Anesteziologie a intenzivní medicína - Latest articles

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Doporučené postupy pro resuscitaci ERC 2025: Souhrn doporučeníSupplementum

Peřan D, Beneš J, Běhounková P, Černá Pařízková R, Černý V, Dubrava L, et al.

Anest. intenziv. Med. 2026;37(Suppl.A):1-84 | DOI: 10.36290/aim.2026.028  

Krátká vzpomínka na docenta EhleraObituary

Závada J.

Anest. intenziv. Med. 2026;37(3):200

Abstrakta posterů z kongresu ČSARIM 2026Congress abstracts

Redakce

Anest. intenziv. Med. 2026;37(3):191-199

Ocenění ČSARIM 2026Reports from professional societies

Redakce

Anest. intenziv. Med. 2026;37(3):186-190

Quo vadis anesteziologie?Correspondence

Škarvan K.

Anest. intenziv. Med. 2026;37(3):180-182 | DOI: 10.36290/aim.2026.033

Elections to the CSARIM executive committee – looking back and aheadEditorial

Černý V.

Anest. intenziv. Med. 2026;37(3):139-140 | DOI: 10.36290/aim.2026.040

World Anaesthesia DayEditorial

Málek J.

Anest. intenziv. Med. 2026;37(3):137-138 | DOI: 10.36290/aim.2026.037

Zajímavosti z literaturyHighlights from the literature

Horáček M., Klučka J., Skříšovská T.

Anest. intenziv. Med. 2026;37(3):201-209

Stanovisko k perioperačnímu podávání SGLT2 inhibitorů a GLP‑1 receptorových agonistů u dospělých pacientůReports from professional societies

Černý V., Beneš J., Vymazal T., Bláha J., Tesařík R., Štourač P., Žižka J., Gabrhelík T.

Anest. intenziv. Med. 2026;37(3):183-185 | DOI: 10.36290/aim.2026.015

Je čas opustit termín "dospávací jednotka"? Komentář ke stanovisku výboru ČSARIM k otázce minimální doby poanestetické péčeCorrespondence

Horáček M.

Anest. intenziv. Med. 2026;37(3):178-179 | DOI: 10.36290/aim.2026.029

Shared decision making in intensive careReview Article

Zvara M., Rusinová K.

Anest. intenziv. Med. 2026;37(3):172-177 | DOI: 10.36290/aim.2026.034

Shared decision making in intensive care connects medically indicated treatment options with the patient's values, goals, and preferences. It is particularly important when patients lack decision-making capacity and their preferences have not been documented in advance. In such situations, decision making proceeds through patient surrogates and includes goals-of-care discussions, assessment of the appropriateness of life-sustaining treatment, and repeated review of the treatment plan as the clinical condition and prognosis evolve. High-quality shared decision making requires reliable prognostic assessment, verification of understanding, systematic...

Artificial intelligence in anaesthesiology: from development to safe clinical practice, a narrative reviewReview Article

Šoltesová K., Astapenko D.

Anest. intenziv. Med. 2026;37(3):162-171 | DOI: 10.36290/aim.2026.030

Artificial intelligence is becoming increasingly relevant to anaesthesiology; however, a substantial implementation gap persists between the technical development of new tools and their safe adoption in clinical practice. This article provides a practically oriented narrative review of what the anaesthesiologist may encounter today or in the near future across the preoperative, intraoperative, and postoperative phases of patient care. For each application, its clinical maturity and the principal barriers to direct translation into practice are outlined. The review, therefore, also includes a practical framework for the safe adoption of this new technology...

Airway bleeding - a narrative review and case vignetteReview Article

Tlapáková K., Černá Pařízková R., Dostál P., Polák J., Chovanec V., Šatánková J., Koblížek V., Dulíček P., Astapenko D.

Anest. intenziv. Med. 2026;37(3):156-161 | DOI: 10.36290/aim.2026.027

Airway bleeding, particularly massive or life‑threatening hemoptysis, represents an emergency associated with high morbidity and mortality. The cornerstone of management is rapid airway management, hemodynamic stabilisation, exclusion of pseudohemoptysis, and early diagnosis of the cause and source of bleeding using imaging and endoscopic methods. The current literature highlights the key role of bronchoscopy, which enables identification of the bleeding source, local hemostatic interventions, clot removal, and lung isolation. Bronchial artery embolisation has become the standard treatment for massive and recurrent hemoptysis of bronchial artery...

Perioperative management of patients with sedative addictive substance abuseReview Article

Dostálová V., Kulda K., Kulhánková J., Mikl J., Gabrhelík T.

Anest. intenziv. Med. 2026;37(3):149-155 | DOI: 10.36290/aim.2026.023

Sedative addictive substances represent a significant clinical problem in perioperative care because they affect both the pharmacodynamics and pharmacokinetics of anesthetics and increase the risk of complications during anesthesia. The most commonly abused substances in this group include benzodiazepines, opioids, and alcohol. Their chronic use leads to the development of tolerance, changes in receptor sensitivity, and potential withdrawal syndrome, which can complicate the induction of anesthesia, maintenance of anesthetic depth, and postoperative analgesia. Acute intoxication, on the other hand, potentiates the effects of anesthetics, increasing...

Experimental assessment of recovery position placement by non-medical personnel: a performance-variability studyOriginal Article

Böhm P., Limpouchová N., Peřan D., Příhoda A.

Anest. intenziv. Med. 2026;37(3):143-148 | DOI: 10.36290/aim.2026.026

Objective: This performance-variability study analyzes the variations and degree of consistency in the application of techniques used by trained non-medical personnel to place a person into the recovery position. The study primarily examines performance variability in adjusting cervical spine rotation and flexion as part of preventive measures.  Design, material and methods: An experimental design assessed the ability of the study group to place an unconscious person into the recovery position. A total of 500 participants aged 15 years and older were recruited from health science high schools and universities. Observations focused on body maneuvers...

Abstrakty Lives PhysiologyCongress abstracts

František Duška, Martin Balík

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

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

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

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

New section in the journalEditorial

Gabrhelík T., Málek J.

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

Zajímavosti z literaturyHighlights from the literature

Horáček M, Klučka J., Skříšovská T.

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

Stanovisko výboru ČSARIM k otázce minimální doby poanestetické péčeReports from professional societies

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

Propofol - nové poznatky k fyziologii účinku a metabolické souvislostiClinical physiology

Skříšovská T., Astapenko D., Černý V.

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

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

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...

Dynamic arterial elastance - current perspectivesReview Article

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...

Fungal cell wall antigens - the pitfalls in their interpretationReview Article

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...

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

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...

Failure of safety barriers in the prevention of medication errors in perioperative careOriginal Article

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...

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


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