Nozokomiální pneumonie ventilovaných nemocných - je skutečně nevyhnutelnou komplikací umělé plicní ventilace?Editorial

P. Dostál

Anest. intenziv. Med. 2015;26(6):317-318  

Influence of prophylactic melatonin administration on the incidence of early postoperative delirium in cardiac surgery patientsAnaesthesiology - Original Paper

B. Bilý, F. Sabol, P. Török, P. Artemiou, M. Bilecová-Rabajdová, P. Kolarcik

Anest. intenziv. Med. 2015;26(6):319-327  

Objective:Postoperative delirium in cardiac surgery is a severe complication. The circadian rhythm of melatonin secretion has shown to be altered postoperatively. It was hypothesized that by prophylactic supplementation of a substance that is capable of resynchronizing circadian rhythm such as melatonin may be possible to reduce the incidence of postoperative delirium. Design:It is prospective interventional clinical study. Setting:A specialized institute of tertiary level health care. Material and methods:Two consecutive groups (control and melatonin group) of 250 consecutive patients were enrolled....

Can we decrease incidence of postoperative delirium in children by changing premedication?Anaesthesiology - Original Paper

A. Kurzová, J. Málek, L. Hess

Anest. intenziv. Med. 2015;26(6):328-332  

Objective:Causes of postoperative delirium in children are probably multifactorial. The aim of our study was to assess if using tramadol instead of midazolam in premedication would decrease incidence of postoperative delirium without worsening conditions for induction to anaesthesia. Design:Randomised, double blinded trial. Setting:University hospital. Methods:After ethics committee approval and parents' consent, 63 children scheduled for adenoidectomy or tympanostomy were included in the study. Oral premedication of atropine drops 0.02 mg/kg + ibuprofen syrup5 mg/kg and either midazolam 0.4-0.5...

Fast differential diagnostics of acute respiratory insufficiency using ultrasoundIntensive Care Medicine - Original Paper

V. Zoľák, S. Nosáľ, B. Zoľáková, M. Minárik, H. Poláček

Anest. intenziv. Med. 2015;26(6):333-341  

Objective:Lung ultrasound (LUS) is a modern alternative method for imaging the lungs that can be used in intensive care units not only for fast differential diagnosis of acute respiratory insufficiency but also for dynamic monitoring of the lungs. Our aims were: To validate the usability of LUS in healthy and critically ill children, to find out if there is a difference in the LUS image between non-ventilated and ventilated patients; to analyze time to diagnosis by lung auscultation, chest X-ray and lung ultrasound; to perform inter-observer analysis of these methods and to calculate the sensitivity and specificity of LUS for selected diseases. Design:Prospective...

Effect of implementation of a new preventive measure bundle on the incidence of ventilator associated pneumoniaIntensive Care Medicine - Original Paper

P. Novotný, M. Voldřich, T. Tyll

Anest. intenziv. Med. 2015;26(6):342-349  

Objective:Our goal was to assess the influence of implementation of a new preventive measure bundle against ventilator associated pneumonia (VAP) on the incidence of VAP in the period of 2008-2013. Design:Single centre, prospective, observational study. Setting:ICU of a University hospital. Materials and methods:Patients hospitalized in the ICU from 1^st January 2008 to 31^st December 2013 were enrolled into the study. We prospectively collected the following data: the number of patients on artificial lung ventilation (ALV), number of patients on ALV longer than 48 hours, number...

Echocardiographic evaluation of the aortic valve in the unstable patient - basic considerationsEchodidaktika - postgraduální vzdělávání

R. Šachl, M. Dobiáš, J. Kunstýř

Anest. intenziv. Med. 2015;26(6):350-354  

The aortic valve assessment is a part of complex echocardiographic examination for a compensated patient however especially for a haemodynamically unstable patient. In these conditions we need to rule out or confirm decompensated severe aortic stenosis, aortic regurgitation, infective endocarditis or other pathology of native or prosthetic valve. The pathology of aortic valve is a common cause of heart failure and therfore early echocardiographic assessment allows fast and correct decision in a care of an unstabil patient.Authors of the paper get to know the anesthesiologists and intensivists the fundamental principles of assessment of the aortic...

Zajištění dýchacích cestPostgraduate Education - Topics for Board Examination

V. Černý

Anest. intenziv. Med. 2015;26(6):355  

Pacienti s rezavými vlasy mají vyšší výskyt komplikací - mýtus nebo důkazy?Postgraduate education - Selected Topics in Clinical Physiology

V. Černý

Anest. intenziv. Med. 2015;26(6):356-357  

Calculation of cerebral perfusion pressure in the management of traumatic brain injury: joint position statement by the councils of the Neuroanaesthesia and Critical Care Society of Great Britain and Ireland (NACCS) and the Society of British Neurological Surgeons (SBNS)Guidelines

V. Černý

Anest. intenziv. Med. 2015;26(6):358  

Anesteziolog jako ochránce pacienta aneb čeká nás "povinnost donášet" na naše kolegy?Ethics and Medicine Law

R. Černá Pařízková

Anest. intenziv. Med. 2015;26(6):359-363  

XVI. kardioanesteziologické vědecké dny s mezinárodní účastí. Vybrané souhrny přednášekCongresses and Conferences

Anest. intenziv. Med. 2015;26(6):364-371  

Výborová schůze ČSARIMNews from CSARIM

Anest. intenziv. Med. 2015;26(6):372-373  

Zápis z jednání výboru č. 4/2015News from CSIM

Anest. intenziv. Med. 2015;26(6):374