Foetal anaesthesia and analgesia during intrauterine procedures: ReviewReview Article

Berka I., Šebková S., Feyereislová S., Ščamburová J., Hašlík L., Straňák Z.

Anest. intenziv. Med. 2017;28(5):275-281  

The first internationally collaborating Centre of Foetal Medicine (CFM) in the Czech Republic was founded in 2012. It specialises in diagnostic procedures and treatment options of severe complications during foetal intrauterine development. The programme of CFM focuses mainly on the problematic issues of multiple pregnancies (including the twin-to-twin transfusion syndrome of monochorionic twins, selective intrauterine growth restriction, anaemia-polycythaemia syndrome etc.) and the area of in-utero treatments for congenital disorders and malformations (e.g. congenital diaphragmatic hernia, neural tube defects).One of the inherent requirements...

Buprenorfin a abstinenční syndrom novorozencůHighlights from the literature

J. Drábková

Anest. intenziv. Med. 2017;28(5):281  

Neurotoxicity of anaesthetics on the developing brainDětská anesteziologie a intenzivní medicína

V. Mixa

Anest. intenziv. Med. 2017;28(5):282-286  

The neurotoxicity of commonly used anaesthetics for the developing brain of young children is frequently discussed and not fully established nowadays. NMDA and GABA-ergic receptors in the brain, which are affected by most anaesthetics, also control the development of the central nervous system. It can therefore have an impact on the brain neurogenesis with a resulting disorder of the cognitive and behavioural functions. Although the results of recent clinical studies are not available yet, it is recommended to use pharmaceuticals with a lower potential neurotoxicity (sevoflurane, opiates), to combine general and local anaesthesia and to avoid all the...

The endothelial glycocalyx and fluid therapy in critical care and perioperative medicineIntesive Care Medicine - Review Article

D. Astapenko, J. Pouska, V. Černý, J. Beneš

Anest. intenziv. Med. 2017;28(5):289-296  

The endothelial glycocalyx represents a key component of the endothelial barrier on its intraluminal side. It is vital for the maintenance of vascular integrity in physiological conditions and most probably also in pathophysiological conditions. Due to its sugar-based structure, it is highly vulnerable and in the context of critical conditions of patients, the development of endothelial dysfunction is always linked to a certain degree of damage of the glycocalyx. The current state of knowledge favours determining a presumption of a relationship between the function of the glycocalyx and volume replacement therapy. Attempts to minimize damage (and to...

Cognitive disorders in perioperative and intensive careIntesive Care Medicine - Review Article

J. Kletečka, K. Soumar, Beneš J.

Anest. intenziv. Med. 2017;28(5):297-304  

Surgery and critical illness represent significant interventions into the integrity of the organism, which can lead to the development of a cognitive disorder. The most common symptoms include confusion and disorders of perception, attention and memory. Several syndromes are distinguished according to the time of their manifestation. Their pathophysiology has not yet been sufficiently clarified. Emergence delirium is a disorder of rapid onset immediately after general anesthesia, occurring more commonly in children, and it is likely associated with the use of inhalational agents. It is transient, partially preventable, nevertheless connected with a...

Succesful use of methylene blue in a patient with refractory shock on veno-arterial extracorporeal membrane oxygenationIntesive Care Medicine - Case Report

M. Pořízka, J. Kunstýř, P. Kopecký, M. Balík

Anest. intenziv. Med. 2017;28(5):305-308  

Refractory circulatory shock is associated with excessive mortality in critically ill patients. Non-adrenergic vasopressors, including methylene blue, are often considered as an adjuvant therapy to the ordinary vasopressor treatment. In this case report we present a case of successful use of methylene blue reversing refractory septic shock in a patient on veno-arterial extracorporeal membrane oxygenation due to septic cardiomyopathy.

Koncepce použití mechanických podpor při léčbě pokročilého srdečního nebo plicního selhání v České republiceDokumenty ČSARIM ČLS JEP

P. Němec, J. Bělohlávek, M. Balík, K. Cvachovec, Š. Černý, V. Černý, P. Dostál, R. Lischke, I. Netuka, J. Malý, J. Mašín, F. Mlejnský, P. Ošťádal, R. Rokyta, M. Želízko

Anest. intenziv. Med. 2017;28(5):309-311  

Centra péče o nemocné po srdeční zástavěDokumenty ČSARIM ČLS JEP

P. Ošťádal, R. Rokyta, M. Balík, J. Bělohlávek, K. Cvachovec, V. Černý, P. Dostál, T. Janota, P. Kala, M. Matějovič, J. Pařenica, J. Šeblová, R. Škulec, V. Šrámek, A. Truhlář

Anest. intenziv. Med. 2017;28(5):312-315  

Echocardiography in acute aortic syndromesReview Article

J. Kunstýř, M. Pořízka

Anest. intenziv. Med. 2017;28(5):316-319  

Acute aortic syndromes are life-threatening situation necessitating prompt and correct diagnosis. Ultrasound is the fastest available imaging method for the anaesthetists and intensivists in the intensive care units and emergency rooms. In this brief article, the authors present specifically just the basics of echocardiography in these situations while intentionally omitting other important points concerning the issue: the prevalence, classification, epidemiology, risk factors, symptoms, other imaging methods and details of treatment of acute aortic syndromes.

Patofyziologie tukové embolie - zatím nevíme všePostgraduate education - Selected Topics in Clinical Physiology

D. Astapenko, Černý V.

Anest. intenziv. Med. 2017;28(5):320-321  

Praktická doporučení pro předoperační lačnění a použití farmak k prevenci aspirace před plánovanými operačními výkonyGuidelines

V. Černý

Anest. intenziv. Med. 2017;28(5):322-323  

Nízké dávky kortikosteroidů v kritických stavech - současný metaanalytický pohledHighlights from the literature

J. Drábková

Anest. intenziv. Med. 2017;28(5):323  

Anaesthesia in the Austro-Hungarian Empire during World War I and in the newly formed Czechoslovak RepublicHistory

O. Gimunová, J. Málek

Anest. intenziv. Med. 2017;28(5):324-327  

The authors present an annotated part of a surgical textbook from 1921 whose first - quite extensive - edition was published in 1917. The first part of the textbook concerns anaesthesiology and the text is divided into 5 parts: Introduction, Local Anaesthesia, Intravenous Regional Anaesthesia and Neuroaxial Blockade, General Anaesthesia I and General Anaesthesia II. Each part has been annotated in order to provide historical context of the anaesthetic methods and their origin. The textbook follows the German and Vienna schools of medicine.

Ohlédnutí za XI. kongresem České společnosti intenzivní medicíny 2017Congresses and Conferences

M. Balík

Anest. intenziv. Med. 2017;28(5):328  

Abstrakty z kongresu ČSIM 2017Abstracts

M. Balík

Anest. intenziv. Med. 2017;28(5):329-332  

Posttraumatická stresová poruchaHighlights from the literature

J. Drábková

Anest. intenziv. Med. 2017;28(5):334  

Virtuální realita v neurorehabilitaci pacientů v intenzivní péčiHighlights from the literature

J. Drábková

Anest. intenziv. Med. 2017;28(5):334-335  

ARDS - historie i současnostHighlights from the literature

J. Drábková

Anest. intenziv. Med. 2017;28(5):335