AULA B 22
Opening Ceremony and Intro Block
At the opening ceremony of the XVI. Conference AKUTNĚ., Dr. Štourač (Brno) thanked the organizers and Masaryk University’s Faculty of Medicine for hosting the event. Awards were presented during the ceremony, including the Jiří Mach´s Award for the best publication by an author under 35, which went to Dr. Tereza Musilová and the AKUTNĚ.CZ Personality of the Year 2024, awarded posthumously to Dr Roman Kraus (in Memoriam) and to Dr Křikava (Brno).
The program also included launching two books: Urgent Medicine and Perioperative Medicine for General Practitioners.
Dr Křikava opened the first session with a lecture on inhalation anaesthesia, emphasizing the environmental impact of anaesthetics like nitrous oxide and desflurane.
Dr Klučka highlighted key studies favouring video laryngoscopy over traditional methods and discussed recommendations such as neonatal airway management and oral hygiene for critically ill patients. The last speaker in this block, Dr. Ševčík, addressed irrationality and critical thinking in intensive care, stressing the importance of prevention and combating societal issues like misinformation and waste.
Intensive Medicine
The Intensive Medicine session began with Dr. Kula (Ostrava) discussing the resolution of the inflammatory response in septic shock, highlighting the high mortality rate and recommending 100 mg of ASA after discontinuing noradrenaline. Dr. Otáhal (Prague) followed with a talk on the importance of patient positioning in lung ventilation,
emphasizing the use of electrical impedance tomography (EIT) and automatic lateral therapy (ALT) for monitoring. The session also covered the intersection of the State Institute for Drug Control (SÚKL) and anesthesiology, with Mr Velík and Ms Peštová explaining the use of registered and off-label medical products and the regulations surrounding them.
Anaesthesia
Dr Kutěj discussed pre-anaesthetic assessments, stressing the importance of legal documentation and using MET scores and Mini-Cog tests. Dr Horáček presented the impact of gender on anaesthesia, highlighting differences in pain perception, response to analgesics, and patient expectations. The final lecture by Dr Gabrhelík covered complications in regional blocks, pointing out that despite the use of ultrasound, complications such as infection and neurological issues can still occur.
Varia
The final session, Varia, began with Dr. Šeblová discussing ethical dilemmas in pediatric emergency care, covering controversial topics such as abortion, prioritizing the mother or fetus during resuscitation, and involving children in medical decision-making. Dr. Djakow then presented an overview of the upcoming 2025 ERC guidelines, explaining the Evidence-Based Medicine (EBM) process used to assess scientific articles and improve patient survival and quality of life. The last lecture, If James Bond Were a Doctor, He’d Definitely Be an Anesthesiologist, by Dr. Beneš, humorously compared the work of an anesthesiologist to the secret agent, drawing parallels between stress management and high-tech skills.
Poster section: Medically Challenging Cases
The Medically Challenging Cases poster session featured six high-quality presentations, including topics like the history of anesthesia, severe asthma management in newborns, and off-label use of intralipid for quetiapine overdose. The session concluded with a poster on an anesthesiology mission in Ghana. All posters were well-designed and sparked great interest from the audience. The best abstract award was granted to Dr Jana Šoltysová: Unexpected etiology of severe bronchial asthma in an infant.
Parallell session, B11/ 334
Paediatric Anaesthesia and intensive care
The first session on pediatric anaesthesia and intensive care began with Dr Štourač’s introduction. Dr. Divák (Ostrava) discussed whether a pediatric anesthesiologist can be trained in an adult setting, emphasizing the importance of clinical skills and continued education. Dr. Vafek (Brno) presented a new, liberal approach to pediatric preoperative fasting and the use of atropine in premedication. Dr Popela (Brno, Olomouc) focused on the specifics of pediatric anaesthesia in pre-hospital emergency care, stressing the need for age-appropriate care and safe interventions in limited spaces. Dr. Kratochvíl (Brno) closed the session by discussing pediatric craniotrauma, its management, and the importance of documentation.
