Paliativní péče u nemocných s nezvratným orgánovým selhánímEditorial

Karel Cvachovec, Vladimír Černý

Anest. intenziv. Med. 2009;20(4):175  

iNO in acute respiratory failure of the newborns. A comparison of its combination with CMV and HFOVIntensive Care Medicine - Original Paper

Lukáš Marek, Vobruba Václav, Košut Peter, Srnský Pavel, Žurek Jiří, Koudelková Ludmila, Košinová Lucie, Fedora Michal

Anest. intenziv. Med. 2009;20(4):176-184  

Objective:To compare the effect of inhaled nitric oxide (iNO) combined with conventional mechanical ventilation (CMV) or high-frequency oscillatory ventilation (HFOV) on oxygenation and ventilation parameters, complications rates and mortality in newborns with acute hypoxic respiratory failure (AHRF). Design:A prospective observational study. Setting:The Paediatric Anaesthesia and Intensive Care Clinic, University Hospital Brno, and The Paediatric and Adolescent Medicine Clinic, General University Hospital, Prague. Materials and methods:We enrolled in the study newborns with persistent pulmonary...

Early identification of critically ill patients with the MEDICAL EMERGENCY SYSTEM in St. Ann University Hospital, BrnoIntensive Care Medicine - Original Paper

Pavlík Martin, Dadák Lukáš, Zvoníček Václav, Štětka Pavel, Bartošík Tomáš, Suk Pavel, Šrámek Vladimír

Anest. intenziv. Med. 2009;20(4):185-191  

Objective:To introduce the Medical Emergency Team in St. Ann University Hospital Brno and to determine its effect on the outcome of patients admitted to the ICU. Design:Prospective before-and-after intervention trial in the University Hospital. Methods:We studied the patients admitted to the ICU from within the hospital before the introduction of the MET call system (group P, n = 115, September 2005-February 2006), during the "intervention period" (group S, n = 462, June 2006-July 2008) and the patients admitted through the MET call system (group M, n = 76, June 2006- July 2008). Results:

Measurement of trans-alveolar pressure with a pulmonary artery catheterIntensive Care Medicine - Original Paper

Zvoníček Václav, Suk Pavel, Šrámek Vladimír, Pavlík Martin

Anest. intenziv. Med. 2009;20(4):192-199  

Objective:Trans-alveolar pressure (Pt) is the difference between alveolar pressure and pleural pressure. To calculate Pt it is necessary to measure pleural pressure using an oesophageal balloon which is not commonly available. The aim of the study was to estimate respiratory pleural pressure changes and thereby the trans-alveolar pressure changes using the respiratory swing of central venous pressure, pulmonary artery pressure and pulmonary artery occlusion pressure. The method is based on transmission of pleural pressure changes during the respiratory cycle to the vascular pressures. The hypothesis was that pleural pressure changes during...

A patient with severe and protracted hypoglycaemiaIntesive Care Medicine - Case Report

Karvunidis Thomas, Kroužecký Aleš, Raděj Jaroslav, Sýkora Roman, Chvojka Jiří, Novák Ivan, Matějovič Martin

Anest. intenziv. Med. 2009;20(4):200-202  

Severe hypoglycemia is a life-threatening condition requiring rapid diagnostics and adequate treatment. In this article we present a case-report of suicidal intoxication with long-acting insulin and a brief summary of suitable diagnostic approaches.

The utilization of fiberoptic bronchoscopy in intensive careIntesive Care Medicine - Review Article

Bartáková Hana, Otáhal Michal, Votruba Jiří, Balík Martin

Anest. intenziv. Med. 2009;20(4):203-210  

Fiberoptic bronchoscopy (FOB) is one of the most utlilised instrumental methods in intensive care. It is used therapeutically for removal of retained bronchial secretions and management of haemoptysis, and in diagnosis of pulmonary infections and other pathologies in mechanically ventilated patients. FOB is also used for tracheal intubation and to confirm tube positioning. The professional competence to perform FOB in the intensive care setting might be a matter of debate. The authors believe that education of intensivists in cooperation with trained chest physicians is the preferred way of training physicians working in intensive care units.

2. ČESKÝ KONGRES INTENZIVNÍ MEDICÍNY

Anest. intenziv. Med. 2009;20(4):211-215  

Doporučený postup vyšetření před diagnostickými nebo léčebnými výkony operační a neoperační povahy s požadavkem anesteziologické péče (tzv. předanestetické vyšetření)Guidelines

Černý Vladimír, Cvachovec Karel, Ševčík Pavel, Šturma Jan

Anest. intenziv. Med. 2009;20(4):216-217  

Zásady bezpečné anesteziologické péčeGuidelines

Anest. intenziv. Med. 2009;20(4):217-218  

Konsenzuální stanovisko k poskytování paliativní péče u nemocných s nezvratným orgánovým selháním (ČSARIM ČLS JEP, ČSIM ČLS JEP)Guidelines

Anest. intenziv. Med. 2009;20(4):218-221  

Konsenzuální stanovisko k použití terapeutické hypotermie (ČSARIM ČLS JEP, ČSIM ČLS JEP, Společnost urgentní medicíny a medicíny katastrof ČLS JEP)Guidelines

Anest. intenziv. Med. 2009;20(4):221-224  

Seznam doporučení ČSARIMNews from CSARIM

Anest. intenziv. Med. 2009;20(4):225-226  

Zpráva revizní komiseNews from CSIM

Anest. intenziv. Med. 2009;20(4):227