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

Ševčík P., Štětka P.

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

ČSARIM in the year 2026Editorial

Černý V.

Anest. intenziv. Med. 2026;37(1):4-5 | DOI: 10.36290/aim.2026.008

Czech society of intensive care medicine (CSIM) in 2026Editorial

Balík M.

Anest. intenziv. Med. 2026;37(1):3 | DOI: 10.36290/aim.2026.009

Highlights from the literatureHighlights from the literature

Horáček M., Klučka J., Skříšovská T.

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

Monitoring of ionized magnesium and its importance for the critically illNew guidelines

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...

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

Musil V., Málek J.

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

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

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.

Hyperkalemia: electrophysiological implications and their relevance to clinical practiceClinical physiology

Tlapáková K., Astapenko D., Černý V.

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

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

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...

Left atrium and atrial fibrillation in critically ill patients: from echocardiography to therapyReview Article

Tencer T., Waldauf P., Balik M.

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

New­‑onset atrial fibrillation is common in critically ill patients with septic shock and worsens haemodynamics through loss of atrial contraction, shortening of diastolic filling time, decrease in cardiac output, and elevation of filling pressures. In this context, atrial fibrillation is associated with prolonged hospitalisation, a higher risk of ischaemic stroke, and increased mortality. The pathogenesis is multifactorial, combining patient­‑specific predispositions and triggers associated with critical illness. These include excessive catecholamine release, electrolyte imbalances, autonomic nervous system dysregulation, systemic inflammation,...

Inhalation injuryReview Article

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...

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

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...

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

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...

Beta-blokátory v intenzivní a urgentní medicíně: update 2025 

prof. MUDr. Vladimír Černý, Ph.D., FCCM, FESAIC, doc. MUDr. Roman Škulec, Ph.D.

Anest. intenziv. Med. 2025;36(Suppl.A)  

Year 2024 in review – the journal Anesteziologie a intenzivní medicínaEditorial

David Astapenko, Jan Beneš, Vladimír Černý, Martina Kosinová, Jiří Málek

Anest. intenziv. Med. 2025;36(5):325 | DOI: 10.36290/aim.2025.069

Year 2025 in review - Acute pain managementReview Article

Málek J.

Anest. intenziv. Med. 2025;36(5):388-393 | DOI: 10.36290/aim.2025.067

This article presents a selected review of articles and topics published in the field of acute pain management over the past approximately 14 months. It focuses on new developments in systemic analgesia, pain management procedures, and selected international guidelines.

Year 2025 in review - Regional aneasthesiaReview Article

Nalos D., Beňo L., Matrasová Z.

Anest. intenziv. Med. 2025;36(5):384-387 | DOI: 10.36290/aim.2025.064

The review article offers the most interesting information from the available literature on regional anesthesia useful for daily practice. In addition to new information and clarification of procedures and indications in ultrasound-guided peripheral blocks, it brings news from a recent recommendation on the approach to patients on anticoagulant therapy.

Year 2025 in review - Acute respiratory failure and lung supportReview Article

Máca J., Burša F., Sklienka P.

Anest. intenziv. Med. 2025;36(5):377-383 | DOI: 10.36290/aim.2025.066

Several original papers on the topic of acute respiratory failure (ARF) were published in 2025, including studies that support respiratory functions through mechanical ventilation (MV) or the veno-venous form of extracorporeal membrane oxygenation (VV ECMO). The aim of this text is to introduce readers to selected works that, according to the authors, may be of interest not only to researchers in the field but also to physicians in clinical practice. The review article is divided into several sections; the first includes randomized papers and post-hoc analysis of papers already published. The second part is devoted to large prospective observational...

A year 2025 in review - Anaesthesiology in obstetricsReview Article

Štourač P., Bláha J., Harazim H., Mannová J., Nosková P., Kosinová M., Pešková K., Seidlová D.

Anest. intenziv. Med. 2025;36(5):371-376 | DOI: 10.36290/aim.2025.062

The article highlights and discusses several current topics that have been published in the field of anaesthesiology in obstetrics in the Czech Republic and abroad last year. It summarizes new challenges in the field of obstetric anesthesia, including the use of AI and simulations in this area. It also presents new developments in systemic and neuroaxial obstetric analgesia, caesarean section anaesthesia, and emergencies in the peripartum period.

Year 2025 in review - Paediatric anaesthesia and intensive careReview Article

Klabusayová E., Harazim H., Štourač P.

Anest. intenziv. Med. 2025;36(5):368-370 | DOI: 10.36290/aim.2025.061

The article offers an overview of the most impactful publications of the past year. It highlights key findings and emerging trends with direct relevance to the anaesthesiology practice and care of critically ill children, helping readers quickly navigate the latest developments in the field. The selected studies are of high scientific quality, and their results can be directly applied in clinical practice. This article thus serves as a practical guide for physicians and healthcare professionals working in pediatric anaesthesiology and intensive care.

