Cílem článku Rok 2023 v anestezii a intenzivní péči v pediatrii je přinést stručný přehled nejdůležitějších publikací v tomto oboru za poslední rok. Vybrané publikace kromě vysoké kvality zpracovaní mohou čtenářům přinést znalosti umožňující zkvalitnění jejich každodenní klinické praxe v anestezii a intenzivní péči.
The aim of the article Year 2023 in Paediatric anaesthesia and intensive care is to provide a brief overview of the most important publications in this field over the last year. The selected publications, in addition to their high quality, can provide readers with knowledge that will enable them to improve their daily clinical practice in anaesthesia and intensive care.
The article highlights and discusses several current topics that have been published in the field of anaesthesiology in obstetrics in the Czech Republic and abroad last year. It summarizes the influence of COVID-19 pandemia on anaesthesiological praxis in obstetrics. It also presents new developments in systemic and neuroaxial obstetric analgesia, Caesarean Section anaesthesia and emergencies in peripartum period.
Deep neck infections are potentially dangerous complications of upper respiratory tract or odontogenic infections. The pathophysiology, clinical presentation, and potential spreading depend on the complex anatomy of the neck fascia. These infections can lead to severe pathological conditions, such as mediastinitis, sepsis, and especially airway impairment with difficult management. Because of the risk of life-threatening emergency situations and the possible impacts on the overall health status of affected children, their early recognition is of utmost importance. Torticollis, drooling, and stridor are the most common signs of advancing disease. Children presenting with these symptoms should be admitted to the paediatric intensive care unit for vital function monitoring, where the airway could be readily secured if function is compromised.
- Publication type
- Journal Article MeSH
- Review MeSH
Článek přináší autorským kolektivem vybraný přehled prací a témat, která byla v oblasti anesteziologie v porodnictví publikována v posledním roce v České republice i v zahraničí. Shrnuje dopady pandemie covidu-19 na porodnickou an estezii. Dále se věnuje novinkám v systémové a neuroaxiální porodnické analgezii, anestezii u císařského řezu a náhlým stavům v peripartálním období.
The article highlights and discusses several current topics that have been published in the field of anaesthesiology in obstetrics in the Czech Republic and abroad last year. It summarizes the influence of the COVID-19 pandemic on anesthesiological praxis in obstetrics. It also presents new developments in systemic and neuraxial obstetric analgesia, Caesarean Section anesthesia, and emergencies in the peripartum period.
- MeSH
- Analgesia, Obstetrical MeSH
- Cesarean Section MeSH
- Anesthesia, Epidural MeSH
- Humans MeSH
- Anesthesia, Obstetrical * MeSH
- Check Tag
- Humans MeSH
- Female MeSH
- Publication type
- Research Support, Non-U.S. Gov't MeSH
- Review MeSH
Článek přináší autorským kolektivem vybraný přehled prací a témat, která byla v oblasti anesteziologie v porodnictví pub likována v posledním roce v České republice i v zahraničí. Shrnuje dopady pandemie covidu-19 na porodnickou anestezii. Dále se věnuje novinkám v systémové a neuroaxiální porodnické analgezii, anestezii u císařského řezu a náhlým stavům v peripartálním období.
The article highlights and discusses several current topics that have been published in the field of anaesthesiology in obstetrics in the Czech Republic and abroad last year. It summarizes the influence of COVID-19 pandemia on anaesthesiological praxis in obstetrics. It also presents new developments in systemic and neuroaxial obstetric analgesia, Caesarean Section anaesthesia and emergencies in peripartum period.
Článek přináší autorským kolektivem vybraný přehled prací a témat, která byla v oblasti anesteziologie v porodnictví publikována v posledním roce v České republice i v zahraničí. Shrnuje dopady pandemie COVID-19 na porodnickou anestezii. Dále se věnuje novinkám v systémové a neuroaxiální porodnické analgezii, anestezii u císařského řezu a náhlým stavům v peripartálním období.
The article highlights and discusses several current topics that have been published in the field of anaesthesiology in obstetrics in the Czech Republic and abroad last year. It summarizes the influence of COVID-19 pandemic on anaesthesiological praxis in obstetrics. It also presents new developments in systemic and neuroaxial obstetric analgesia, Caesarean Section anaesthesia and emergencies in peripartum period.
Článek přináší autorským kolektivem vybraný přehled prací a témat, která byla v oblasti anesteziologie a intenzivní péče v gynekologii a porodnictví publikována v posledním roce v České republice i v zahraničí. Shrnuje výsledky mezinárodní studie OBAAMA-INT, která zmapovala anesteziologickou praxi na porodním sále v České republice a na Slovensku. Dále se věnuje novinkám v systémové a neuroaxiální porodnické analgezii, anestezii u císařského řezu a náhlým stavům v těhotenství.
The article highlights and discusses several current topics that have been published in the field of anaesthesiology and intensive care in gynaecology and obstetrics in the Czech Republic and abroad last year. It summarizes the results of the international OBAAMA-INT study, which mapped the anaesthesia practice in the delivery room in the Czech Republic and Slovakia. It also presents new developments in systemic and neuroaxial obstetric analgesia, Caesarean Section anaesthesia and emergencies in pregnancy.
