611
ABSTRAKTY3363200011158114164221282345406464520
Z3909200011151
KONGRESU3986200011156116178239299356406466
/4478200011132
CONGRESS4536200011154116177239299355406456
ABSTRACTS5018200011158114164221282345401459509
Abstrakty40743200974995127155182221259289329
posterů44203200974691123151191218263
z470032009734
kongresu47513200973781126172199239271316
ČSARIM50843200974687135179199264
202553653200974182121163
|5584190011126
303565419001114397144
/23598040010732
Anest24368040010752100145178207
intenziv266380400107196794136184221240282
Med.29648040010770115165181
2025;36(4):302-3133164804001074487129173186230273297339360375419463504529570609646
/38558040010732
ANESTEZIOLOGIE39538040010752111155200245290341362424467526585606650
A46258040010752
INTENZIVNÍ4699804001071978123168226276296344405426
MEDICÍNA51468040010770114173194248268327381
www.aimjournal.cz4258040010765133201214257275349367415463490539579598614654693
VR425580015380166
Rescue614580015381143197256329388
1000:1025580015366129199268303
Analýza1350580015382158222264326383447
efektivity1820580015359107166240293334396438489551
jednodenního42572001533797168243307379438511586627703767
tréninku1215720015351112173246288363439512
neodkladné1749720015373132198269345387451521596655
resuscitace425860015359120174247300360400451515573633
ve1081860015362121
virtuální1225860015362104166222294357399474515
realitě1763860015359120184226267318380
Machová4251070012485138184243302354407
K1,2,852107001246191010800733246819931070012426
Benešová10391070012461114174227272330382435
K1,2,149410700124611551108007332468116341070012426
Holeček16801070012469128156209256309364
O1,2,206410700124722132108007332468122151070012426
Beneš22611070012461114174227272
J1,2,255310700124412591108007332468126741070012426
Bureš4251200012460119158211256
M37011200012484786121007332
1425140007130
Klinika468139001215479102157180227276
anesteziologie,7651390012149104154194228277320344399423478535558608628
resuscitace1414139001213383122177216261284317366411460
a18951390012148
intenzivní1964139001212479111160216259283331387410
medicíny,4681520012183134191214259282337383399
Lékařská888152001214797144194226266313362
fakulta1271152001213078125181204237286
v15781520012148
Plzni,1647152001215476119174197218
Univerzita18861520012165120143191240273318341374423
Karlova,23301520012155104136160215262311332
Fakultní468165001214993140195219252307330
nemocnice8191650012156106190245291346369414463
Plzeň1303165001215375118168224
2425179007130
Simulační468178001214972155210233281326381404
centrum893178001214594150182215270353
Lékařské1268178001214797144193225266312361
fakulty1650178001213079125181204237287
v19581780012148
Plzni,2027178001215476119174197218
Univerzita4681910012165120143191240273318341374423
Karlova9121910012154104136160215262311
3425205007130
XR4682040012157110
Institute,599204001212480119153176209264297346366
s.986204001214061
r.1068204001213349
o.,113920400121557495
Plzeň1256204001215375118168224
Úvod:5652430011060106157210231
Virtuální81724400107466693123171212231279297
realita1136244001072669110128147175216
(VR)1374244001072472119142
se1538244001073378
stává1637244001073463104144185
běžným1844244001074994131180218293
nástrojem2158244001074889122151178225244288362
ve2541244001074184
vzdělávání.2647244001074079127171190231425258001074081129147163
V6042580010745
oblasti666258001074797116156189217236
výuky918258001074083131169211
neodkladné1145258001074892140190227247287336384427
resuscitace1589258001072668102148181221239267307348389
(BLS)1995258001072368108151174
umožňuje21852580010748121169204252298317360
realistické2562258001072668108127145177205224264301344
scénáře425272001073475118166208234277
s7292720010734
okamžitou789272001074988130204242261289337385
zpětnou1201272001073687132160209258307
vazbou1534272001074183121172221270
bez1831272001075095133
nutnosti1990272001074997125174223257286306
asistence.232227200107417594127156199248289331346
Cílem269527200107527091136210
studie425286001073463111160179222
bylo673286001075089109157
ověřit855286001074889132157176204
efektivitu1085286001074467111149180198240259287335
VR1446286001074592
tréninku156328600107285598146165213250299
BLS1887286001074686130
u20422860010748
žáků2115286001073779117165
11–162305286001074479120159198
let252828600107196391
během2645286001074994142186260
jednodenní425300001071963113161210260304352400419
akce863300001074179118161
VR1044300001074592
Rescue1156300001074589123164211255
1000.1431300001074484129175190
