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  

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

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...