Bronchoskopie jednorázovými endoskopyReports from professional societies

Votruba J., Otáhal M., Balík M.

Anest. intenziv. Med. 2024;35(2):133-135 | DOI: 10.36290/aim.2024.024  

Komentář k článku: Použití plné krve u pacientů se život ohrožujícím krvácením v důsledku traumatu: souhrn a konsenzus jednání mezioborového paneluCorrespondence

Lejdarová H.

Anest. intenziv. Med. 2024;35(2):132  

Komentář k článku: Použití plné krve u pacientů se život ohrožujícím krvácením v důsledku traumatu: souhrn a konsenzus jednání mezioborového paneluCorrespondence

Blatný J.

Anest. intenziv. Med. 2024;35(2):131  

Použití plné krve u pacientů se život ohrožujícím krvácením v důsledku traumatu: souhrn a konsenzus jednání mezioborového paneluShort Communication

Bláha J., Bohoněk M., Černý V., Klugar M., Kočí J., Loužil J., Řeháček V., Truhlář A., Zýková I.

Anest. intenziv. Med. 2024;35(2):127-130 | DOI: 10.36290/aim.2024.022  

Alois Alzheimer: lékař, na kterého se zapomínáShort Communication

Málek J.

Anest. intenziv. Med. 2024;35(2):125-126 | DOI: 10.36290/aim.2024.017  

Klinická fyziologie respiračního systému a patofyziologie hyperkapnieClinical physiology

Řehák D., Astapenko D., Černý V.

Anest. intenziv. Med. 2024;35(2):122-124 | DOI: 10.36290/aim.2024.026  

Euglycemic ketoacidosis associated with SGLT2 inhibitors and DPP4 inhibitors - discussion of case reportsCase Report

Šitina M., Šrámek V.

Anest. intenziv. Med. 2024;35(2):116-121 | DOI: 10.36290/aim.2024.019  

Euglycemic ketoacidosis is a rare but potentially fatal complication of treatment with SGLT2 inhibitors (gliflozins). However, similar euglycemic ketoacidosis may rarely occur with other antidiabetic drugs or conditions such as pregnancy or alcohol abuse. We describe 3 cases of our patients with euglycemic ketoacidosis associated with gliflozins and 1 case associated with the DPP4 inhibitor sitagliptin and discuss in detail the acid-base disturbances present and the distinction of euglycemic ketoacidosis from classical ketoacidosis in type 1 diabetes.

Management of amniotic fluid embolismReview Article

Pešková K., Štourač P., Seidlová D.

Anest. intenziv. Med. 2024;35(2):104-115 | DOI: 10.36290/aim.2024.023  

Amniotic fluid embolism is characterized by sudden cardiorespiratory collapse during labor or soon after delivery. We present immediate management when a rapid response is critical. The appearance of disseminated intravascular coagulation confirms high suspicion of the diagnosis plausibly. We remind administration of tranexamic acid and fibrinogen. Fibrinogen is preferred over plasma to minimize the risk of volume overload. Avoidance of fluid overload is an important management principle of pulmonary hypertension and right heart failure. Inotropes and pulmonary vasodilators are the mainstays of therapy. Although the therapeutic application of C1 esterase...

Pathogenesis of euglycemic ketoacidosis associated with SGLT2 inhibitorsReview Article

Šitina M., Šrámek V.

Anest. intenziv. Med. 2024;35(2):98-103 | DOI: 10.36290/aim.2024.018  

Euglycemic ketoacidosis associated with SGLT2 inhibitors, also referred to as gliflozins, is a rare but potentially fatal clinical entity characterized by metabolic acidosis with normal or only mildly elevated glycemia, predominantly in patients with type 2 diabetes mellitus. In addition to ketoacidosis, hyperchloremic acidosis may also contribute significantly to metabolic acidosis. Relative hypoglycemia induced by gliflozins and concomitant stress condition lead to decreased insulin level and increased glucagon, cortisol, and catecholamines, which stimulates ketogenesis. At the same time, gliflozins induce complex renal metabolic dysfunction, in...