Metodika:5653130011074122154205258281327374395
Akce976314001075390130172
se1164314001073478
uskutečnila1258314001074881118166195237278326344363403
16.167831400107438299
6.1793314001074460
20251870314001074386128171
na2058314001074889
dvou2163314001074990137185
místech2365314001077392124153196237285
v26663140010741
Plzni.2723314001074563100148167182
Po425328001074592
krátké543328001073866107135173216
instruktáži785328001071967100129155204242273314351370
studenti1181328001073463111160204253279298
trénovali150532800107285598146194235276295314
s18453280010733
VR1905328001074592
aplikací2023328001074191110129167209249268
propojenou2317328001075077124174223242286334383431
s27743280010734
figurínou2834328001072443425342001074996123142190239287
Little72934200107416088118137181
Anne.9283420010752101149193208
Nácvik1153342001075898139182202239
trval141034200107285498140159
cca1586342001074079121
201724342001074487
minut1829342001077392140187215
a20623420010741
končil2120342001073886134175193212
30sekundovým2349342001074488122166204252300350398438481556
testem425356001072870104133176249
bez692356001075095132
zpětné841356001073787132159208252
vazby.1111356001074182119170209221
Kvalita1350356001074482123142161189230
byla1598356001074989109149
hodnocena1765356001074897147195243284327375416
dle2198356001074968112
doporučení2328356001074997147197223272312355403421
ERC2767356001074287138
jako42537000107195895142
optimální582370001074796123141213253271318336
(100–120/min,934370001072362101145192230267309339409427473488
5–71438370001074388127
cm),15803700010739111132145
uspokojivá1741370001074779127175213259278295336376
(80–100/120–140/min,2133370001072365108155193232276306347383425472510548593622693711757772
4–5/7–9425384001074491134164209250293
cm)7343840010740114135
nebo889384001074892142191
neuspokojivá.1100384001074892140173222271310357376395436478494
Výsledky:5653970011054100138162209262309357379
Z9683980010749
12551041398001074482126166
účastníků1232398001074888130163192240259299347
mělo16033980010774118137185
kompletní1813398001073886160209229273301349368
hodnocení2205398001074897147195243285327375394
6122624398001074481119
studentů.2768398001073362110425412001075095145172222237
V6894120010747
průměru763412001075179128204249276326
probíhalo1116412001075179127178198250292311361
171504412001074583
%16144120010768
času1709412001074183118166
v19024120010742
optimálním19714120010749100129148224266285334354429
pásmu,2427412001075194128203252268
492723412001074487
%28384120010767
v4254260010742
uspokojivém494426001074983134185225274294313356400476
a9984260010742
341067426001074592
%11864260010768
v12824260010741
neuspokojivém.1351426001074995144179229280320369389408451496571589
34,5%1967426001074591107153219
ze2214426001073781
suboptimálních2323426001073483134185236265285360403422472491533582
kompresí425440001073885158207233276309327
bylo768440001074988108155
způsobeno939440001073686134166214263308355403
příliš135844000107507695115133165
hlubokým1540440001074766113162210248291365
stlačováním.192144000107336280121160206246287335353426442
Mezi23794400010769113150169
věkovými2564440001074083120167207249323341
skupinami425454001073471119169188236277350369
se814454001073377
neprokázal911454001074892142169216255297334376395
významný1326454001074184123172212286334372
rozdíl.1718454001072774109157176197213
Závěr:565467001105198143188221244
VR833468001074692
nácvik951468001074889130173192230
BLS1207468001074585129
je1362468001071963
proveditelný1450468001075077124164207257276304347366414452
a19284680010741
efektivní.1994468001074468111149180199240289307323
I23434680010719
bez2387468001075095132
předchozí2545468001074976119169210258306341361
zkušenosti425482001073675124157201250299333362381
dosáhli832482001075098132174223242261
studenti1119482001073463112161206254281301
uspokojivé1446482001074881131180219267286305347390
kvality1863482001073882124143162190233
v21234820010740
662190482001074490
%23064820010767
času.2399482001074182116163180
Virtuální260548200107466793125173214233281300
realita425496001072770110129147175216
je661496001071963
atraktivní74349600107416895137175205224265314333
doplněk1095496001074997147167215259297
výuky1411496001074184133171214
první1644496001075077121170188
pomoci,1852496001074998173221262281296
umožňuje21684960010747121169205254301320364
bezpečný2551496001075095132182227268316355
a4255100010741
opakovatelný482510001074898139177224264305332374393441479
trénink.97851000107275497145163211248266
