friedman’s ANOVA...

Methylene blue administration in refractory distributive shock

Pořízka M., Říha H., Balík M.

Anest. intenziv. Med. 2021;32(4-5):211-216 | DOI: 10.36290/aim.2021.045  

Refractory distributive shock is associated with excessive mortality in critically ill patients. Non-adrenergic vasopressors, including methylene blue, are often considered as an adjuvant therapy to the usual, catecholamine-based vasopressor treatment. In this narrative review we summarize the current scientific evidence on the use of methylene blue in the treatment of refractory distributive shock in different clinical situations.

Prophylaxis of venous thromboembolism in critically ill patients

Cihlář R., Šrámek V., Suk P.

Anest. intenziv. Med. 2021;32(4-5):218-224 | DOI: 10.36290/aim.2021.046  

Thromboembolism is a complication occurring in all groups of in-patients. The incidence is higher in the critically ill due to many associated risk factors. Preventive measures based firstly on pharmacological and mechanical thromboprophylaxis significantly reduce the risk of deep venous thrombosis and subsequent pulmonary embolism, which is the most serious complication linked to high mortality. The aim of this review is to describe options of thromboembolic prophylaxis and their complications. Concurrently, clinical conditions, which influence thromboprophylaxis, are reviewed with special focus on circulatory, renal, and hepatic failure. Summary...

Extraglottic devices on the battlefield

Henlín T., Gottvald T.

Anest. intenziv. Med. 2021;32(4-5):225-228 | DOI: 10.36290/aim.2021.041  

The role of extraglottic devices in securing the airways on the battlefield was not be completely clear althought theirs routine use in operating theaters or pre-hospital care. Only in the last decade has their position in the field become clearer, and it seems that if we choose a specific group of wounded soldiers, it is become important devices to securing the airways.

Our article after ten years: Awake cardiac surgery

Pořízka M., Kunstýř J., Lipš M., Stříteský M.

Anest. intenziv. Med. 2021;32(4-5):229-233 | DOI: 10.36290/aim.2021.044  

Ten years ago, the results of prospective non-randomized study investigating perioperative management and clinical outcome of awake cardiac surgery patients undergoing procedure in sole epidural anaesthesia were published in European Journal of Cardiothoracic Surgery and Journal of Anaesthesia. 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

Upper airway and esophageal burn injury

Reková L., Tyll T.

Anest. intenziv. Med. 2021;32(4-5):234-236 | DOI: 10.36290/aim.2021.039  

Upper airway burn injury is a life-threatening clinical condition, the development of acute respiratory failure occurs as a result of rapid airway obstruction by mucous oedema. The emergency intubation should be provided, we must expect and be ready for difficult airway situation. The inhalation trauma is a severe complication of burn injury (impairment of lung tissue and lower airway).

Central anticholinergic syndrome – forgotten diagnosis?

Málek J.

Anest. intenziv. Med. 2021;32(4-5):237-239 | DOI: 10.36290/aim.2021.048  

The 28th of November is the name day of St. René, the patron saint of anaesthesiologists

Málek J.

Anest. intenziv. Med. 2021;32(4-5):240-241 | DOI: 10.36290/aim.2021.008  

Selections from NEJM Guideline Watch 2021

Černý V.

Anest. intenziv. Med. 2021;32(4-5):247-248 | DOI: 10.36290/aim.2021.056  

Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2021

Astapenko D., Černý V.

Anest. intenziv. Med. 2021;32(4-5):249-255 | DOI: 10.36290/aim.2021.057  

Postoperative fatigue syndrome

Astapenko D., Černý V.

Anest. intenziv. Med. 2021;32(4-5):245-246 | DOI: 10.36290/aim.2021.055  

Remembering Zdeněk Bystřický, MD, CSc.

Zdeněk Bystřický ml.

Anest. intenziv. Med. 2021;32(4-5):258  

New board certification examination questions

Tomáš Vymazal

Anest. intenziv. Med. 2021;32(4-5):242-244  

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

Černý V.

Anest. intenziv. Med. 2021;32(4-5):256-257