Management of patients with trauma in the Czech Republic - results of a questionnaire study across 12 trauma centers for adultsOriginal Article

Holubová G., Vymazal T., Beitl E., Dráč P., Edelmann K., Gürlich R., Jícha Z., Kloub M., Kočí J., Krtička M., Menšík P., Pavelka T., Matějka J., Pleva L., Šír M., Šrám J., Durila M.

Anest. intenziv. Med. 2024;35(2):89-97 | DOI: 10.36290/aim.2024.020  

Despite the existence of many guidelines in the management of trauma, trauma is still the leading cause of death in young age groups, and mortality has not decreased in the Czech Republic over the past 10 years. The issues of circulatory stability, indications for the administration of whole blood, routine use of imaging methods, and prioritization of individual care steps are still not clearly defined. We decided to use a questionnaire study to map what the initial care of traumatized patients looks like across our country in 12 trauma centers and to define the circulatory stability of the patient, on which the sequence of individual diagnostic and...

Blahopřání paní doc. MUDr. Jarmile Drábkové, CSc., k životnímu jubileuLaudatio

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

Anest. intenziv. Med. 2024;35(1):6  

Předoperační lačnění u dětí - Doporučený postup Evropské společnosti pro anesteziologii a intenzivní péčiNew guidelines

Frykholm P., Disma N., Andersson H., Beck C., Bouvet L., Cercueil E., Elliott E., Hofmann J., Isserman R., Klaucane A., Kuhn F., de Queiroz Siqueira M., Rosen D., Rudolph D., Schmidt A. R., Schmitz A., Stocki D., Sümpelmann R., Stricker P. A., Thomas M., Veyckemans F., Afshari A., Autoři překladu:, Harazim H., Ťoukálková M., Valouchová V., Štourač P.

Anest. intenziv. Med. 2024;35(1):58-80 | DOI: 10.36290/aim.2024.009  

První roky Fondu mobility SMAI ČSARIMReports from professional societies

Bönischová T., Klincová M., Štourač P., Beneš J.

Anest. intenziv. Med. 2024;35(1):56-57  

Na ZOO nebo na ARO? aneb aprílové jazykovědné okénko českých obrozencůShort Communication

Kovář M., Smékalová O., Sochorová V., Máca J., Beneš J.

Anest. intenziv. Med. 2024;35(1):54-55 | DOI: 10.36290/aim.2024.011  

Narušená difuze kyslíku do mozku - možný budoucí terapeutický cíl u pacientů po srdeční zástavě?Short Communication

Richter J., Sklienka P., Romanová T.

Anest. intenziv. Med. 2024;35(1):50-53 | DOI: 10.36290/aim.2024.008  

Klinická fyziologie oběhového systému - mikrocirkulaceClinical physiology

Astapenko D., Černý V., Řehák D.

Anest. intenziv. Med. 2024;35(1):47-49 | DOI: 10.36290/aim.2024.006  

Oral hygiene as a key component of ventilator­‑associated pneumonia prevention bundle: a summary and critical appraisal of guidelines and recommended practices in 2023Review Article

Rambousková K., Línková Š., Jiroutková K., Duška F.

Anest. intenziv. Med. 2024;35(1):42-46 | DOI: 10.36290/aim.2024.005  

Oral care is a daily routine in modern times and an integral part of oral health care. While in a hospital - standard ward - setting, it depends on the self-reliance of the patient, in the intensive care setting, the patient is completely dependent on the nursing staff. Oral care, including oral decontamination, has an invaluable role in the prevention of ventilator-associated pneumonia. However, nursing guidelines in this area are not uniform and still involve the use of chlorhexidine-based antiseptic solutions, which are not currently recommended by scientific societies. The answer to the question is still unknown whether the routine use of chlorhexidine...

ICU rounds - reviewReview Article

Harazim M.

