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  

Časopis Anesteziologie a intenzivní medicína v roce 2023Editorial

doc. MUDr. Jiří Málek, CSc.

Anest. intenziv. Med. 2023;34(5):201 | DOI: 10.36290/aim.2023.073  

Year 2023 in review - Respiratory failure and lung function replacementReview Article

Máca J., Sklienka P.

Anest. intenziv. Med. 2023;34(5):253-259 | DOI: 10.36290/aim.2023.061  

Only a few original papers on respiratory issues have been published so far in 2023. The vast majority are systematic reviews and meta-analyses of already published studies. In March 2023, the European Society for Intensive Care Medicine (ESICM) issued recommendations for the management of acute respiratory distress syndrome (ARDS). In the first part of this text, a very basic summary of recommendations according to individual domains is described. Extracorporeal membrane oxygenation (ECMO) is an intervention that has received much attention in recent years, mainly due to the COVID-19 pandemic. The last randomized trial (EOLIA trial) did not confirm...

Year 2023 in review - Regional anaesthesiaReview Article

Nalos D.

Anest. intenziv. Med. 2023;34(5):251-252 | DOI: 10.36290/aim.2023.069  

This review article offers a selection of publications in the field of regional anesthesia for 2023. The aim of this publication is not to list all important articles but to offer readers an overview of information that can be used in common practice.

Year 2023 in review - General anaesthesiaReview Article

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

Anest. intenziv. Med. 2023;34(5):244-250 | DOI: 10.36290/aim.2023.068  

Out of all the papers published in the last 12 months in anaesthesiology, this article presents a publication overview of three topic areas that the authors of this text consider significant - a comparison of the effects of general and regional anesthesia, a comparison of the suitability of inhalational and total intravenous anesthesia, and comparison of the effects of remimazolam versus propofol.

Year 2023 in review - Chronic pain treatmentReview Article

Fricová J.

Anest. intenziv. Med. 2023;34(5):239-243 | DOI: 10.36290/aim.2023.067  

The article presents a selection of interesting basic research, particularly the importance of microglia in chronic pain, new recommendations to optimize and accelerate the development of "precision" treatments for chronic pain, IASP recommendations for the year of integrative medicine, which was 2023. Also of note is alcohol-induced mechanical allodynia, where chronic alcohol consumption can make people more sensitive to pain through two different molecular mechanisms. A final no less interesting topic is the introduction of nasal naloxone to the ame-ric market as an over-the-counter drug. Only international and relevant sources are discussed.

Year 2023 in review - Cardiac anaesthesia and postoperative careReview Article

Michálek P., Říha H., Kunstýř J., Pořízka M.

Anest. intenziv. Med. 2023;34(5):234-238 | DOI: 10.36290/aim.2023.070  

Anesthesiological and postoperative care for procedures on the heart and aorta differs in certain aspects from the perioperative care of other surgical disciplines. This review of published meta-analyses and original studies in cardiac surgical perioperative care presents and comments on new guidelines, the implementation of modern trends in cardiac surgery and their importance for anesthesiologists, as well as new findings leading to the reduction of perioperative and postoperative complications. Furthermore, the most important drug studies in the field are presented, including the development of new substances. A separate section is designated for...

Year 2023 in review - Intensive care medicine - cardiovascular systemReview Article

Beneš J., Kletečka J., Smékalová O., Zatloukal J.

Anest. intenziv. Med. 2023;34(5):227-233 | DOI: 10.36290/aim.2023.071  

This review article offers a summary of the most essential newly published findings in the field of cardiovascular issues in acute conditions published in 2023. At the same time, we try to place these new findings in the context of previous knowledge to avoid an unnecessary pendulum effect. This publication does not intend to alter our daily approach; instead, it provides readers with an overview of noteworthy information that could contribute to future care considerations.

Year 2023 in review - Pain managementReview Article

Málek J.

Anest. intenziv. Med. 2023;34(5):222-226 | DOI: 10.36290/aim.2023.055  

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

Year 2023 in review - Anaesthesiology in obstetricsReview Article

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

Anest. intenziv. Med. 2023;34(5):216-221 | DOI: 10.36290/aim.2023.058  

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 the influence of COVID-19 pandemia on anaesthesiological praxis in obstetrics. It also presents new developments in systemic and neuroaxial obstetric analgesia, Caesarean Section anaesthesia and emergencies in peripartum period.

Year 2023 in review - Paediatric anaesthesia and intensive careReview Article

Klabusayová E., Skříšovská T., Bönischová T., Vafek V., Fabián D., Harazim H., Kosinová M., Štourač P.