Education
The education block highlighted changes in medical training, with Dr Cvachovec emphasizing the inclusion of critical care simulation courses and Dr Vafková introducing evidence-based medical education and modern simulation techniques.
Obstetric Anaesthesia and Intensive Care
Dr Bláha (Prague) presented the challenges of neuraxial anaesthesia failure, emphasizing the role of ultrasound for both epidural and spinal puncture, especially in obese patients. Dr. Seidlová (Brno) discussed ovarian hyperstimulation syndrome (OHSS) during IVF, highlighting the importance of monitoring fluid balance and lab tests. Dr Nosková (Prague) emphasized the importance of communication with the mother during planned cesarean sections to prevent post-partum depression. Dr Mannová (Havlíčkův Brod) concluded the block with a talk on oxytocin administration, its uses, and potential side effects.
Life-saving Procedures: How to perform the best?
The life-saving procedures block began with Dr Malý (Prague) on predicting difficult airway management (DAM), followed by Dr Henlín (Prague) on supraglottic devices, Dr Brožek (Prague) on fiberoptic intubation, and Dr Otáhal (Prague) on the final step, CICO, in the DAM algorithm. Dr Klabusayová (Brno) covered pediatric anaesthesia, while Dr Kubalová (Zlín) focused on intraosseous access and Dr Čiernik (Brno) on urgent chest access techniques.
SMAI-What is really important from a different perspective?
The “What is truly important from a different perspective?” session began with Dr. Klincová, who introduced the Young Anaesthesiologists and Intensivists Section, was established in 2017. Dr. Klincová emphasized the importance of communication with parents, especially during the hospitalization of children, and suggested having a mediator present in hospitals to improve communication. Dr. Klincová also shared her personal experience as a patient, stressing the importance of patient autonomy and understanding. Dr. Horáček (Motol) discussed Enhanced Recovery After Surgery (ERAS), highlighting its focus on minimizing complications and shortening recovery time through a multidisciplinary approach. Dr. Stolz, a surgeon, emphasized the need for calm patients and efficient teamwork between surgeons and anesthesiologists.
Dr. Ťoukálková (Brno) presented new pediatric fasting guidelines, including updates on clear fluid intake before procedures. Dr Nalos (Ústí nad Labem) discussed the timing of anticoagulation therapy and regional anaesthesia, emphasizing the risk of epidural bleeding.
Dr Štětková (Brno) focused on anaesthesia in newborns, recommending video laryngoscopy as the first choice for intubation. Dr. Bláha (Prague) concluded the session on perioperative bleeding management, stressing the importance of monitoring and using balanced solutions and coagulation support.
The final session on medical education included Dr. Mrozek, who emphasized the need for stable, accessible, and practical training. Dr. Bönischová discussed the importance of simulation courses, noting their value for students and instructors. Dr Mach provided tips for success during speciality exams, highlighting the need for preparation, organization, and confidence.
Dr. Muzyková shared her experience with the EDAIC exam, recommending that she not take both the board exam and EDAIC in the same year due to the significant differences in the need for preparation.
Closing Ceremony
The day full of lectures, workshops, and pleasant meetings flew by, and it was time for thanks and farewells. We thank all the attendees for their participation and the volunteer organizers for their meticulous preparation. A few statistical highlights: A total of 1623 attendees registered for the XVI. Conference AKUTNĚ.CZ —866 in the medical section and 509 in the non-medical section. This year’s conference set a record with 1248 attendees, the highest number ever. There were 741 spots available for the 29 workshops. Not only knowledge nourishes a person, as our catering team served 1400 sandwiches, 1200 slices of frgál (a traditional cake), 400 baguettes, and brewed coffee from 16 kg of coffee beans.
Big thanks to all who supported the conference, and we are already looking forward to XVII. Conference AKUTNĚ.CZ, which will be happening on 22. 11. 2025.
