Is treatment in a preoperative anemia clinic effective?Short Communication

Slipac J.

Anest. intenziv. Med. 2023;34(1):31-33  

Preoperative anemia occurs in at least a third of patients before elective surgery and is a significant and at the same time modifiable risk factor for increased perioperative morbidity and mortality. Treatment in a preoperative anemia clinic may improve outcomes. Patients are evaluated at least 3 weeks before elective surgery to allow time for treatment of iron-deficiency anemia or further testing and follow-up care.

Is treatment in a preoperative anemia clinic effective?Clinical physiology

Astapenko D., Černý V.

Anest. intenziv. Med. 2023;34(1):28-30 | DOI: 10.36290/aim.2023.002  

Anaphylactoid syndrome of pregnancyCase Report

Jelšík I., Branna T., Štiglerová S., Volná P., Ožana M., Kučera C.

Anest. intenziv. Med. 2023;34(1):23-27 | DOI: 10.36290/aim.2023.013  

The case study describes the development and treatment of Anaphylactoid syndrome of pregnancy, also known as amniotic fluid embolism, in a healthy secundigravida during labour. Anaphylactoid syndrome of pregnancy is a life-threatening obstetric complication, which is very difficult to diagnose and which requires fast and intensive therapy. In this case, severe coagulopathy occurred, with life-threatening bleeding to the abdominal cavity. Unfortunately, the bleeding was not possible to resolve by surgery at that time, and it was necessary to give the patient repeated transfusions and the coagulation factor VIIa (NovoSeven).

Ischaemia­‑reperfusion injury in vascular surgery - narrative reviewReview Article

Lukeš M., Růžek L., Čundrle I.

Anest. intenziv. Med. 2023;34(1):15-22 | DOI: 10.36290/aim.2023.006  

Vascular surgery patients are exposed to the risk of secondary trauma, which arises on the basis of pathological changes caused first by ischemia and then by reperfusion. Ischemia-reperfusion syndrome due to oxidative stress and increased cell death contributes significantly to the high perioperative morbidity and mortality of these patients. In an attempt to reduce the negative impact of these processes, a number of measures have been developed, including the concept of remote ischemic preconditioning. Based on the analogy between the pathophysiology of ischemic preconditioning and sleep disordered breathing, we can hypothesize a smaller impact of...

Medical cannabis ad its significance for current medicineReview Article

Landa L., Juřica J., Trojan V., Demlová R., Hřib R.

Anest. intenziv. Med. 2023;34(1):8-14 | DOI: 10.36290/aim.2023.003  

Since the recent changes in legislation, it is presently possible to use cannabis for medical purposes and there is an increasing interest in this mode of treatment. This review describes brief history of cannabis use and basic classification of substances found in the plant. It is focused on pharmacodynamics and pharmacokinetics of the main cannabinoids THC and CBD, with note on definition and significance of endocannabinoid system. Practically used routes of administration and drug dosage forms are mentioned as well. Furthermore, the article concisely summarizes specializations of physicians, who can prescribe medical cannabis, its main indications,...

Cumulative CT radiation dose in patients with pancreatitis. The path to enlightenment?Original Article

Harazim M.

Anest. intenziv. Med. 2023;34(1):5-7 | DOI: 10.36290/aim.2023.014  

Currently, we rely on computed tomography (CT) to diagnose, determine risk or decide on possible therapeutic interventions in acute pancreatitis. The low doses of ionising radiation associated with this scan are associated with a risk of malignancy. The aim of our study was to analyze the cumulative effective dose in patients hospitalized with acute pancreatitis at the University Hospital Brno in the years 2021-2022. During the study period, 222 CT scans were performed in 146 patients; the median cumulative effective dose per patient was 23.86 ± 28.94 mSv. CT was followed by intervention (ERCP, surgical revision, CT-guided drainage, endoscopic...

Health care data – what and whom they should serve for?Editorial

Černý V., Beneš J.

Anest. intenziv. Med. 2023;34(1):3