ČSARIM v roce 2024 - naplňování priorit výboru

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

Anest. intenziv. Med. 2024;35(1):3 | DOI: 10.36290/aim.2024.012  

Česká intenzivní medicína v roce 2024

doc. MUDr. Martin Balík, Ph.D., EDIC

Anest. intenziv. Med. 2024;35(1):4-5 | DOI: 10.36290/aim.2024.007  

ICU design analysis: Are we really moving forward?

Harazim M.

Anest. intenziv. Med. 2024;35(1):8-11 | DOI: 10.36290/aim.2024.003  

This paper analyses the spatial layout of adult intensive care units (ICUs) that were built in the Czech Republic in 2023 under the REACT 98 call. A comparative evaluation was performed to compare the design features of these units with the latest recommendations of the European Society of Intensive Care Medicine from 2011. The investigation focuses on key parameters such as spatial layout, bed capacity, area dedicated around the patient's bed, access to natural light, availability of toilet facilities for the patient, family areas. The study concludes that most of the evaluated projects do not fulfil the proposed recommendations in the parameters...

Determination of the correlation between ultrasonographically obtained indices of cervical vessels and central venous pressure in critically ill pediatric patients

Bělohlávek T., Grendár M., Cibulka M., Heinige P., Berčáková I., Nosáľ S.

Anest. intenziv. Med. 2024;35(1):12-18 | DOI: 10.36290/aim.2024.010  

Objective: The study aimed to determine the correlation between noninvasively ultrasonographically obtained cervical vessel indices and invasively measured central venous pressure in critically ill pediatric patients. Design: Prospective observational study. Setting: Department of pediatric intensive care, university hospital. Material and methods: 77 patients aged 0 to under 19 years with inserted central venous catheter and central venous pressure monitoring requiring admission to the department of intensive care medicine were included in the study. Both spontaneously ventilating patients and patients on artificial pulmonary ventilation, hemodynamically...

Advanced bloodless clinical procedures proven in practice

Slipac J.

Anest. intenziv. Med. 2024;35(1):19-30 | DOI: 10.36290/aim.2023.079  

A better understanding of risks associated with allogeneic blood transfusions along with a growing population of patients seeking surgical care without the use of blood transfusion has led to the development of complex clinical strategies, intending to minimize blood loss, conserve autologous blood, enhance hematopoiesis, and augment tolerance of anemia. Advances in surgical technique, current technology, knowledge, and perioperative management significantly contributed to the fact that successful treatment without transfusion is a realistic option but it does require a concerted patient-centered effort from the multidisciplinary team. In this review,...

Heat and moisture exchangers in intensive care: benefits and risks of their use in mechanically ventilated critically ill patients

Línková Š., Rambousková K., Jiroutková K., Duška F.

Anest. intenziv. Med. 2024;35(1):31-37 | DOI: 10.36290/aim.2024.001  

The upper airway naturally warms and humidifies inspired air. For patients with artificial airways, this function is assumed by respiratory care devices, utilizing passive (HME, Heat and Moisture Exchangers) or active humidification. Despite no observed differences in clinical outcomes between these methods in randomised trials with critically ill patients, each has its particular benefits. HME, being technically simpler, is favoured in patients without respiratory pathologies, who are expected to be on only short-term mechanical ventilation (< 4 days). For other ventilated patients, active humidification might be more appropriate, especially when...

ICU rounds - review

Harazim M.

Anest. intenziv. Med. 2024;35(1):38-41 | DOI: 10.36290/aim.2024.002  

In the constantly evolving field of acute care medicine, optimizing ICU rounds is crucial for delivering quality patient care. This review article presents the latest information on ICU rounding practices and provides a thorough overview of proven strategies and approaches that enhance patient outcomes. The text examines the appropriate composition of the rounding team, strategies for conducting ICU rounds, and the integration of clinical tools and technology to enhance the efficiency of the process.

Oral hygiene as a key component of ventilator­‑associated pneumonia prevention bundle: a summary and critical appraisal of guidelines and recommended practices in 2023

Rambousková K., Línková Š., Jiroutková K., Duška F.

Anest. intenziv. Med. 2024;35(1):42-46 | DOI: 10.36290/aim.2024.005  

Oral care is a daily routine in modern times and an integral part of oral health care. While in a hospital - standard ward - setting, it depends on the self-reliance of the patient, in the intensive care setting, the patient is completely dependent on the nursing staff. Oral care, including oral decontamination, has an invaluable role in the prevention of ventilator-associated pneumonia. However, nursing guidelines in this area are not uniform and still involve the use of chlorhexidine-based antiseptic solutions, which are not currently recommended by scientific societies. The answer to the question is still unknown whether the routine use of chlorhexidine...

Narušená difuze kyslíku do mozku - možný budoucí terapeutický cíl u pacientů po srdeční zástavě?

Richter J., Sklienka P., Romanová T.

Anest. intenziv. Med. 2024;35(1):50-53 | DOI: 10.36290/aim.2024.008  

Na ZOO nebo na ARO? aneb aprílové jazykovědné okénko českých obrozenců

Kovář M., Smékalová O., Sochorová V., Máca J., Beneš J.

Anest. intenziv. Med. 2024;35(1):54-55 | DOI: 10.36290/aim.2024.011  

Předoperační lačnění u dětí - Doporučený postup Evropské společnosti pro anesteziologii a intenzivní péči

Frykholm P., Disma N., Andersson H., Beck C., Bouvet L., Cercueil E., Elliott E., Hofmann J., Isserman R., Klaucane A., Kuhn F., de Queiroz Siqueira M., Rosen D., Rudolph D., Schmidt A. R., Schmitz A., Stocki D., Sümpelmann R., Stricker P. A., Thomas M., Veyckemans F., Afshari A., Autoři překladu:, Harazim H., Ťoukálková M., Valouchová V., Štourač P.

Anest. intenziv. Med. 2024;35(1):58-80 | DOI: 10.36290/aim.2024.009  

Klinická fyziologie oběhového systému - mikrocirkulace

Astapenko D., Černý V., Řehák D.

Anest. intenziv. Med. 2024;35(1):47-49 | DOI: 10.36290/aim.2024.006  

První roky Fondu mobility SMAI ČSARIM

Bönischová T., Klincová M., Štourač P., Beneš J.

Anest. intenziv. Med. 2024;35(1):56-57  

Blahopřání paní doc. MUDr. Jarmile Drábkové, CSc., k životnímu jubileu

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

Anest. intenziv. Med. 2024;35(1):6