Czech Society of Anaesthesiology and Intensive Care Medicine in 2022 – a short look back and a look forward

prof. MUDr. Vladimír Černý, Ph.D., FCCM

Anest. intenziv. Med. 2022;33(1):3  

Czech intensive care medicine – the way to multidisciplinary specialty

doc. MUDr. Martin Balík, Ph.D., EDIC

Anest. intenziv. Med. 2022;33(1):4  

Clinical practise of administration of systemic corticosteroids among critically ill patients with COVID-19 in the Czech Republic: survey (ASAP­‑C)

Maláska J., Keller F., Chlebek D., Stašek J., Hudec J., Prokopová T., Kratochvíl M., Duška F., Máca J., Brat K., Štěpánová R., Svobodník A., Klučka J., Štourač P.

Anest. intenziv. Med. 2022;33(1):7-13 | DOI: 10.36290/aim.2022.006  

Study objective: Administration of systemic corticosteroids in patients with severe COVID-19 (Coronavirus Disease 2019) has been recommended by World Health Organization (WHO) according to the RECOVERY trial results. However, there is still ongoing debate regarding the evidence supporting the dose, timing, route of administration and type of corticosteroid. This survey aimed to describe the current clinical practice of administration of systemic corticosteroids for patients with COVID-19 within Intensive Care Units (ICU) in Czech Republic. Study design: cross-sectional survey Material and methods: Electronic survey containing 15 questions was sent...

Elementary aspects of author's rights in the context of medical publications

Machů M.

Anest. intenziv. Med. 2022;33(1):14-18 | DOI: 10.36290/aim.2021.051  

The paper deals with issues important for publishing activity with special emphasis on the issue of publications in the field of medicine. Specifically, the paper deals with the definition of a work and the definition of parts of publications that cannot be considered works. However, it also lists alternative approaches to protection through the specific rights of the database acquirer. Furthermore, the author's rights themselves are discussed here, both positively and negatively, i.e., from the point of view of their limitation, for example in the context of the employee's work or school work. Last but not least, it represents a certain controversy...

Novel supraglottic airway devices in clinical practice

Werner J., Vobrubová E., Michálek P.

Anest. intenziv. Med. 2022;33(1):19-24 | DOI: 10.36290/aim.2022.001  

Supraglottic airway devices currently belong to routine clinical practice for securing the airways in elective procedures, but also for tracheal intubation or oxygenation in difficult intubation scenarios. Other indications are airway management in emergency and intensive care medicine or pre-hospital care. Increased safety requirements, extended indications, and use in acute situations have led to the development of novel supraglottic airway devices. Universal devices such as Ambu Aura Gain, LMA Protector, or i-gel Plus allow use in elective surgery and subsequent fiberscope-guided tracheal intubation. Other devices such as the LMA Guardian have been...

The principles of opioid­‑free anesthesia and postoperative analgesia, our experience in bariatric surgery

Píza P., Uchytilová E., Čermáková A., Kieslichová E.

Anest. intenziv. Med. 2022;33(1):25-31 | DOI: 10.36290/aim.2022.002  

Opioid-free anaesthesia and postoperative analgesia are methods of perioperative care without the use of opioids, whereas the principles of opioid-sparing anaesthesia and postoperative analgesia lie in the use of opioids in minimal doses. These methods are based on multimodal approach and reduce the influence of opioid side-effects on postoperative course. Within general opiod-free anaesthesia and systemic postoperative analgesia a combination of adjuvant, non-opioid analgetics and non-steroidal antiinflammatory drugs is used, which enables to reduce opioid consumption and the incidence of opioid side effects. NMDA receptor antagonists, local anaesthetics...

Importance of intestinal microbiota in critically ill patients and possibilities of its influence

Cibulková I., Řehořová V., Duška F.

