Poznámka k pětiletému výročíEditorial

Karel Cvachovec

Anest. intenziv. Med. 2008;19(2):75  

Nozokomiální versus komunitní infekce na JIPEditorial

Ivan Novák

Anest. intenziv. Med. 2008;19(2):75-76  

LMA-ProSeal™ laryngeal mask is a safe option for securing the airways for laparoscopic cholecystectomyAnaesthesiology - Original Paper

Zvoníčková Dagmar, Zvoníček Václav, Klimeš Jiří, Volčík Aleš, Pelikán Karel

Anest. intenziv. Med. 2008;19(2):77-81  

Objective:The aim of study was to find if LMA-ProSeal™ safely protects the airways during laparoscopic surgery. Type of study:Prospective study. Setting:Department of Anaesthesiology and Intensive Care, University Hospital. Materials and methods:Patients undergoing elective laparoscopic cholecystectomy were enrolled in the study. The results are presented as the median and the inter-quartile range, the statistical significance was evaluated by Mann-Whitney U Test and Wilcoxon match paired test. Results:Ninety-seven patients (M:F 35:62) aged 54 (37-64) years...

Intramuscular dexmedetomidine in burns victims - preliminary resultsAnaesthesiology - Original Paper

Málek Jiří, Hess Ladislav, Jandová Jaroslava, Šimánková Eva

Anest. intenziv. Med. 2008;19(2):82-86  

Objective:The aim was to evaluate the combination of dexmedetomidine and ketamine and dexmedetomidine, ketamine and midazolam. Design:Prospective randomised clinical study. Setting:Department of Anaesthesiology and Intensive Care, University Hospital. Materials and methods Part 1:Following ethics committee approval and written consent, patients treated for burns were divided into 4 groups according to the intramuscular dose of dexmedetomidine (D) 2 μg .kg⁻¹ or 2.5 μg .kg⁻¹ and ketamine (K) 2.0 mg.kg⁻¹ or 3.0 mg.kg⁻¹. Results...

Dexmedetomidine-ketamine intravenous sedation during local anaesthesiaAnaesthesiology - Original Paper

Málek Jiří, Hess Ladislav, Hrehorová Zuzana, Šklíba Vojtěch

Anest. intenziv. Med. 2008;19(2):87-90  

Objective:To evaluate the combination of dexmedetomidine and ketamine for analgesic sedation. Design:Prospective randomised clinical study. Setting:Department of Anaesthesiology and Intensive Care, University Hospital. Materials and methods:Patients scheduled for Dupuytren's contracture repair under local anaesthesia were randomly divided to groups C and D. Group D patients were administered an infusion of dexmedetomidine 1 μg . ml⁻¹ and ketamine 1 mg . ml⁻¹ in normal saline as follows: 10 minutes before surgery a bolus of 0.04 ml . kg⁻¹...

Classification of infections in intensive care and a comparison of their incubation period and carrier statusIntensive Care Medicine - Original Paper

Žurek Jiří, Košinová Lucie, Košut Peter, Marek Lukáš, Koudelková Ludmila, Dominik Petr, Fedora Michal

Anest. intenziv. Med. 2008;19(2):91-95  

Objective:The prime objective was to evaluate the incidence of infections and infectious complications in children admitted to the Paediatric Intensive Care Unit (PICU) during years 2004-2005. The second goal was to differentiate between primary endogenous (PE), secondary endogenous (SE) and exogenous (EX) infections and to compare this classification with the CDC criteria for nosocomial infections. The last goal was to find out the most frequent pathogens responsible for nosocomial infections in PICU. Design:Prospective observational study. Setting:Paediatric Intensive Care Unit, Department of Anaesthesiology...

The theory and simplified mathematical model of multi-level intermittent positive pressure ventilationIntensive Care Medicine - Original Paper

Török Pavol

Anest. intenziv. Med. 2008;19(2):96-104  

Objective:Considering the issues of intermittent positive pressure ventilation (IPPV) in non-homogenous pathological lung processes, the author built a mathematical model of tri-compartment non-homogenously injured lungs ventilated with a new mode of IPPV - multi-level ventilation. The author defines multi-level ventilation as a type (modification) of IPPV consisting of background ventilation using the CMV, PCV or PS (ASB) ventilation mode and an added level called "on-background ventilation" consisting of multiple levels of PEEPh (PEEP high) with variable frequency and duration of transition between individual levels of PEEP.The objective...

Tri-level pulmonary ventilation (3LV®) - initial clinical experienceIntensive Care Medicine - Original Paper

Török Pavol, Šalantay Ján, Čandík Peter, Drbjáková Eva, Saladiak Stanislav, Göryová Jana, Popaďák Ján, Lakatoš Ivan

Anest. intenziv. Med. 2008;19(2):105-109  

Objective:To test whether in cases of considerably non-homogenous gas distribution in acute pathological lung conditions it is possible to improve gas distribution into slow broncho-alveolar compartments while decreasing the volume load of the fast compartments, and to improve gas exchange in the lungs while sustaining the principles of "non-injurious ventilation", by using tri-level (3LV) IPPV. Setting:Department of Anaesthesiology and Intensive Care Unit. Materials and methods:Authors applied 3LV ventilation to a group of 12 patients with non-homogenous lung injury. Tri-level ventilation is defined as a type...

Epidemiology of invasive candidiasis and candidemia - a persistent problemIntensive Care Medicine - Original Paper

Haber Jan, Mallátová Naďa, Kolešková Evženie, Hnátková Markéta, Kořen Jan, Herold Ivan

Anest. intenziv. Med. 2008;19(2):110-119  

During the last decades fungal infections have become a serious complication with a significant impact on the length of hospital stay and mortality in hospitalized patients. Candida infections occur not only in neutropenic patients with haematological malignancies but also in patients with other forms of immune deficiency e.g. in those undergoing abdominal surgery, solid organ transplantations and those admitted to the ICU. The growing incidence of candida infections dates from the early 1980s to the late 1990s. The introduction of fluconazole resulted in a slow decrease in the incidence of candidiasis and a lower occurrence of Candida albicans infections,...

Zprávy ČSARIMNews from CSARIM

Vladimír Černý

Anest. intenziv. Med. 2008;19(2):120  

Report of the meeting of the Section and Board of Anaesthesiology (SBA) Istanbul, Saturday 17th November 2007News from CSARIM

Anest. intenziv. Med. 2008;19(2):121  

Minimal Monitoring Standards in the Perioperative PeriodNews from CSARIM

Anest. intenziv. Med. 2008;19(2):122-124