Year 2024 in review - SepsisReview Article

Karvunidis T., Královcová M.

Anest. intenziv. Med. 2024;35(5):288-291 | DOI: 10.36290/aim.2024.049  

This year's summary comments an antimicrobial treatment of serious infections based on selected publications. In the context of recent studies and meta-analyses, it discusses the method of administration of β-lactam antibiotics, new issues on their safety, and also considers the appropriate duration of such therapy.

Year 2024 in review - Cardiac anaesthesia and postoperative careReview Article

Michálek P., Říha H., Kunstýř J., Pořízka M.

Anest. intenziv. Med. 2024;35(5):281-287 | DOI: 10.36290/aim.2024.041  

Perioperative and postoperative care in cardiac and thoracic aortic surgeries carries a significant number of specific scenarios differing from other surgical specialties. Cardiac anesthesia is an independent sub-specialty in most developed countries. Generally, modern cardiac surgery tends to move towards less invasive procedures such as partial sternotomy, mini-thoracotomy, thoracoscopy, or hybrid procedures in cooperation with interventional cardiologists. This review article comments on the novel information within the last year. The topics of mini-invasive cardiac surgery, recent guidelines in cardiac perioperative care, novel drug studies, and...

Year 2024 in review - Cardiovascular issues in intensive care and perioperative medicineReview Article

Smékalová O., Klimovič A., Kletečka J., Zatloukal J., Beneš J.

Anest. intenziv. Med. 2024;35(5):274-280 | DOI: 10.36290/aim.2024.054  

As in previous years, we are also trying to acquaint our readers with the news that was published during the last 12 months in a narrative review article. In addition to the exciting topics of pharmacological circulation support, we focus more on several national and international recommendations in this year's review. We do not present the translation of these recommendations in extenso, but instead, we emphasize some essential points, which we try to place in the context of existing evidence.

Ohlédnutí za doc. MUDr. Jarmilou Drábkovou, CSc. (1934–2024)Social section

Černý V., Horáček M., Cvachovec K., Ševčík P.

Anest. intenziv. Med. 2024;35(4):265-266 | DOI: 10.36290/aim.2024.047  

MUDr. Roman Kraus, MBA *27. 10. 1955 – +30. 10. 2024Obituary

Štourač P.

Anest. intenziv. Med. 2024;35(4):264 | DOI: 10.36290/aim.2024.040  

Stanovisko EK MZ k otázce povinnosti lékařů upozorňovat při výkonu jejich činnosti na situace nesprávné odborné činnosti nebo chování, které je v rozporu s principy lékařské etiky u jiných lékařůReports from professional societies

David Černý, Vladimír Černý (Ed.), Jolana Kopsa Tešinová

Anest. intenziv. Med. 2024;35(4):259-263 | DOI: 10.36290/aim.2024.063  

Stanovisko Etické komise Ministerstva zdravotnictví otázce povinnosti lékařů upozorňovat na situace, které jsou v rozporu s lékařskou etikou – kultivujme sebe i naše kolegyEditorial

prof. MUDr. Vladimír Černý, Ph.D., FCCM, FESAIC

Anest. intenziv. Med. 2024;35(4):211-212 | DOI: 10.36290/aim.2024.061  

Konsenzuální stanovisko k zabezpečení minimálního nemocničního standardu k implementaci PBMReports from professional societies

prof. MUDr. Jan Beneš, Ph.D.

Anest. intenziv. Med. 2024;35(4):258 | DOI: 10.36290/aim.2024.056  

Správná kanylace centrálního žilního katétruShort Communication

Nosková P., Kletečka J., Astapenko D.

Anest. intenziv. Med. 2024;35(4):254-257 | DOI: 10.36290/aim.2024.048  

Sto čtyřicet let od objevu místní anestezieShort Communication

Málek J.

Anest. intenziv. Med. 2024;35(4):252-253 | DOI: 10.36290/aim.2024.043  

Violent patient after cocaine intoxication in the emergency department - case reportCase Report

Pekara J., Jindříšek Z., Páv M.

Anest. intenziv. Med. 2024;35(4):248-251 | DOI: 10.36290/aim.2024.055  

This case report describes the case of a 25-year-old man following cocaine intoxication in the context of a described diagnosis of schizophrenia during the incident. The patient was found on the street, dominated by delusional production, threatening aggression, and homicide. After the emergency room collections were made, there was boisterous behavior and destruction of property. The patient eventually ended up at the detention center with police assistance, where the violent state subsided after restraint and medication administration. The case report is a good example of emergency room staff working together to manage very agitated patients.

Intrakraniální hypotenze u mladého muže v souvislosti s poraněním rameneCase Report

Kalina M., Černý V.

Anest. intenziv. Med. 2024;35(4):245-247 | DOI: 10.36290/aim.2024.042  

Intrakraniální hypotenze je relativně vzácná jednotka projevující se širokou škálou příznaků. Typicky je charakterizována posturálními bolestmi hlavy, vzácně též kómatem. Těžké případy mohou být život ohrožující. Ve většině případů je intrakraniální hypotenze způsobena opakovanými lumbálními punkcemi nebo je spontánní. V této kazuistice popisujeme případ, kdy intrakraniální hypotenze byla spojena s traumatem ramene s poraněním brachiálního plexu.

