Dive in the algorithms from the clinical practice!
Anaesthesia of Patient with CHD
Dan Barvík M.D., Hana Harazim M.D., Renata Nevelöšová, Veronika Krátká
The most frequent cause of death in the Czech republic and one of the most common diagnoses in our population is coronary heart disease. We are therefore looking at a significant patient population, and it is likely that some of these may present with comorbidities that will need to be treated surgically with consideration of their diagnosis of this disease. The solver will be led through each step of the anaesthesia and perioperative management of the patient with coronary heart disease by a detailed algorithm. This algorithm is also focused on some of the situations that could occur during surgery and their management.
Digoxin Intoxication
Henrieta Hricová M.D., Štěpán Svoboda, M.D. , Hana Harazim M.D., Ph.D., Viktorie Taláková, Lucie Neumannová
Digoxin is still a widely used antiarrhythmic drug, especially in elderly patients with heart failure and atrial fibrillation. Especially in this group, renal insufficiency is a frequent comorbidity. And it is the coincidence with renal insufficiency that is a major risk factor for digoxin overdose. Unfortunately, the outpatient possibility of measuring its level as a way of monitoring optimally guided therapy is often neglected. It is only when an overdose is suspected during hospitalization, and with already developed bradycardia, that levels are then determined. Also, digestive distress, as one of the first signs of digitalis toxicity, is often overlooked (especially in elderly and polymorbid patients).The algorithm recalls not only the mechanism of action and its limitations, but also the manifestations of overdose and the subsequent possibility of specific therapy.
Acute Postoperative Pain Management
Ivo Křikava M.D., Ph.D., Tereza Prokopová M.D., Adam Gonda, Bianka Kořínková
An unpleasant part of almost every surgical procedure is pain, which can complicate the postoperative period. Therefore, it is necessary to keep that in mind and prevent pain adequately. Even though sensation of pain is subjective and differs in every individual, we can expect a certain intensity of pain characteristic for specific types of procedures. Throught this algorithm you will learn how to approach the management of pain of different intensity.
Stroke in Children
Eva Klabusayová M.D., Tereza Musilová M.D., Vanda Benetinová, Jakub Vanko
The diagnosis of stroke is usually associated with older age, but its occurrence in the pediatric population cannot be considered rare. Early recognition of the symptoms, which are summarized by the acronym "BE FAST", is especially important for early diagnosis. This and the subsequent use of appropriate diagnostic methods will allow us to start adequate treatment in the shortest time possible, which is absolutely essential for the patient's final prognosis.
Child Abuse and Neglect Syndrome
Kateřina Popková M.D., Vladislav Nezval M.D., Barbora Horniaková, Sylwia Pycz
Child abuse and neglect syndrome represent a serious problem, based on harsh, refusing or humiliating attitude towards the child. However, the form of the abuse doesn´t always have to be the physical one. The diagnostics, social and law aspects of the CAN syndrome remain very problematic, nevertheless, every doctor should be able to recognise the red flags and clinical symptoms of the CAN. He also should be able to proceed adequately in this kind of situations.
Newborn resuscitation - 2021
prof. Petr Stourac, M.D., Ph.D., Jana Djakow, M.D., Ph.D., Tereza Jenčová
Newborn resuscitation is a complication occurring approximately in 1% of deliveries. Proper initial assessment and stabilization of the newborn play a crucial role in following postnatal transition and in further clinical outcome. For this reason, we present to you the following algorithm to practice the entire process, including necessary equipment check, transition and newborn resuscitation in accordance with the European Resuscitation Council Guidelines 2021: New-born resuscitation and support of transition of infants at birth.
