Anesteziologie a intenzivní medicína, 2004 (vol. 15), issue 1
Prospective follow-up of the Patients with Hyperamylasemia after Cardiac SurgeryArticles
M. Lipą, M. Stříteský, F. Novák, J. Kunstýř, J. Táborský
Anest. intenziv. Med. 2004;15(1):7-10
Objective:Hyperamylasemia is reported in 30-70% of cardiac surgery patients. The exact cause of elevated serum levels ofamylase remains unclear. The goal of our study was to find out the possible cause of amylase elevation and evaluate theinfluence of increased levels of serum amylase on the postoperative course and clinical outcome of 110 cardiac surgicalpatients.Design: Prospective study.Setting: Cardiac Surgery Department, Prague General Hospital, 1st Medical Faculty of Charles University, Prague, the CzechRepublic.Material and methods: The cohort of 110 randomly selected patients who underwent cardiac surgery at our institution wasstudied...
Anaesthesiological Technique with Endovascular Stentgraft Implantation for Aortic AneurysmsArticles
M. ©vec, O. Biebl, T. Mach
Anest. intenziv. Med. 2004;15(1):11-16
Abdominal aortic aneurysm(AAA) is a serious and relatively frequent disease which directly endanger a patient with ruptureand haemorrhage. Besides a standard surgical technique of AAA repair, another method has been developed in the lastyears - endovascular stentgraft implantation for aortic aneurysms. For its lower invasiveness it seems to be suitableespecially in high-risk patients in whom standard surgical operation is too risky.At the Homolka Hospital this method has been used since 1996. The authors describe their experience and anaesthesiologicaltechnique with endovascular stentgraft implantation for aortic aneurysms.
Importance of Diuresis for Diagnosis of Acute Renal Failure in Patients in Long-term Intensive CareArticles
V. ©rámek, P. Suk, J. Hruda, M. Fencl, V. Zvoníček
Anest. intenziv. Med. 2004;15(1):17-20
Objective:To determine if inclusion of urine output (UO) into the definition of acute renal failure (ARF) increases its incidencein long-term ICU patients.Design: Retrospective analysis of patients medical records.Setting: Department of Anaesthesiology and Intensive Care, St. Anna's University Hospital, Brno, Czech Republic.Material and Methods: Analysis of medical records of long-term (> 3 days) ICU patients hospitalised in 2000. Urine output,urea and creatinine during ICU stay were reviewed every day, and ARF diagnosed according to criteria recently proposed[1]. Furosemide administration was also recorded. Values are given as means...
Postoperative Sedation with Dexmedetomidine in Patients after Off Pump Coronary Artery BypassArticles
V. Černý, J. Samek, D. Cichý
Anest. intenziv. Med. 2004;15(1):21-27
Objective:Dexmedetomidinehas been shownas an effective agent for management of postoperative sedation and analgesiaon intensive care unit. The aim of the study was to assess dexmedetomidine for postoperative sedation in patients after OffPump Coronary Artery Bypass (OPCAB) surgery.Design: Prospective, non-randomized, cohort study.Setting: Dept. of Anesthesiology and Intensive Care, Charles University, Faculty of Medicine, University Hospital HradecKralove, Czech RepublicMaterial and methods: Study compares dexmedetomidine with standard analgesia protocol on cardiac surgical intensivecare unit. Twenty patients after OPCAB were included in...
Simultaneous Off-Pump Coronary Artery Bypass and Aortic Aneurysm RepairArticles
P. Michálek, ©. Černý, T. Klika, J. ©oupal, M. Stern, P. Jehlička
Anest. intenziv. Med. 2004;15(1):28-31
Simultaneous coronary artery bypass and aortic aneurysm repair is a rarely performed procedure.We describe one case of 80-years old man with unstable angina and concurrent symptomatic abdominal aortic aneurysm.The patient was indicated for simultaneous coronary artery revascularization and abdominal aortic aneurysm repair withthe need of supracoeliac aortic clamping. Preoperative evaluation, perioperative monitoring, the strategy of anaesthetic andsurgical approach and postoperative course are described in detail.In the discussion, we analyze the possibilities of anaesthetic and surgical technique in this procedure, the possibilities oforgan preservation,...
Swan-Ganz Catheter-induced Pulmonary Artery Rupture during Cardiac SurgeryArticles
M. ©imek, Y. Plesníková, P. Němec, L. Hruban, J. Klein
Anest. intenziv. Med. 2004;15(1):32-35
The authors present the case report of Swan-Ganz catheter-induced pulmonary artery perforation during cardiac surgery,which wassuccessfully treated by pulmonary resection.Theyanalyzemechanismof catheter-induced injury and therapeuticoptions of this rare but often fatal complication with regard to patients undergoing cardiac surgery.