Anest. intenziv. Med. 2024;35(1):38-41 | DOI: 10.36290/aim.2024.002  

In the constantly evolving field of acute care medicine, optimizing ICU rounds is crucial for delivering quality patient care. This review article presents the latest information on ICU rounding practices and provides a thorough overview of proven strategies and approaches that enhance patient outcomes. The text examines the appropriate composition of the rounding team, strategies for conducting ICU rounds, and the integration of clinical tools and technology to enhance the efficiency of the process.

Heat and moisture exchangers in intensive care: benefits and risks of their use in mechanically ventilated critically ill patientsReview Article

Línková Š., Rambousková K., Jiroutková K., Duška F.

Anest. intenziv. Med. 2024;35(1):31-37 | DOI: 10.36290/aim.2024.001  

The upper airway naturally warms and humidifies inspired air. For patients with artificial airways, this function is assumed by respiratory care devices, utilizing passive (HME, Heat and Moisture Exchangers) or active humidification. Despite no observed differences in clinical outcomes between these methods in randomised trials with critically ill patients, each has its particular benefits. HME, being technically simpler, is favoured in patients without respiratory pathologies, who are expected to be on only short-term mechanical ventilation (< 4 days). For other ventilated patients, active humidification might be more appropriate, especially when...

Advanced bloodless clinical procedures proven in practiceReview Article

Slipac J.

Anest. intenziv. Med. 2024;35(1):19-30 | DOI: 10.36290/aim.2023.079  

A better understanding of risks associated with allogeneic blood transfusions along with a growing population of patients seeking surgical care without the use of blood transfusion has led to the development of complex clinical strategies, intending to minimize blood loss, conserve autologous blood, enhance hematopoiesis, and augment tolerance of anemia. Advances in surgical technique, current technology, knowledge, and perioperative management significantly contributed to the fact that successful treatment without transfusion is a realistic option but it does require a concerted patient-centered effort from the multidisciplinary team. In this review,...

Determination of the correlation between ultrasonographically obtained indices of cervical vessels and central venous pressure in critically ill pediatric patientsOriginal Article

Bělohlávek T., Grendár M., Cibulka M., Heinige P., Berčáková I., Nosáľ S.

Anest. intenziv. Med. 2024;35(1):12-18 | DOI: 10.36290/aim.2024.010  

Objective: The study aimed to determine the correlation between noninvasively ultrasonographically obtained cervical vessel indices and invasively measured central venous pressure in critically ill pediatric patients. Design: Prospective observational study. Setting: Department of pediatric intensive care, university hospital. Material and methods: 77 patients aged 0 to under 19 years with inserted central venous catheter and central venous pressure monitoring requiring admission to the department of intensive care medicine were included in the study. Both spontaneously ventilating patients and patients on artificial pulmonary ventilation, hemodynamically...

ICU design analysis: Are we really moving forward?Original Article

Harazim M.

Anest. intenziv. Med. 2024;35(1):8-11 | DOI: 10.36290/aim.2024.003  

This paper analyses the spatial layout of adult intensive care units (ICUs) that were built in the Czech Republic in 2023 under the REACT 98 call. A comparative evaluation was performed to compare the design features of these units with the latest recommendations of the European Society of Intensive Care Medicine from 2011. The investigation focuses on key parameters such as spatial layout, bed capacity, area dedicated around the patient's bed, access to natural light, availability of toilet facilities for the patient, family areas. The study concludes that most of the evaluated projects do not fulfil the proposed recommendations in the parameters...

Česká intenzivní medicína v roce 2024Editorial

doc. MUDr. Martin Balík, Ph.D., EDIC

Anest. intenziv. Med. 2024;35(1):4-5 | DOI: 10.36290/aim.2024.007  

ČSARIM v roce 2024 - naplňování priorit výboruEditorial

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

Anest. intenziv. Med. 2024;35(1):3 | DOI: 10.36290/aim.2024.012