Czech society of intensive care medicine (CSIM) in 2026

Balík M.

Anest. intenziv. Med. 2026;37(1):3

ČSARIM in the year 2026

Černý V.

Anest. intenziv. Med. 2026;37(1):4-5

Comparison of unfractionated heparin and low­‑molecular­‑weight heparin for thromboprophylaxis in critically ill patients with covid-19 pneumonia: A retrospective cohort study

Romanová T., Gumulec J., Buffa D., Lečbychová K., Káňová M., Burša F., Sklienka P., Pulcer M., Burda M., Máca J.

Anest. intenziv. Med. 2026;37(1):8-15 | DOI: 10.36290/aim.2026.001

Objective: Covid-19 is associated with a significantly increased risk of macrovascular and microvascular thrombotic complications, especially in critically ill patients with a severe form of the disease. Antithrombotic prophylaxis is an important part of treatment and was being applied using different drugs and dosing schemes during the pandemic. Data comparing various possibilities of antithrombotic therapy in these patients is lacking. The primary endpoint of this study was a retrospective assessment of ICU-free days, hospital-free days, and bleeding or thrombotic complications in critically ill patients with covid-19 pneumonia, who initially received...

Adherence to traction splint use in the initial management of patients with femoral fractures in the prehospital care

Berková J., Čermáková M., Krenčíková J., Kaššová J., Truhlář A., Kočí J.

Anest. intenziv. Med. 2026;37(1):16-21 | DOI: 10.36290/aim.2025.050

Objective: This paper evaluates adherence to traction splint use for suspected femoral midshaft fractures in prehospital care, focusing on patients transported to Level I Trauma Center. Design: Retrospective observational study. Setting: Emergency department, emergency medical service. Material and Methods: A retrospective analysis utilized datasets from the Level I Trauma Center and the Emergency Medical Service in the period of January to December 2023. Initially, 391 patients were searched in both databases. The study included 46 patients with prehospital traction splint application due to suspected femoral fracture and 8 patients with a femoral...

Inhalation injury

Diabelko D., Horniaková B., Lipový B., Štourač P.

Anest. intenziv. Med. 2026;37(1):22-27 | DOI: 10.36290/aim.2025.055

Inhalation injury is a common and potentially life-threatening complication in burn patients, significantly increasing the mortality of these patients. It is a result of smoke inhalation, toxic combustion products, hot gases or chemicals. It can affect multiple anatomical levels of the respiratory tract, while toxic substances may also cause systemic effects. Diagnosis is challen­ging due to nonspecific symptoms and a lack of diagnostic criteria, with bronchoscopy remaining the gold standard. This article reviews current knowledge on the epidemiology, pathophysiology, diagnostic strategies, and treatment options for inhalation injury in both adult...

Levá síň a fibrilace síní u kriticky nemocných: od echokardiografie k terapii

Tencer T., Waldauf P., Balik M.

Anest. intenziv. Med. 2026;37(1):28-35 | DOI: 10.36290/aim.2026.011

Nově vzniklá fibrilace síní je u pacientů se septickým šokem častá a zhoršuje hemodynamiku ztrátou síňové kontrakce, zkrácením diastolického plnění, poklesem srdečního výdeje a zvýšením plnících tlaků. V tomto kontextu je fibrilace síní spojena s delší dobou hospitalizace, vyšším rizikem ischemické cévní mozkové příhody a zvýšenou mortalitou. Patogeneze je multifaktoriální a kombinuje predispozice pacienta se spouštěči související s kritickým onemocněním, včetně nadměrného uvolnění katecholaminů, elektrolytové poruchy, dysregulace autonomního nervového systému, systémového zánětu, změn preloadu a afterloadu. Tyto faktory společně zvyšují arytmogenní...

Lumbar spinal stenosis - a strong reminder to monitor neurological status after surgery

Horáček M.

Anest. intenziv. Med. 2026;37(1):36-39 | DOI: 10.36290/aim.2026.007

Lumbar spinal stenosis (LSS, M48.06) is a common degenerative disease of the spine, the incidence of which increases significantly with age. It can be a serious risk factor when performing central nerve blocks. Central blocks, especially spinal anaesthesia, are considered the method of choice for many orthopaedic procedures, including total knee replacement. However, their use in patients with lumbar spinal stenosis requires increased caution. It is documented by a case study described in the judgment of the Supreme Court of the Czech Republic. The patient developed a severe and permanent neurological deficit due to decompensated multi-level lumbar...

A new consensus framework for understanding immune dysregulation in sepsis and critical illness

Karvunidis T.

Anest. intenziv. Med. 2026;37(1):45-46 | DOI: 10.36290/aim.2026.002

A Nature Medicine publication redefines the biology of critically ill patients and opens the way to precisely targeted immunotherapy for sepsis and selected critical illnesses.

How to write an article for a professional journal correctly, both in terms of content as well as grammar

Musil V., Málek J.

Anest. intenziv. Med. 2026;37(1):47-49 | DOI: 10.36290/aim.2026.006

Monitoring of ionized magnesium and its importance for the critically ill

Balík M., Duška F., Černý V., Šrámek V., Matějovič M., Springer D., Lahoda Brodská H.

Anest. intenziv. Med. 2026;37(1):50-53 | DOI: 10.36290/aim.2026.004

Ionised magnesium (Mg2+) represents biologically active form of total plasmatic magnesium and an essential electrolyte with an impact on cellular functions, metabolism, creation of energy substrates (ATP), myocardial electrical stability and the neuromuscular transmission. Critically ill patients face significant changes in acid-base regulation, distribution of body fluids and hormonal regulations, which render traditional estimates of total magnesium levels insufficiently informative and potentially misleading. This collaborative intersocietal position statement summarizes current state-of-the-art scientific and clinical experiences, resulting in...

Hyperkalemia: electrophysiological implications and their relevance to clinical practice

Tlapáková K., Astapenko D., Černý V.

Anest. intenziv. Med. 2026;37(1):40-44 | DOI: 10.36290/aim.2026.010

Alena Stetkova, MD, CSc, June 9, 1938 – January 16, 2026

Ševčík P., Štětka P.

Anest. intenziv. Med. 2026;37(1):54

Highlights from the literature

Horáček M., Klučka J., Skříšovská T.

Anest. intenziv. Med. 2026;37(1):55-63