Anesteziologie a intenzivní medicína, 1999 (vol. 10), issue 3
Superior laryngeal nerve block for awake intubationArticles
M. Pavlík, R. Hřib, D. Čtvrtečková
Anest. intenziv. Med. 1999;10(3):106-107
Tracheal intubation in an awake patient constitutes a distinct art and skill in airway management. This could not be accomplished without completesensitive anesthesia. The paper presents the results from two methods applied: topical application of local anesthetic versus regional anesthesiaproduced by bilateral superior laryngeal nerve block.
Blind diagnostic lumbar sympathetic blockArticles
M. Hakl, P. Ševčík, J. Pavlíková, P. Roubal
Anest. intenziv. Med. 1999;10(3):108-110
Lumbar sympathetic block is indicated in selected painful ischemic symptoms of lower limbs, in painful syndromes with involvement of sympathetictrunk and in other conditions with dysbalance in sympathetic innervation of lower trunk and lower limbs. The location of lumbar sympathetic systemenables its blockade from posterolateral approach. Single-side block can be accomplished from a single puncture site; radiologic verification is notnecessary. We performed the block without radiologic assistance in 30 patients during one year. In 29 patients the effect was positive; subsequently,lumbar sympathectomy was performed as an open procedure. The incidence...
Oral clonidine in premedication for laparoscopic cholecystectomy - a comparison of different protocolsArticles
J. Málek, L. Hess, J. Knor, A. Kurzová
Anest. intenziv. Med. 1999;10(3):111-116
Oral clonidine in premedication for laparoscopic cholecystectomy - a comparison of different protocols42 patients scheduled for laparoscopic cholecystectomy were premedicated with clonidine 0,25 mg orally in the morning of the surgery. We did notobserve the presumed attenuation of hemodynamic response to capnoperitoneum after clonidine premedication. In comparison between clonidine 0,25mg orally, 0,15 mg intramuscularly and 2 mcg/kg intravenously or 4 mcg/kg intravenously, all parenteral forms of application resulted in similarresponses. We did not observe any difference in fentanyl consumption or the incidence of side effects. The authors recommend...
The therapy of various cases of sepsis on ICU Brno - BohuniceArticles
O. Gimunová, I. Zimová, I. Čundrle
Anest. intenziv. Med. 1999;10(3):117-119
The paper describes various cases of sepsis and our experience with the antibiotic treatment. A range of antimicrobial agents is used, but theapplication of piperacilin/tazobaktam is an effective method of treatment in the last time. Based on our observations, there is a real interest inpiperacilin/tazobaktam in cases with renal failure. The course of sepsis and recovery period are followed.
The role of immunologic diagnostics in ICUArticles
M. Průcha, M. Dostál, B. Kavka
Anest. intenziv. Med. 1999;10(3):120-122
Patients hospitalized in ICUs for sepsis create a heterogenic group in which marked interindividual differences could be found in immune responseto infectious agents or traumatic insult. Dysfunction of humoral and cellular immunity is well marked. The evaluation of selected parameters of humoraland cellular immunity provides us with information on immune response competence and plays a key role in decision making process regarding theuse of immunomodulation therapy. There can be a major differences according to the actual state of immune system. The paper presents the authors'own experience with evaluation of the importance of phenotype marks expression...
The experience with spinal anaesthesia for caesarean sectionArticles
J. Vetešník, E. Honců, J. Domácí
Anest. intenziv. Med. 1999;10(3):123-125
Authors compare their experience with general and spinal anaesthesia for caesarean section during one year in the hospital in Čáslav. Practicallyhalf of these operations we provided in spinal anaesthesia. For the choice of the method of anaesthesia is mostly the patient's wish decisive.
"Over the needle" continuous subarachnoideal anesthesiaArticles
R. Hřib, P. Ševčík, M. Votýpka
Anest. intenziv. Med. 1999;10(3):126-127
"Over the needle" technique in continuous subarachnoideal anesthesia decreases the probability of post dural puncture headache as well as risksensuing from the use of subarachnoideal microcatheters. Spinocath advanced in lumbar region from paraspinous approach was used for subarach-noideal anesthesia and postoperative analgesia in 16 patients undergoing major orthopedic procedures in hip region. No technical complicationsoccurred. 5 patients reported transient root irritation during insertion of the catheter. The catheter was left in place for 72 hours postoperatively toallow continuous administration of 0,25% bupivacaine. With this pain control regimen,...
The importance of laboratory evaluation of the quality of kidney allograft from cadaveric donorsArticles
H. Živná, V. Černý, P. Živný, V. Palička
Anest. intenziv. Med. 1999;10(3):128-131
Kidney transplantation from cadaveric donors has become a routine treatment of renal failure. Acute graft failure or early rejection aftertransplantation seems to be multifactorial. In our study we hypothesized that one of the factors influencing the outcome in the status of organ harvestedfrom the cadaveric donor. We evaluated 35 donors of cadaveric kidney; 17 donors with brain death following head-brain injury (group D1) and 18donors with brain death of non-traumatic etiology (group D2).The donors in D1 were younger than donors in D2 group, with more men in D1 group. With respect to the small number of cadavers included inthe study, we found higher...
The management of the therapy of the severe hyponatremiaArticles
P. Hora, V. Šrámek, J. Kastner, I. Novák, R. Rokyta, M. Matějovič
Anest. intenziv. Med. 1999;10(3):135-139
Severe symptomatic hyponatremia (serum Na < 110-115 mmol/l) which develops within less than 48 hours is a life-threatening complication becauseof seizures and other symptoms of brain oedema. Its rapid correction to normal values is mandatory and is connected with minimal risk of neurologicsequalae. On the contrary, in case of symptomatic hyponatremia which developed chronically, rapid correction is indicated only to amelioratesymptoms. Too rapid correction may cause severe neurologic deragements - osmotic demyelinisation syndrome (ODS). Incidence of brain injury dueto rapid changes in osmolarity is in intensive care patients very likely more frequent...