Limitací1261510001074059132150178219259278
je1555510001072063
absence1635510001074090123167215255297
reálného1949510001072669109128175219267315
kontaktu,2281510001073885133160201239269317332
nemožnost2630510001074892165213249425524001074896130159
kontroly600524001073885134160187234253293
postoje910524001074998132161207226270
u11965240010748
figuríny126152400107234392139165184232271
a15485240010741
omezený16065240010747121165202245293331
nácvik1954524001074889129172191229
týmové2199524001072871145193233277
spolupráce,2492524001073483132151198248274316356399413
proto425538001075077124151198
je642538001072063
vhodná725538001074190138188236277
kombinace1022538001073885159209228276316357399
s14415380010734
klasickou1494538001073959100133151191229277325
výukou.1839538001074083132170217265282
Effect3047580015373123173232290344
of3414580015363112
intra‑arrest3549580015338113164225289325387450512573627680
transport,4252580015351112175251304375441501556591
extracorporeal3047720015359126180240304361427487560626686747810852
cardiopulmonary3922720015356120183255296361431504545649714787851913979
resuscitation3047860015359120174247300360400451515566606672745
and3815860015362137207
immediate4045860015339144248307379420485536597
invasive4664860015339114176239294335397456
assessment30471000015362117171232286341444504577628
in36981000015338113
refractory38341000015359120169230294351405471531596
out‑of‑hospital44531000015363136187223290338370441505559630670721785827
cardiac30471140015357121183255296361418
arrest:34881140015362125187248302355388
a38991140015362
long‑term39841140015339103176240276326386447552
follow‑up45581140015348112151192257350386457526
of51071140015364112
the52421140015351125184
Prague30471280015371133197261334393
OHCA34621280015382168247332
trial38171280015351111153218260
Rob30471490012459117178
D1,32451490012470331215000733233431490012426
Farkasovská33891490012453103141196249293351403446501555
K1,39641490012462402215000733240531490012426
Křečková40991490012462101154201256313365418
M1,45371490012485461815000733246491490012426
Smid46951490012454140168229
O1,49441490012471501215000733250441490012426
Kaválková30471620012461115167220248302359411464
P1,35321620012458358816300733236191620012426
Macoun36651620012485139184242301360
J1,40451620012441408416300733241151620012426
Huptych41611620012469128189226281325384
M2,45661620012484465016300733246841620012426
Havránková47301620012469123175213266325380437489542
P3,52921620012458534916300733253821620012426
Gallo30471750012468122150178237
J3,33041750012441334417600733233781750012426
Pudil34241750012458116177205233
J1,36771750012441371517600733237461750012426
Dusík37921750012470129173201258
M1,40701750012485415117600733241821750012426
Havránek42281750012469123175213266325379434
S1,46821750012454473217600733247641750012426
Linhart4810175001245179138197250289327
A1,51581750012465521617600733252471750012426
Bělohlávek30471880012460114143201260288342394445501
J1356818800124413606189007332
13047208007130
I.3090207001212445
interní3157207001212378111160193249272
klinika345020700121477295150173220269
kardiologie3740207001214796129185208263287342399422472
a42342070012148
angiologie,43032070012148104160183238262317374397447467
Všeobecná4791207001215696146202259310356411459
fakultní3090220001212978125180204237292315
nemocnice34262200012156106190245291346369414463
a39102200012148
1.3979220001215268
lékařská4068220001212374121170203243289339
fakulta4428220001212978125180204236285
Univerzity47352200012164119142191240273317341374424
Karlovy,51802200012154103136160215262312329
Praha3090233001215385133189237
23047247007130
Institut3090246001212479118152175208263296
informatiky,3408246001212378107162195279327359382429479495
robotiky3925246001213287144200233256302353
a42992460012148
kybernetiky4368246001214797155206239295345378401448498
(CIIRC),4888246001212884107131184242272291
České30902590012158107146193242
vysoké3353259001214899138194241290
učení36642590012155100149205228
technické3913259001213382128183238261306353401
v43362590012148
Praze4405259001215385133177227
33047273007130
Neurologická30902720012166117172204259283338395418463509558
klinika,367027200121467194150173219269290
Všeobecná3981272001215695146202259310355411459
fakultní4461272001212978125180203236292315
nemocnice47972720012155106189245290345369413462
a30902850012148
1.3159285001215268
lékařská3248285001212374121170203243290339
fakulta3608285001212978125180204237285
