The importance of having impact?

doc. MUDr. David Astapenko, Ph.D., prof. MUDr. Jan Beneš, Ph.D., prof. MUDr. Vladimír Černý, Ph.D., FCCM, FESAIC, doc. MUDr. Martina Kosinová, Ph.D., doc. MUDr. Jiří Málek, CSc.

Anest. intenziv. Med. 2023;34(2):43 | DOI: 10.36290/aim.2023.033  

The use of brachial plexus blockade in the formation of arteriovenous fistulas. Comparison with local infiltration anesthesia and general anesthesia

Koyš R., Drobná Sániová B., Čiljaková Z., Šinák I., Drobná E.

Anest. intenziv. Med. 2023;34(2):46-50 | DOI: 10.36290/aim.2023.031  

Objective: To determine the advantages of supraclavicular blockade of the brachial plexus in the formation of arteriovenous fistulas for hemodialysis treatment. Comparison of peripheral nerve block, general and local infiltration anesthesia in the formation of fistulas. Design: Prospective non-randomized study. Approved by the ethics committee of JLF UK in Martin. Setting: University hospital. Material and methods: Three groups of patients who were created arteriovenous fistula. A group of 20 patients were operated under peripheral nerve block anesthesia, 20 patients were operated under local infiltration anesthesia and 5 patients were operated under...

Early diagnosis of sepsis using immature forms of platelets and granulocytes

Dominik P., Fedora M.

Anest. intenziv. Med. 2023;34(2):51-60 | DOI: 10.36290/aim.2023.023  

Sepsis is a heterogeneous dynamic syndrome characterized by severe organ dysfunction caused by a dysregulated host response to infection. The innate and adaptive immune response plays a key role in the response to infectious insult in the development of sepsis or septic shock, the most severe form of this nosological entity. Uncontrolled and late diagnosed infection can be fatal even in previously healthy individuals, chronic patients with comorbidities have an increased risk of developing sepsis. Critically ill patients of all ages with failure of basic life functions in intensive care units are the most at risk group. Rapid and effective diagnosis...

Imaging of COVID-19 in critical care with a focus on chest ultrasound

Mokotedi M. C., Malý M., Balík M.

Anest. intenziv. Med. 2023;34(2):61-68 | DOI: 10.36290/aim.2023.022  

Imaging methods available at the bedside have become an indispensable part of the diagnostic process of COVID-19 in the intensive care setting. Chest ultrasound has been established as an exquisite bedside imaging tool to assess and diagnose a myriad of lung pathologies, assess the pleural space and diaphragm, and ultimately gauge therapeutic interventions. Furthermore, vital information can be attained on the haemodynamic status of a patient when chest ultrasound is combined with echocardiography and Doppler vascular assessment. Bedside chest x­‑ray has its technical limitations, is not sensitive in early stages of the disease, and exposes patients...

Postoperative delirium up­‑to­‑date

Nekvindová K., Gabrhelík T., Machát L.

Anest. intenziv. Med. 2023;34(2):69-75 | DOI: 10.36290/aim.2023.029  

Postoperative delirium is one of the most common postoperative complications in patients over 65 years of age. The prevention of delirium should start already in the anesthesiology clinic, with the identification of patients at risk and efforts to optimize the condition before the procedure. During surgery, the depth of anesthesia should be monitored, opioid doses should be minimized, and combined methods of anesthesia should be used. After the surgery the automatic implementation of non-pharmacological preventive and treatment measures is crucial. Pharmacological approaches are used as a last option method in agitated and aggressive patients with...

Is Kellie-Monro doctrine still valid in all its aspects?

Řehák D., Černý V., Astapenko D.

Anest. intenziv. Med. 2023;34(2):76-78 | DOI: 10.36290/aim.2023.021  

Commentary on the article Medical cannabis and its significance for current medicine

Málek J.

Anest. intenziv. Med. 2023;34(2):79-80 | DOI: 10.36290/aim.2023.027  

Who administered the first anaesthesia?

Málek J.

Anest. intenziv. Med. 2023;34(2):81-89 | DOI: 10.36290/aim.2023.015  

The aim of this article is to investigate how pain management during surgery was approached by physicians before the advent of ether anaesthesia. From the available sources, it appears that although surgical procedures are at least 6,000 years old, efforts to find a method to suppress the pain associated with them only appeared in European and Islamic culture in the Middle Ages, and then only sporadically. Similarly, references to the use of anaesthesia by some doctors in ancient India and China are probably more myth than reality. The current anaesthetic mantra about mankind's ancient efforts to suppress pain during surgical treatment does not seem...

Programme Statement of the CSARIM Committee for the period 2023-2026

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

Anest. intenziv. Med. 2023;34(2):90  

Report from XVI. Congress of Czech Society of Intensive Care Medicine in Mikulov

Duška F., Balík M., Astapenko D.

Anest. intenziv. Med. 2023;34(2):91-92  

Significant life anniversary – prim. MUDr. Milan Juchelka (21 April 1928) has reached the age of 95

doc. MUDr. Jarmila Drábková, CSc.

Anest. intenziv. Med. 2023;34(2):93-94  

Doc. MUDr. Jan Špunda, CSc., died

prof. MUDr. Karel Cvachovec, CSc., MBA

Anest. intenziv. Med. 2023;34(2):95