Anest. intenziv. Med. 2023;34(5):213-215 | DOI: 10.36290/aim.2023.059  

The aim of the article Year 2023 in Paediatric anaesthesia and intensive care is to provide a brief overview of the most important publications in this field over the last year. The selected publications, in addition to their high quality, can provide readers with knowledge that will enable them to improve their daily clinical practice in anaesthesia and intensive care.

Year 2023 in review - Critical care nephrologyReview Article

Chvojka J., Matějovič M.

Anest. intenziv. Med. 2023;34(5):208-212 | DOI: 10.36290/aim.2023.056  

Acute kidney injury (AKI) significantly affects patient morbidity and mortality. AKI represents a very heterogeneous syndrome that continues to be a very common problem faced by emergency and intensive care physicians. The year 2023 in the field of critical care nephrology cannot be seen as a breakthrough, yet several interesting articles appeared in this field covering a wide range of topics from the diagnosis of AKI, the need to understand the different phenotypes of AKI, the pathophysiology of sepsis-associated AKI (SA-AKI), to the consensus opinion on the treatment of AKI, including the kidney support therapy and purification methods and all non-negligible...

Year 2023 in review – SepsisReview Article

Karvunidis T.

Anest. intenziv. Med. 2023;34(5):204-207 | DOI: 10.36290/aim.2023.048  

This year's summary critically discusses important publications regarding to adjuvant corticosteroid therapy in community-acquired pneumonia, blood-glucose control, supraventricular arrhytmias treatment, and fluid therapy in critically ill septic patiens.

Klinická fyziologie oběhového systému - makrocirkulaceClinical physiology

Astapenko D., Řehák D., Černý V.

Anest. intenziv. Med. 2023;34(4):180-183 | DOI: 10.36290/aim.2023.072  

Metodické pokyny pro farmakoterapii chronické bolestiReports from professional societies

doc. MUDr. Jiří Málek, CSc.

Anest. intenziv. Med. 2023;34(4):196  

Komentovaný souhrn doporučení Evropské společnosti intenzivní medicíny (ESICM) 2023 pro management ARDSNew guidelines

Máca J., Dostál P.

Anest. intenziv. Med. 2023;34(4):184-195 | DOI: 10.36290/aim.2023.046  

Tension pneumocephalus caused by E. coliCase Report

Nekvindová K., Gabrhelík T., Graus T.

Anest. intenziv. Med. 2023;34(4):176-179 | DOI: 10.36290/aim.2023.062  

Spontaneous tension pneumocephalus is a rare clinical symptom but can be life-threatening emergency. Pneumocephalus can develop acutely or chronically. Clinical symptoms are usually non-specific, diagnose can be made with imaging methods. Patient must have neurosurgical referral and require decompression. Major complications are epileptic seizures, loss of consciousness with necessity of tracheal intubation with mechanical ventilation, focal neurological symptoms, brainstem herniation or cardiac arrest.

Neobvyklá prezentace gaspingu u komorové fibrilace - kazuistikaCase Report

Knor J., Pekara J., Málek J.

Anest. intenziv. Med. 2023;34(4):172-175 | DOI: 10.36290/aim.2023.054  

Předpokládá se, že gasping je snadno rozpoznatelným příznakem srdeční zástavy. Náš článek představuje případ 56letého muže s mimonemocniční srdeční zástavou s atypickým lapáním po dechu. Kardiopulmonální resuscitaci zahájil laický za­chránce pomocí telefonicky asistované neodkladné resuscitace. Při příjezdu záchranného týmu měl pacient gasping s vysokou dechovou frekvencí 24/min. Iniciální analýza rytmu zjistila fibrilaci komor. První defibrilační výboj (200 J) vedl k návratu spontánního oběhu. Pacient pokračoval s abnormálním dechovým vzorcem na kyslíkové masce s přívodem kyslíku 8 l/min. Po dalších 2 minutách došlo opět ke komorové fibrilaci. Byl...

Mechanical power of mechanical ventilation: unnecessary or necessary parameter?Review Article

Burša F., Frelich M., Sklienka P., Jor O., Máca J.

Anest. intenziv. Med. 2023;34(4):165-171 | DOI: 10.36290/aim.2023.065  

Mechanical ventilation (MV) is one of the established methods of organ support in intensive care units. In patients with lung disease, especially in its more severe forms, MV can act with such forces that it can lead to further damage to the diseased lungs. Mechanical energy (ME) is a parameter representing the total energy that the MV exerts on the lungs (or lungs, airways, and chest). Higher ME values are associated with a higher risk of ventilator-induced lung injury (VILI). ME can be calculated from ventilation parameters using equations, some of which allow calculation directly at the patient's bedside on a regular calculator. By adjusting individual...