Univerzity39152850012164119142191240273317341374424
Karlovy,43602850012154103136160215262313329
Praha4710285001215385133189237
Background:3187327001105198138184234266317368420472493
Randomized3695328001074586133182230303322358400450
data4161328001074888115156
evaluating4333328001074484125143190230257275323372
the4721328001072775119
impact4856328001071891140181221251
of5123328001074871
extracorporeal52103280010744831131401812212672933047342001075099126169209228
cardiopulmonary3296342001074081108156175223273321340413462510551577621
resuscitation3938342001072669103150183223242270311339357405454
(ECPR)4413342001072465116161205229
on4663342001074896
long‑term4780342001071968116166193221264290365
outcomes5166342001074896124163209283328361
in3047356001071967
patients3141356001075092120139183232259295
with3462356001076685114163
refractory365135600107277195123165206237284311355
out‑of‑hospital4032356001074997126151202226252302351385434454482524544
cardiac4602356001074183110158177218259
arrest488835600107416895139173202
(OHCA)5117356001072483141194248272
are5416356001074168111
lacking.3047370001071960100138158206256272
This3343370001074292110143
follow‑up351137000107237190109157222250299348
study3884370001073463111160200
assessed4109370001074174107152185219263313
long‑term4446370001071968116166194222264291365
outcomes4835370001074897125163210284328362
of5222370001074771
ECPR­5318370001074293138182209
‑based3047384001072777119152197247
versus3313384001074184111145192225
conventional3558384001074086135174218266293311359408449468
CPR4045384001075296141
(CCPR).4205384001072474122167211234247
Methods:31873970011074121153205256309346367
The3570398001074291135
Prague3721398001074570112161208251
OHCA39893980010760116168221
trial422739800107275473113131
was43753980010764105138
a45303980010740
single‑center,458739800107335198147166209238280322370397439465476
randomized,5080398001072667115164212285304340383432447
open‑label3047412001074898143191219239280330374394
study.3464412001073463111160201213
Patients3700412001074586113132175223250285
with4009412001076584112160
witnessed4193412001076584112161205239272316366
refractory458341200107266993121162203233280307350
OHCA49574120010760117169223
of5204412001074872
presumed529941200107507712015420130474260010774118168
cardiac3236426001074082108156175215256
origin,351342600107487494143161209225
without3759426001076584112160209257285
ROSC,40654260010746106148199215
were43014260010765108135178
randomized4500426001072668116165214288306343386436
during4957426001074996123142190239
ongoing5217426001074897146194213261310
resuscitation3047440001072668101147179218236263303330348395442
to3505440001072772
CCPR3593440001075198141184
or3793440001074773
an3881440001074188
ECPR‑based3984440001074191135178204254294327370419
approach4418440001074089138164210250290336
(intra‑arrest477044000107244188114140180207247273299341373401
transport,518744000107275394141173221269295325340
ECPR3047454001074293138182
if3249454001071842
no3311454001074897
prehospital3427454001075077120168217250299319347388407
ROSC,38544540010745106147198214
and4088454001074189138
immediate4246454001071992166210260279319346389
invasive4654454001071967107148181200241284
assessment).4958454001074074107151185218292336384411434447
Results:31874670011052101140193217251290313
Between3526468001074692121190235281331
March38844680010772114141182231
20134143468001074589130169
and4339468001074291142
October45094680010761104135183235281308
2020,4845468001074589132176192
2645064468001074589136
patients5228468001075093121141186236264300
were30474820010765108135178
randomized;3244482001072668116165214288306343386436451
2563713482001074488132
enrolled.3863482001074492119166185204248298314
Long‑term4196482001074087136185213241284310384
follow‑up459948200107247191110158223251300349
at4967482001074168
5.35054482001074458103
years5176482001073983123149183
(IQR5378482001072443103149
3.8–7.2)3047496001074459105151191198244266
was33364960010765107140
completed3500496001074086160210230274301344394
in3918496001071866
255/2564008496001074488129158202247290
patients4321496001075092119138181230256291
(99.6%).4636496001072465109122167233254267
A49274960010753
total5003496001072875102143162
of5189496001074872
34/1235284496001074489120162199243
(27.6%)3047510001072467108115159225246
in3310510001071967
the3393510001072876121
ECPR‑based3530510001074293138182209260301335379429
group3976510001074875122170219
and4212510001074189138
26/1324367510001074486118159197237