Anest. intenziv. Med. 2022;33(1):32-38 | DOI: 10.36290/aim.2022.003  

Human gut microbiota consists of bacteria, archaea, fungi and viruses, and its composition, specific to each individual, is shaped by many factors. Pathological imbalance in the composition and/or diversity of microorganisms (dysbiosis), is associated with a wide range of diseases. The intestinal microbiome is the result of a complicated interplay between the host and the intestinal microflora. Critically ill patients have a reduced number of symbiotic bacteria ( particularly Firmicutes and Bacteroidetes) and, conversely, a relative increase in pathogenic intestinal bacteria (particularly Proteobacteria), and the rate of dysbiosis is directly proportional...

Perioperative neurocognitive disorder - advanced narrative review

Nekvindová K., Ivanova K., Juríčková L., Tučková D., Vévoda J., Gabrhelík T.

Anest. intenziv. Med. 2022;33(1):39-44 | DOI: 10.36290/aim.2022.004  

Term postoperative cognitive disorder stands for deterioration of cognitive function after surgery in postoperative period. Evaluation and diagnostics of cognitive disorders in perioperative period were highlighted by the increasing number of geriatric patients undergoing a surgery with general anaesthesia, with the goal of fast recovery and preservation of the quality of life. Deterioration in cognitive function after surgery was originally called postoperative cognitive dysfunction. The definitions of postoperative cognitive dysfunction varied. In order to unite them, in 2018 there were published new recommendations during which the postoperative...

Possibilities of the anesthesiologist to influence the clarity of the operating field in endonasal surgery

Parma M., Lubojacký J., Frelich M., Vodička V., Straková H., Matoušek P., Jor O.

Anest. intenziv. Med. 2022;33(1):45-50 | DOI: 10.36290/aim.2021.052  

Endoscopic nasal surgery deals with operations on the nose and paranasal sinuses. The nose and paranasal sinuses are richly vascularly supplied. Mucosal bleeding into the surgical field is therefore common and can be significant. The surgeon works in very cramped spaces with difficult identification of subtle differences in color, where even minimal bleeding can obscure the operating field. Poor clarity in the operated area makes the operation more difficult and increases the risk of complications. The aim of this review work is to provide a comprehensive view of the possibilities of influencing the clarity of the operating field by an anesthesiologist.

Butyrylcholinesterase deficiency or "I remember intubation"

Novotný D., Závada J., Novotná M., Bočková A., Vymazal T.

Anest. intenziv. Med. 2022;33(1):51-54 | DOI: 10.36290/aim.2022.005  

This case report describes a patient with a personal history of muscle paralysis after emergence from a short general anaesthesia with the use of suxamethonium. She has a partial recall of subsequent intubation. After a few hours of mechanical ventilation and sedation, she was extubated without complication in the ICU. During the preanesthesia evaluation, we suspected a deficiency of butyrylcholinesterase, an enzyme metabolizing mivacurium and suxamethonium. Due to that, general anaesthesia with muscle relaxation using rocuronium was performed for a planned hemithyreoidectomy. There were no complications during the surgery and subsequent genetic examinations...

2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure

Lipš M., Černý V.

Anest. intenziv. Med. 2022;33(1):60-62 | DOI: 10.36290/aim.2022.010  

The ‘Ten Commandments’ of the 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure

Černý V.

Anest. intenziv. Med. 2022;33(1):63 | DOI: 10.36290/aim.2022.011  

Combination of hypertonic normal saline and furosemide in the therapy of heart failure – 20 years from the concept to the effective (and still possibly forgotten) clinical intervention

Astapenko D., Černý V.

Anest. intenziv. Med. 2022;33(1):55-56 | DOI: 10.36290/aim.2022.008  

Re: Prevention of venous thromboembolism in intensive care patients

Beneš J., Černý V.

Anest. intenziv. Med. 2022;33(1):57-58  

Answer of authors

Pavel Suk

Anest. intenziv. Med. 2022;33(1):59 | DOI: 10.36290/aim.2022.009