A case report of non­‑menstrual toxic shock syndrome in a patient after lipoma extirpationCase Report

Míl O.

Anest. intenziv. Med. 2024;35(4):242-244 | DOI: 10.36290/aim.2024.033  

Toxic shock syndrome (TSS) is a rare but potentially life-threatening disease. Because of its aggressiveness and multi-organ involvement, the patient's greatest hope (and at the same time a stumbling block for his broad differential diagnosis) is the recognition of this syndrome and adequate therapy. In the last 40 years, only 156 cases of non-menstrual TSS have been described in domestic literature, of which 29 ended fatally [1], therefore we also present one such case report from our workplace.

Selective peripheral nerve blocks of the upper extremityReview Article

Nalos D., Naňka O., Beňo L., Zapletal J.

Anest. intenziv. Med. 2024;35(4):236-241 | DOI: 10.36290/aim.2024.058  

The aim of this article is to provide an overview of the possibilities of selective peripheral nerve blocks of the upper extremity suitable for minor surgical procedures and invasive analgesic treatment. The development of ultrasound assistance allows for more precise localization of the course of nerves and offers the possibility of selective blockades with minimal impact on postoperative mobility. To facilitate needle tip navigation, the article emphasizes the relationship of nerve pathways to vascular, muscular, and fascial structures.

Since when is salt acidic? Do we really understand hyperchloremic acidosis?Review Article

Šitina M.

Anest. intenziv. Med. 2024;35(4):229-235 | DOI: 10.36290/aim.2024.028  

The article compares 2 perspectives on acid-base considerations. The formal view, of Stewart, is suitable for exact calculations, but less intuitively understandable, since it does not deal with the question of the internal mechanisms of acid-base processes, but suffices to satisfy formal physical-chemical laws. And the intuitive view, which provides a comprehensible qualitative idea of the direction, toward acidosis or alkalosis, in which acid-base will evolve. The article further explains the nature of dilutional and hyperchloremic acidosis and shows that not NaCl but water in solution is its cause.

Issues of pain assessment in patients with delirium in intensive care - narrative reviewReview Article

Mica P., Čundrle I.

Anest. intenziv. Med. 2024;35(4):223-228 | DOI: 10.36290/aim.2024.044  

Intensive care patients frequently experience delirium and pain. Their occurrence is a contributing factor to the increased morbidity and mortality and organ complications in these patients. For a variety of reasons, the evaluation of pain in delirium patients is challenging. It is advisable to employ validated tools for its evaluation. Initiating targeted therapy and identifying pain and delirium early are the primary responsibilities of the attending staff.

Enoxaparin dosage and incidence of venous thromboembolism in critically ill patients with COVID-19Original Article

Beneš J., Kalina M., Černý V.

Anest. intenziv. Med. 2024;35(4):215-222 | DOI: 10.36290/aim.2024.032  

Objective: COVID-19 is associated with a high risk of thromboembolic disease (VTE) and this risk is further increased in critically ill patients. Elevated D-dimer levels are a predictor of severe COVID-19 disease. Data on the incidence of VTE, mortality of critically ill patients with COVID-19, and its association with the dose of prophylactic anticoagulation in Czechia have not been published. We performed a retrospective analysis of patients with COVID-19 admitted to the intensive care unit. The primary endpoint was new-onset deep vein thrombosis during ICU stay. Secondary objectives were incidence of pulmonary embolism, venous thromboembolism (deep...

The XXX national CSARIM congress abstractsCongress abstracts

redakce

Anest. intenziv. Med. 2024;35(3):199-208  

CSARIM 2024 awardsReports from professional societies

redakce

Anest. intenziv. Med. 2024;35(3):192-198  

CSARIM awards: what is their meaning in the context of the fieldEditorial

prof. MUDr. Vladimír Černý, Ph.D., FCCM, FESAIC, prof. MUDr. Jan Beneš, Ph.D. 

Anest. intenziv. Med. 2024;35(3):139  

Congress EMHG 2024, BrnoReports from professional societies

Klincová M., Štěpánková D., Schröderová I., Tomášková V., Štourač P.

Anest. intenziv. Med. 2024;35(3):190-191 | DOI: 10.36290/aim.2024.037  

The forgotten pioneer of medicine Med. et Chir. Dr. Augustin GöttingerShort Communication

Vetešník J.

Anest. intenziv. Med. 2024;35(3):188-189 | DOI: 10.36290/aim.2024.035  

Choosing the optimal vascular access in perioperative and intensive careShort Communication

Astapenko D., Kletečka J., Řehák D., Nosková P.

Anest. intenziv. Med. 2024;35(3):185-187 | DOI: 10.36290/aim.2024.036  

A case of whole­‑body rigidity in a patient after orthopedic surgeryCase Report

Tlapáková K., Černá Pařízková R., Astapenko D.