(19.7%)4621510001072464102115158224245
in4883510001071966
the4966510001072876120
CCPR5103510001075199144188
group5308510001074975122170220
were30475240010765108135178
alive325052400107416079120163
(log‑rank343852400107244492142170197239287325
P=0.01).3788524001074699145161205245263276
There4089524001074292136162205
were43205240010765108135178
no4523524001074997
significant4645524001073452101149168192212252293341368
differences503952400107496791119162189232280320363396
in5461524001071966
neurological3047538001074995144171219240289341360401444464
outcome,3538538001074998128167215291337352
post‑discharge39175380010751101136166191244263297339388430457507552
survival,4496538001073483110155175218260280296
hospitalization4819538001074999134184204233276295315352396424443493543
risk,538953800107274781119138
major30475520010774114133181208
cardiovascular3273552001074082108156175223263305338379426445486512
events,3803552001074484128176203237253
or4074552001074875
quality4167552001074896137156174202245
of4430552001074771
life.451955200107193862105120
Among46575520010752126174223272
long‑term4947552001071967116165193221264290364
survivors,53295520010734811071511713047566001074188115149165
poor3229566001074998147174
neurological3420566001074892140166213233281331349389431450
outcome3886566001074896124163209283327
(CPC4230566001072473118169
3)4416566001074465
occurred4498566001074789127175201228271321
in4836566001071966
1/344919566001074471115160
(2.9%)509556600107246782124191213
in5325566001071866
the5408566001072876120
ECPR‑based3047580001074293138182209260302335379429
group3496580001074975122170220
and3736580001074089138
1/263894580001074471115157
(3.8%)407158000107246681127193215
in4305580001071967
the4392580001072876120
CCPR4532580001075199144188
group.4740580001074975122170220235
Conclusions:31875930011053103155196220272310333385437474496
In3709594001071967
patients3802594001075092119138182230257292
with4120594001076584112160
refractory430759400107266993121162203233280307350
OHCA,46835940010761118170224242
the4951594001072876120
ECPR‑based5097594001074293138182210261303336380430
approach3047608001074190140167214256296344
significantly3408608001073452101149168191211251293341368387427
improved3852608001071892141168215255298348
long‑term4217608001071967116165193221264290364
survival.4598608001073481107151170211253272287
Neurological49026080010758102150176223243291341359400441460
outcomes,53796080010748961243047622001074087161205239255
cardiovascular3320622001074082108156175223263305338379426445486512
events,3851622001074384127175202237253
and4123622001074088138
quality4279622001074997137156175203245
of4543622001074872
life463362200107193862105
were47576220010765108134177
similar4953622001073352125144162203229
between5201622001074994122190233278326
ECPR‑based3047636001074293138182209260302335379429
and3496636001074189138
CCPR3654636001075199144188
group.3862636001074975122170220235
LITERATURA3048659001234978134189250318368438498567
1.304767600853648
Rob311267600833574113
D,324267600834556
Farkasovska33146760083326283114147174212244271301334
K,366567600833549
Kreckova37316760083345791124154191223256
M,400467600835467
Smid408867600833290105144
O,424867600834758
Kavalkova432367600833468100133148178215247280
P,462067600833539
Macoun467667600835487119156194232
J,492467600832436
et497767600833456
al.50496760083324860
Effect51266760083325170105137162
of530467600833757
intra­5377676008315527495128151
‑arrest3047686008321537496130157180
transport,32436860083224376114141179218240265278
extracorporeal35376860083346590111144176213235274313335369401416
cardiopulmonary39696860083316485124139177216255270327366404437458492
resuscitation44776860083205481119145177192215247269284322361
and485468600833270109
immediate497968600831472130165205220252273307
invasive53026860083155384117144158191225
assessment30476960083325885120147173231266304326
in338869600831452
refractory3455696008321557496129161185222244278
out‑of‑hospital37486960083377598117157176197236274301340355378410426
cardiac41896960083316485123138170202
arrest:44066960083325375109136159173
a4593696008332
long‑term46406960083155392131153175209230289
follow‑up4944696008318567287125176198237276
of523569600833756
the53066960083226095
Prague54166960083355689304770600833876111
OHCA317370600834792133176
trial.3364706008321435991106119
Critical3498706008340617799114146179195
Care,37087060083407394128140
2024;28(1):125.386370600833468101133145180214233264279291321350385397