AIMS: The purpose of this international survey was to describe the impact of current practices and techniques of caesarean section on the neonatal Apgar score in the Czech Republic (CZE) and Slovakia (SVK). METHODS: All Czech and Slovak departments that provide obstetric anaesthesia were invited to participate in a one-month (November 2015) prospective study that monitored in details all peripartum anaesthetic practices, delivered by anaesthesiologists. Participating centers recorded all data on-line in the CLADE-IS database (Masaryk University, CZE). RESULTS AND DISCUSSIONS: We collected data of 10119 women who delivered 10226 newborns. A caesarean section was recorded in 25.1% of deliveries (CZE 23.2%; SVK 30%). General anaesthesia was used for caesarean section in 37.5% of the cases (CZE 40%, SVK 33%). There was no statistically significant difference in the Apgar score lower than 7 in the 1, 5 or 10 min in groups of general and regional anaesthesia for caesarean section, when only elective sections of in-term babies with birth weight over 2500 g were analyzed. We found no statistically significant differences in the Apgar score in newborns of women intubated for caesarean section in rocuronium (n=21; 2.2%) and suxamethonium (n=889; 93%). CONCLUSION: We found no difference in neonatal outcomes in groups of general and regional anaesthesia for caesarean section when only out-of-risk newborns were analyzed. The risk factors were identified as follows: an acute caesarean section, preterm babies, birth weight less than 2 500 g, born in perinatological center and multiple pregnancy - second baby. TRIAL REGISTRATION: ClinicalTrials.gov (ID: NCT02380586) https://clinicaltrials.gov/ct2/show/NCT02380586.
- MeSH
- Apgar Score * MeSH
- Anesthesia, General statistics & numerical data MeSH
- Cesarean Section methods MeSH
- Adult MeSH
- Humans MeSH
- Young Adult MeSH
- Neuromuscular Depolarizing Agents therapeutic use MeSH
- Neuromuscular Nondepolarizing Agents therapeutic use MeSH
- Infant, Newborn MeSH
- Anesthesia, Obstetrical MeSH
- Retrospective Studies MeSH
- Rocuronium therapeutic use MeSH
- Succinylcholine therapeutic use MeSH
- Anesthesia, Conduction statistics & numerical data MeSH
- Pregnancy MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Young Adult MeSH
- Infant, Newborn MeSH
- Pregnancy MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Czech Republic MeSH
- Slovakia MeSH
BACKGROUND: Medical education, in general, is undergoing a significant shift from traditional methods. It becomes very difficult to discover effective teaching methods within the limited possibilities in patient hands-on education, especially as seen in anesthesiology and intensive care medicine (AIM) teaching. Motivation-based teaching is very popular in all other aspects of education, but it has received scant attention in medical education literature, even though it can make a real difference for both students and physicians. OBJECTIVE: The primary aim of this retrospective audit was to find out if proper motivation-based teaching of students via the development of AKUTNE.CZ's serious games can help retain graduates of the Faculty of Medicine of Masaryk University (FMMU) for the AIM specialty. METHODS: Motivation-based teaching and the learning-by-doing concept were applied to a subject called Individual Project. Our topic, The Development of the Multimedia Educational Portal, AKUTNE.CZ, has been offered since 2010. The objective has been the development of supportive material in the form of interactive algorithms, serious games, and virtual patients for problem-based learning or team-based learning lectures aimed at acute medicine. We performed a retrospective questionnaire evaluation of all participants from the 2010-2017 period, focusing on their choice of medical specialty in 2017. The data were reported descriptively. RESULTS: We evaluated 142 students who passed Individual Project with topic The Development of the Multimedia Educational Portal, AKUTNE.CZ during 2010 to 2017. In this period, they developed up to 77 electronic serious games in the form of interactive multimedia algorithms. Out of 139 students in general medicine, 108 students (77.7%) had already graduated and 37 graduates (34.3%) worked in the AIM specialty. Furthermore, 57 graduates (52.8%) chose the same specialty after graduation, matching the topic of their algorithm, and 37 (65%) of these graduates decided to pursue AIM. CONCLUSIONS: Motivation-based teaching and the concept of learning-by-doing by the algorithm/serious game development led to the significant retention of FMMU graduates in the AIM specialty. This concept could be considered successful, and as the concept itself can also be well integrated into the teaching of other medical specialties, the potential of motivation-based teaching should be used more broadly within medical education.
- Publication type
- Journal Article MeSH
The 18 October, 2017 marked the 10-year anniversary of the day when, upon entering the domain name akutne.cz, educational content was displayed in the worldwide Internet network for the first time. It is rather unique that, throughout the ten years, this has been a strictly academic activity aimed to unify and modernize the education of acute medicine. Recently, education in medical fields has undergone dynamic changes and a shift to modern teaching methods. The educational and publishing portal of AKUTNĚ.CZ (the AKUTNĚ.CZ Portal) reflects these changes and brings to light the modern forms of education for both under- and postgraduate candidates in Anaesthesiology and Intensive Medicine (AIM). It is a great appreciation and, at the same time, commitment to the future that a large part of more than 150 students of the Faculty of Medicine of Masaryk University who participated in its development have chosen AIM for their further professional grow.