Trauma-induced coagulopathy - pathophysiology, diagnostics and treatmentReview Article

Škola J., Černý V.

Anest. intenziv. Med. 2023;34(4):157-164 | DOI: 10.36290/aim.2023.050  

This narrative review article summarizes the contemporary view on the basic principles of pathophysiology, diagnosis and treatment of trauma-induced coagulopathy in patients with severe trauma.

Five most important drug interactions in the critically illReview Article

Rychlíčková J., Suk P.

Anest. intenziv. Med. 2023;34(4):152-156 | DOI: 10.36290/aim.2023.053  

The prevalence of drug interactions in the critically ill is high, but these are often potential drug interactions of limited clinical relevance. This paper aims to describe the mechanism and management of not the most frequent but, according to the authors, the most clinically significant interactions. These top five interactions include carbapenems and valproate, CYP 3A4 inhibitors and ticagrelor, enteral nutrition and levodopa, combinations of QT prolonging drugs, and CYP 3A4 inhibitors and quetiapine.

Incidence of amniotic fluid embolism in the Czech Republic - a questionnaire studyOriginal Article

Pešková K., Štourač P., Seidlová D.

Anest. intenziv. Med. 2023;34(4):147-151 | DOI: 10.36290/aim.2023.052  

Aims of the study: to determine the incidence of amniotic fluid embolism in the Czech Republic and the availability of immediate transthoracic echocardiography (TTE) examination in the departments performing obstetric anesthesia and intensive care. Study type: multicentre questionnaire study. Methods: All 87 anesthetics departments performing obstetric anesthesia in the Czech Republic were invited to complete an online questionnaire on the period 2018-2020. The data collection took place from September to December 2021. Results: 42 departments (collectively responsible for 52% of all births in the Czech Republic) responded to the invitation. In total,...

Akreditační kritéria našich pracovišť - máme měnit?Editorial

Černý V.

Anest. intenziv. Med. 2023;34(4):143-144 | DOI: 10.36290/aim.2023.066  

MUDr. Bohuslav Kuta, MBA (1953–2023)Obituary

Kolektiv lékařů a sester ARO Nemocnice České Budějovice, a. s.

Anest. intenziv. Med. 2023;34(3):137  

Abstrakty z XXIX. kongresu ČSARIMCongress abstracts

redakce

Anest. intenziv. Med. 2023;34(3):129-136  

Stanovisko předsednictva ČLS JEP k problematice přesčasů a směnného provozu ve zdravotnictvíReports from professional societies

Česká lékařská společnost J. E. Purkyně

Anest. intenziv. Med. 2023;34(3):128  

Koncept dodávky kyslíku – fyziologický základ léčby kritických stavůClinical physiology

Černý V., Astapenko D., Řehák D.

Anest. intenziv. Med. 2023;34(3):125-127 | DOI: 10.36290/aim.2023.044  

Prognostic scores in the ICUReview Article

Harazim M.

Anest. intenziv. Med. 2023;34(3):120-124 | DOI: 10.36290/aim.2023.043  

Prognostic scoring systems are employed in the intensive care unit to predict the outcome of our treatments, to characterize the severity of disease or organ dysfunction, or for comparisons in scientific research. This review article outlines the history and introduction of frequently utilized scoring systems in intensive care units. It aims to demonstrate performance and future directions, emphasizing the significance of prognostic models not only in publications but also for enhancing resource usage and improving the provided care.

Corticosteroids in severe community­‑acquired pneumonia - the end of the roller coaster?Review Article

Müller J., Raděj J., Karvunidis T., Valešová L., Horák J., Kříž M., Huňková E., Matějovič M.

Anest. intenziv. Med. 2023;34(3):116-119 | DOI: 10.36290/aim.2023.039  

Community-acquired pneumonia (CAP) is an acute inflammatory disease of the lung parenchyma acquired outside the healthcare facilities or within 48 hours after admission to the hospital. Despite the availability of antibiotics, pneumonia remains the leading cause of death from infectious causes, according to World Health Organization data. Although it might seem that the treatment of lower respiratory tract infections is a closed chapter in a medical textbooks, it is quite the opposite. Our perception of pneumonia as a unifying diagnosis comes with a burden of heterogeneity and we need to approach each patient individually, based on their disease-specific...