Year 2025 in review - General anaesthesiaReview Article

Bláha J., Nguyenová Q. G., Kapráľová K., Bartošová T.

Anest. intenziv. Med. 2025;36(5):360-367 | DOI: 10.36290/aim.2025.063

This article provides an incomplete overview of randomised studies, systematic reviews, and meta-analyses published in the last 12 months in the area of general anaesthesia. The most frequently mentioned topics, and therefore those selected by the authors, are opioid-free and opioid-sparing anaesthesia, new approaches to airway management, remimazolam as a stable and reversible hypnotic, multimodal PONV prophylaxis, personalised monitoring of anaesthesia depth, and artificial intelligence models in anaesthesiology. Overall, the text focuses on the shift towards safer, individualised, and data-driven anaesthesia.

Year 2025 in review - Chronic pain therapyReview Article

Fricová J.

Anest. intenziv. Med. 2025;36(5):357-359 | DOI: 10.36290/aim.2025.068

Year 2025 introduces major advancements in neurobiological concepts of chronic pain, particularly through the identification of dopaminergic modulation as a novel therapeutic framework. This article summarises key developments in international initiatives, pharmacotherapy, non‑pharmacological interventions, clinical guidelines and neurobiological mechanisms of pain. It follows the structure and style of the 2024 overview and highlights how new insights are shaping current and future pain management.

Year 2025 in review - Emergency medicine in the emergency departmentsReview Article

Škulec R.

Anest. intenziv. Med. 2025;36(5):351-356 | DOI: 10.36290/aim.2025.060

In this article, the author presents a set of annotated papers published in 2025 in the world literature that are significantly related to emergency medicine. Publications from the pre-hospital setting are not included in the selection.

Year 2025 in review - Pre­‑hospital emergency medicineReview Article

Škulec R.

Anest. intenziv. Med. 2025;36(5):346-350 | DOI: 10.36290/aim.2025.059

In this article, the author presents a set of annotated papers published in 2025 in the world literature that are significantly related to pre-hospital emergency medicine. Publications from the emergency departments are not included in the selection.

Year 2025 in review - SepsisReview Article

Karvunidis T., Královcová M.

Anest. intenziv. Med. 2025;36(5):342-345 | DOI: 10.36290/aim.2025.065

This year's overview offers an objective and critical discussion as well as the authors' subjective perspective and commentary on selected publications in the field of sepsis, particularly regarding their relevance to everyday bedside clinical practice. The studies discussed include the REMAP-CAP Corticosteroid Domain RCT, SCREEN, ADAPT-Sepsis, and HELLO trials.

Year 2025 in review - Cardiac anaesthesia and postoperative careReview Article

Michálek P., Říha H., Šoltés J., Kunstýř J.

Anest. intenziv. Med. 2025;36(5):336-341 | DOI: 10.36290/aim.2025.057

This article summarizes newly published findings in the field of anesthesia and perioperative care for procedures on the heart and thoracic aorta. Special attention is paid to new global and European guidelines for procedures using cardiopulmonary bypass in adults and for open heart valve surgeries. Furthermore, advances in the use of regional anesthesia techniques of the chest wall for perioperative and postoperative pain management are discussed, including the use of ultrasound navigation and a description of the effectiveness of continuous techniques. As is customary, new findings in the issues of heart transplantation and postoperative care in...

Year 2025 in review - Cardiovascular issues in intensive care and perioperative medicineReview Article

Pořízka M., Šoltés J., Pudil J., Horejsek J.

Anest. intenziv. Med. 2025;36(5):328-335 | DOI: 10.36290/aim.2025.058

Year 2025 brought significant advances in the field of cardiovascular issues in intensive and perioperative medicine. Research has focused primarily on the individualization of circulatory support, optimization of perfusion targets, and more accurate risk assessment. In the treatment of circulatory shock, there is a prevailing trend toward physiologically oriented, personalized strategies emphasizing hemodynamic phenotypes and a balance between fluid therapy, vasopressors, and mechanical circulatory support. Evidence continues to grow for the selective use of advanced methods, including mechanical cardiac support and extracorporeal cardiopulmonary...

Highlights from literatureHighlights from the literature

Horáček M., Klučka J., Skříšovská T.

Anest. intenziv. Med. 2025;36(4):314-321

Abstrakty posterů z kongresu ČSARIM 2025Congress abstracts

Redakce

Anest. intenziv. Med. 2025;36(4):302-313

Ocenění ČSARIM 2025Reports from professional societies

Redakce

Anest. intenziv. Med. 2025;36(4):298-301