Anest. intenziv. Med. 2024;35(3):182-184 | DOI: 10.36290/aim.2024.031  

In our case report, we present a case of swiftly manifesting malignant neuroleptic syndrome in a patient after orthopedic surgery who was treated for a new onset of delirium with a combination of antipsychotic drugs. Thanks to early diagnosis and treatment the patient didn't suffer any organ dysfunction and could have been discharged from our intensive care unit in two days back to the standard unit. The goal of this case report is to highlight this rare yet still life-threatening condition to our colleagues to help them take care of patients with such diagnoses in the future.

The importance of perfusion and preservation solutions in perioperative medicineReview Article

Navrátil P., Břízová P., Astapenko D.

Anest. intenziv. Med. 2024;35(3):176-181 | DOI: 10.36290/aim.2024.029  

Perfusion and preservation solutions are indispensable in the field of cardiothoracic surgery and transplantation. These solutions, developed to protect and maintain organs during surgical interventions, are crucial for preserving their viability and improving surgical outcomes. In the context of cardioplegia, they provide heart protection during cardiothoracic surgeries, enabling controlled cardiac arrest while minimizing myocardial metabolic activity. In transplantation, they maintain organ functionality during storage and transport. Research focuses on developing new solutions and techniques to further improve the organ protection and efficiency...

Perioperative care of patients with chronic thromboembolic pulmonary hypertension undergoing pulmonary endarterectomy - twenty years of experience at an expert Centre in the Czech RepublicReview Article

Kunstýř J., Lindner J., Jansa P., Michálek P.

Anest. intenziv. Med. 2024;35(3):168-175 | DOI: 10.36290/aim.2024.027  

This year marks the 20th anniversary of the launch of the chronic thromboembolic pulmonary hypertension (CTEPH) surgical treatment programme, which involves three departments of the Cardiac Centre of the General University Hospital in Prague. Diagnosis and decision-making on the type of treatment, including indication for surgical treatment, is carried out at the Centre. Other non-surgical treatments and long-term dispensary care are also available to patients. Over 500 patients with CTEPH have been operated on during the program's lifetime. Our Centre also concentrates on patients with other types of severe pulmonary hypertension who are indicated...

Perioperative management in patients treated with gliflozinsReview Article

Šitina M., Šrámek V.

Anest. intenziv. Med. 2024;35(3):162-167 | DOI: 10.36290/aim.2024.021  

Patients treated with gliflozins, mostly with type 2 diabetes mellitus, may develop ketoacidosis with normal to moderately eleva­ted glycemia (euglycemic ketoacidosis) in the perioperative period. Therefore, gliflozins should be discontinued 3-4 days before elective surgery and only restarted when oral intake is reliably restored and the condition is clinically stable. In the case of minor surgery without the need for fasting, omitting gliflozins only the day before surgery and on the day of surgery may be considered. If gliflozins have not been discontinued, acid-base balance and, optimally, ketone bodies should be checked regularly until reliable...

Spinal morphine up­‑to­‑dateReview Article

Buršík D., Romanová T., Vodička V., Jor O., Máca J.

Anest. intenziv. Med. 2024;35(3):155-161 | DOI: 10.36290/aim.2024.030  

Over many decades, spinal (intrathecal) opioid administration has become a proven method of analgesia for the perioperative period. However, in clinical practice, it is confronted with concerns about potential complications, the need for increased postoperative monitoring, and the unavailability of a relevant commercial product on the Czech market. Pathophysiological interpretation of adverse effects and their potential prevention is evolving as research continues. The implementation of spinal opioids in clinical practice is likewise changing. When used appropriately, it is a safe method to improve the postoperative course of the full spectrum of surgical...

Analysis of risk factors and the effect of specific treatments on the clinical outcome of patients hospitalized for COVID-19 at a university hospital in the Czech RepublicOriginal Article

Černá Pařízková R., Astapenko D., Balík M., Blažek M., Dostál P., Dušek L., Fajfr M., Jarkovský J., Jurišínová I., Svobodová E., Szanyi J., Šmahel P., Černý V.

Anest. intenziv. Med. 2024;35(3):142-154 | DOI: 10.36290/aim.2024.034  

Objective: The study aimed to evaluate the clinical outcome of patients hospitalized for COVID-19 in two university hospitals in 2021-2022, define risk factors, and evaluate the effect of specific treatment procedures. Design: A multicentric retrospective study. Setting: Intensive care units. Material and methods: The study included all adult patients hospitalized for COVID-19. The demographic data, comorbidities, degree of vaccination, ventilatory support, and pharmacotherapy were recorded. The study aimed to determine the impacts of selected risk factors, pharmacotherapy, and vaccination against SARS-CoV-2 on the clinical outcome. Results: A total...

Role recenzentů - nenahraditelná, ale bohužel neviditelná…Editorial

prof. MUDr. Vladimír Černý, Ph.D., FCCM, FESAIC, doc. MUDr. Jiří Málek, CSc.

Anest. intenziv. Med. 2024;35(2):85-86