Akreditační kritéria našich pracovišť - máme měnit?

Černý V.

Anest. intenziv. Med. 2023;34(4):143-144 | DOI: 10.36290/aim.2023.066  

Incidence of amniotic fluid embolism in the Czech Republic - a questionnaire study

Pešková K., Štourač P., Seidlová D.

Anest. intenziv. Med. 2023;34(4):147-151 | DOI: 10.36290/aim.2023.052  

Aims of the study: to determine the incidence of amniotic fluid embolism in the Czech Republic and the availability of immediate transthoracic echocardiography (TTE) examination in the departments performing obstetric anesthesia and intensive care. Study type: multicentre questionnaire study. Methods: All 87 anesthetics departments performing obstetric anesthesia in the Czech Republic were invited to complete an online questionnaire on the period 2018-2020. The data collection took place from September to December 2021. Results: 42 departments (collectively responsible for 52% of all births in the Czech Republic) responded to the invitation. In total,...

Five most important drug interactions in the critically ill

Rychlíčková J., Suk P.

Anest. intenziv. Med. 2023;34(4):152-156 | DOI: 10.36290/aim.2023.053  

The prevalence of drug interactions in the critically ill is high, but these are often potential drug interactions of limited clinical relevance. This paper aims to describe the mechanism and management of not the most frequent but, according to the authors, the most clinically significant interactions. These top five interactions include carbapenems and valproate, CYP 3A4 inhibitors and ticagrelor, enteral nutrition and levodopa, combinations of QT prolonging drugs, and CYP 3A4 inhibitors and quetiapine.

Trauma-induced coagulopathy - pathophysiology, diagnostics and treatment

Škola J., Černý V.

Anest. intenziv. Med. 2023;34(4):157-164 | DOI: 10.36290/aim.2023.050  

This narrative review article summarizes the contemporary view on the basic principles of pathophysiology, diagnosis and treatment of trauma-induced coagulopathy in patients with severe trauma.

Mechanical power of mechanical ventilation: unnecessary or necessary parameter?

Burša F., Frelich M., Sklienka P., Jor O., Máca J.

Anest. intenziv. Med. 2023;34(4):165-171 | DOI: 10.36290/aim.2023.065  

Mechanical ventilation (MV) is one of the established methods of organ support in intensive care units. In patients with lung disease, especially in its more severe forms, MV can act with such forces that it can lead to further damage to the diseased lungs. Mechanical energy (ME) is a parameter representing the total energy that the MV exerts on the lungs (or lungs, airways, and chest). Higher ME values are associated with a higher risk of ventilator-induced lung injury (VILI). ME can be calculated from ventilation parameters using equations, some of which allow calculation directly at the patient's bedside on a regular calculator. By adjusting individual...

Neobvyklá prezentace gaspingu u komorové fibrilace - kazuistika

Knor J., Pekara J., Málek J.

Anest. intenziv. Med. 2023;34(4):172-175 | DOI: 10.36290/aim.2023.054  

Předpokládá se, že gasping je snadno rozpoznatelným příznakem srdeční zástavy. Náš článek představuje případ 56letého muže s mimonemocniční srdeční zástavou s atypickým lapáním po dechu. Kardiopulmonální resuscitaci zahájil laický za­chránce pomocí telefonicky asistované neodkladné resuscitace. Při příjezdu záchranného týmu měl pacient gasping s vysokou dechovou frekvencí 24/min. Iniciální analýza rytmu zjistila fibrilaci komor. První defibrilační výboj (200 J) vedl k návratu spontánního oběhu. Pacient pokračoval s abnormálním dechovým vzorcem na kyslíkové masce s přívodem kyslíku 8 l/min. Po dalších 2 minutách došlo opět ke komorové fibrilaci. Byl...

Tension pneumocephalus caused by E. coli

Nekvindová K., Gabrhelík T., Graus T.

Anest. intenziv. Med. 2023;34(4):176-179 | DOI: 10.36290/aim.2023.062  

Spontaneous tension pneumocephalus is a rare clinical symptom but can be life-threatening emergency. Pneumocephalus can develop acutely or chronically. Clinical symptoms are usually non-specific, diagnose can be made with imaging methods. Patient must have neurosurgical referral and require decompression. Major complications are epileptic seizures, loss of consciousness with necessity of tracheal intubation with mechanical ventilation, focal neurological symptoms, brainstem herniation or cardiac arrest.

Komentovaný souhrn doporučení Evropské společnosti intenzivní medicíny (ESICM) 2023 pro management ARDS

Máca J., Dostál P.

Anest. intenziv. Med. 2023;34(4):184-195 | DOI: 10.36290/aim.2023.046  

Klinická fyziologie oběhového systému - makrocirkulace

Astapenko D., Řehák D., Černý V.

Anest. intenziv. Med. 2023;34(4):180-183 | DOI: 10.36290/aim.2023.072  

Metodické pokyny pro farmakoterapii chronické bolesti

doc. MUDr. Jiří Málek, CSc.

Anest. intenziv. Med. 2023;34(4):196