New section in the journal

Gabrhelík T., Málek J.

Anest. intenziv. Med. 2026;37(2):67-68 | DOI: 10.36290/aim.2026.019

Reforming intensive and perioperative care in the Czech Republic: after 50 years, a chance to change the system

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

Anest. intenziv. Med. 2026;37(2):69 | DOI: 10.36290/aim.2026.024

Failure of safety barriers in the prevention of medication errors in perioperative care

Fišera V., Vojtíšek P., Novotný T.

Anest. intenziv. Med. 2026;37(2):72-77 | DOI: 10.36290/aim.2026.016

Medication errors represent a significant cause of preventable patient harm in perioperative care, particularly in the pediatric population, where the risk of dosing errors is increased due to weight-based dose calculations, variability in drug concentrations, and a limited tolerance to dosing deviations. Although standardized safety procedures, including the surgical safety checklist of the World Health Organization, have been implemented, their effectiveness in preventing pharmacotherapy-related errors remains uncertain. Objective: To assess the functionality of perioperative safety barriers in the prevention of medication errors based on a systematic...

Prediction of difficult venous access in adults: an analysis of available scales and a proposal for implementation in clinical practice in the Czech Republic

Horáčková K., Doležal J., Marková K., Žiaran M., Chovanec V.

Anest. intenziv. Med. 2026;37(2):78-93 | DOI: 10.36290/aim.2026.017

Objective: Difficult peripheral intravenous access (DIVA) affects a substantial proportion of the adult population and presents challenges for both patients and healthcare staff. In the Czech Republic, no validated predictive tools for identifying DIVA are currently available. The aim of this study was to identify available prediction scales, compare their characteristics, and assess the feasibility of their implementation in clinical practice. Methods: This study is a combined methodological analysis conducted in two phases: (1) systematic identification and selection of DIVA prediction scales (Web of Science and Scopus databases) and (2) expert...

Fungal cell wall antigens - the pitfalls in their interpretation

Müller J., Valešová L., Raděj J., Kříž M., Horák J., Huňková E., Pavlík R., Matějovič M.

Anest. intenziv. Med. 2026;37(2):94-100 | DOI: 10.36290/aim.2026.012

Micromycetes have emerged as a significant cause of opportunistic infection in immunocompromised and critically ill patients. The increasing utilisation of immune-modifying drugs has been accompanied by a rise in the incidence, morbidity and mortality of these life-threatening diseases. Beta-D-glucan and galactomannan, components of the fungal cell wall referred to as fungal antigens, can be detected in serum and other body fluids. Despite their well-established role in the diagnostic algorithm of fungal invasion, there are several major limitations associated with their evaluation. The accurate indication and interpretation of these non-culture diagnostic...

Dynamic arterial elastance - current perspectives

Klimovič A., Smékalová O., Kletečka J., Beneš J., Zatloukal J.

Anest. intenziv. Med. 2026;37(2):101-105 | DOI: 10.36290/aim.2026.013

Arterial hypotension is a major risk factor for morbidity and mortality in perioperative and intensive care settings. However, an increase in cardiac output after a fluid challenge does not always result in a corresponding rise in arterial blood pressure, reflecting the complex interaction between cardiac output and the arterial system. Dynamic arterial elastance, defined as the ratio of pulse pressure variation to stroke volume variation, has been proposed as a functional parameter describing the ability of the arterial system to translate changes in cardiac output into changes in arterial pressure. Eadyn thus represents a parameter capable of predicting...

Arginine vasopressin in brain dead organ donors: pathophysiological rationale, international recommendations, and a practical approach

Píza P., Kieslichová E.

Anest. intenziv. Med. 2026;37(2):106-110 | DOI: 10.36290/aim.2026.018

Brain death is associated with profound hemodynamic and endocrine disturbances that may significantly compromise the perfusion of transplantable organs. Following an initial surge of sympathetic activity, a rapid loss of sympathetic tone ensues, leading to systemic vasodilation, relative hypovolemia, and hemodynamic instability. In parallel, central diabetes insipidus frequently develops due to arginine vasopressin deficiency, manifesting as polyuria, hypernatremia, and osmotic derangements. Arginine vasopressin (AVP) is a pathophysiologically sound therapeutic option in this context, as it exerts vasoconstrictive effects via V1a receptor activation...

Propofol - nové poznatky k fyziologii účinku a metabolické souvislosti

Skříšovská T., Astapenko D., Černý V.

Anest. intenziv. Med. 2026;37(2):111-114 | DOI: 10.36290/aim.2026.020

Stanovisko výboru ČSARIM k otázce minimální doby poanestetické péče

Balík M., Beneš J., Bláha J., Černá Pařízková R., Černý V., Duška F., Dostál P., Gabrhelík T., Mach D., Michálek P., Stern M., Ševčík P., Štourač P., Truhlář A., Vymazal T.

Anest. intenziv. Med. 2026;37(2):115 | DOI: 10.36290/aim.2026.014

Abstrakty Lives Physiology

František Duška, Martin Balík

Anest. intenziv. Med. 2026;37(2):116-125

Zajímavosti z literatury

Horáček M, Klučka J., Skříšovská T.

Anest. intenziv. Med. 2026;37(2):126-133