Porodnická analgezie, aneb historie kontroverzí...Editorial

Pařízek Antonín

Anest. intenziv. Med. 2014;25(1):5-7  

Comparison of opioid and non-opioid analgesia after caesarean section under general anaesthesia: a prospective observational studyAnaesthesiology - Original Paper

Štourač Petr, Seidlová Dagmar, Bártíková Ivana, Kuchařová Eliška, Janků Petr, Křikava Ivo, Huser Martin, Wágnerová Kristýna, Haklová Olga, Hakl Lubomír, Štoudek Roman, Kosinová Martina, Schwarz Daniel, Zelinková Hana, Ševčík Pavel, Gál Roman

Anest. intenziv. Med. 2014;25(1):8-16  

Objective:The aim of the prospective observational study was to compare the efficacy of opioid vs. non-opioid analgesia in postcaesarean pain management. Design:Prospective observational study. Setting:University Hospital. Materials and methods:In the Non-opioid group (NO) we used a combination of regular paracetamol 1000 mg IV or PO and diclofenac 100 mg PR or IM. In the Opioid group (OP) we used piritramide 3 mg per hour IV continuously. Additional metamizole 2.5g IV was administered as rescue analgesic in both groups. We recorded the Visual Analogue Scale (VAS), Additional Analgesic Requests...

Clash of concurrent urgent and acute caesareansections - case reportAnaesthesiology - Case Reports

Šrámková Lucie, Čurdová Marcela, Herold Ivan, Šmehil Mario, Pán Martin

Anest. intenziv. Med. 2014;25(1):18-20  

We describe an uncommon clash of an urgent and acute Caesarean section in a regional general hospital during night hours and the management of the situation. The first parturient was admitted to the Gynecology/Obstetrics Department and indicated for an acute Caesarean section in subarachnoid anaesthesia. During onset of anaesthesia and preparation of the surgical field in theatre, another parturient required immediate Caesarean Section. As only one obstetrician team was available it was impossible to perform both the procedures in parallel. Because subarachnoidal blockade was chosen in the first parturient, it was feasible to postpone the surgical...

Myasthenia gravis and anaesthesia - a new and safer approachAnaesthesiology - Review articles

Vymazal Tomáš, Horáček Michal, Bicek Vladimír, Filaun Martin

Anest. intenziv. Med. 2014;25(1):21-24  

Myasthenia gravis impairs neuromuscular transmission. Its therapy is pharmacological, immunological and surgical by thymectomy. Surgery, anaesthesia and other factors can induce exacerbation of myasthenia. The safest technique of anaesthesia has not been determined. Anaesthesia without muscle relaxation recommended, either deep inhalational anaesthesia, or propofol with opioids, or regional anaesthesia. If neuromuscular blocking agents are needed to create a motionless surgical field, the main problem is neuromuscular transmission impairment. Myasthenic patients react on these agents unpredictably. The most feared complication is a prolonged effect...

Focused on pre-renal acute kidney injury - has the time come to rewrite the textbooks?Intesive Care Medicine - Special Article

Matějovič Martin

Anest. intenziv. Med. 2014;25(1):25-28  

Acute kidney injury (AKI) represents a wide spectrum of changes ranging from purely "functional" to completely structural kidney damage. In medical textbooks, both the fractional excretion of sodium and serum blood urea nitrogen to creatinine ration have been long considered as valuable tools to differentiate between prerrenal AKI (PRA) and established acute tubular necrosis (ATN). Recent data suggest that these traditional biomarkers used to distinguish PRA from ATN are insufficiently reliable to be clinical relevant. This article is a brief commentary on the most recent studies evaluating the diagnostic value and prognostic ability of these widely...

Current Practice in Obstetric Anaesthesia. Part III. Regional anaesthesia for caesarean sectionPostgraduate Education - Expert group of obstetric anaesthesia and analgesia

Bláha Jan, Nosková Pavlína, Klozová Radka, Seidlová Dagmar, Štourač Petr, Pařízek Antonín

Anest. intenziv. Med. 2014;25(1):29-39  

Nearly a quarter of all births in the Czech Republic end by caesarean section in the recent years. With the increasing age of mothers, number of comorbidities, deliveries after previous caesarean section and many other causes, it can be assumed that this trend will continue to rise despite all the efforts to change it. This negative trend is also influenced by the decreasing willingness of obstetricians to "risk" spontaneous labour in borderline obstetric situations. The growing number of caesarean sections increases the importance and influence of anaesthesia. As well as elsewhere in the world, we register the rise of regional anaesthesia in comparison...

Ultrazvukové vyšetření hrudníku v intenzivní medicíněPostgraduate education - ECHO didactics

Balík Martin

Anest. intenziv. Med. 2014;25(1):40-44  

Komplikace perkutánní biopsie plic pod CT kontrolouPostgraduate Education - Didactic Radiology

Sedláček Zdeněk

Anest. intenziv. Med. 2014;25(1):45-46  

Hypovolemický šokPostgraduate Education - Topics for Board Examination

Černá Pařízková Renata, Černý Vladimír

Anest. intenziv. Med. 2014;25(1):47-57  

Je vhodnější v rámci reverze nervosvalové blokády podat vagolytikum před neostigminem, nebo lze podávat obě látky současně?Postgraduate education - Selected Topics in Clinical Physiology

Černý Vladimír

Anest. intenziv. Med. 2014;25(1):58  

Practice guidelines for management of the Difficult Airway. An updated Report by the American Society of Anesthesiologists Task Forceon Management of the Difficult AirwayGuidelines

Černý Vladimír

Anest. intenziv. Med. 2014;25(1):59-60  

XV. kardioanesteziologické vědecké dny s mezinárodní účastíCongresses and Conferences

Anest. intenziv. Med. 2014;25(1):61-67  

Karl Koller - the discoverer of the local anaestheticproperties of cocain, was born in Susice! A short history of local anaestheticsHistory

Horáček Michal, Gimunová Olga, Gimunová Tereza, Vymazal Tomáš

Anest. intenziv. Med. 2014;25(1):68-71  

A memorial plaque has been ceremonially set up on the native house of Doctor Karl Koller in Sušice in South-Western Bohemia on the 2^nd of December 2012 to mark Dr Koller's 155^th birth anniversary on the 3^rd of December 1857. After completing his studies, Dr Koller worked as an ophthalmologist in Vienna where he discovered the local anaesthetic action of cocaine. However, shortly afterwards he was forced to leave Vienna and settle in the USA to continue his career in ophthalmic medicine. Cocaine was applied not only topically but was also used in other techniques of regional anaesthesia. It is a toxic and addictive substance....

Zprávy ČSARIMNews from CSIM

Anest. intenziv. Med. 2014;25(1):72  

Doporučení a stanoviska ČSIMNews from CSARIM

Martin Balík

Anest. intenziv. Med. 2014;25(1):72-74